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{9 @7e Dior oF seretpenee , VALIDATION MUGRER UiCEnES AUMOCR . APPLICATION FOR 226ISTRATION OF NON-RESIDENT VEHICLE 7. Lue | a * QIDENTIFICATION MO. Gregg veies omit: © verde. PT. “ 2 7 : FIRGT BOLD AB A KEW FERICLE LEWQOTH 1M 1RCHES WIDTH 1m INCHED @OpE -Ae ROW LJ cul $ IT $C ax FAI oma’ Gf “ OME Pe Vor | EFT. T aT q. | & G-? \ FE ONLY Al C*) HG na. bast PIgET Registered Owner(s) Ww f i £ ILI £22 (Print Tree y, BOLE Full Name( wil Name{s)) (2) Business oF Residence he Sala hy Légal Owner (Name of the Compony of individual Who Now Hos @ Len gn-This Vehicle. {f None, So Stote.) {Print True Full Mame) PO) > AG {nitiols Business of Residence Address 4 | Zip State Code MOTE: Applicant please complete the registration questionnaire on the reverse ude. I/we certify under penalty of perjury that the vuhiale was pfovlouly eapistered outside the State tements mode in this opplicotion. ore true and correct. Enecuted o ¥Aathe : AD th pete een! ctr le. avare Penonol ulgnature(s) of above registered owner(s) (2) IMPORTANT NOTICH Your present registration is valid until . Renew on or before avoid penalties. tf the vehicle fk sold of transferred, registration fees will be due immediately. . Rate Clerk. FOR DEPARTMENT USE ONLY one @ 4 ; NON 1 . : NUP r fir besg 2D 4 NOTIFIEO BY MAL PLATE NO. TAKE Reo. 343 imey. 1-711 pee . we eee et ee ee ee | f7-15200 1514 PF | | cas O Pipenn OS) ou