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HEARNAP — Part 42
Page 140
140 / 705
Cell a Sn ati Ant pede* SS ° re a ‘Sern PET re ae oe cst «naa a 9 rr ver a “ror
MY-827 (8/78) oo ° . PAGE 3
a Stats of New York - Department of Motor Venicist
APPLICATION. FOR REGISTRATION OR TITLE
PLEASE PRINT WITH BLUE OQ BLACK INK IN WHITE SPACES AT_ARROWS.
>” Name ot Registrant First Widdis initial
CC a on |
Me ee ee ry
Di: Month Dap . Guass CHANGE Roo
Birth \y 2.0 5
ma fovrucare nor .
bin Ne ate eee eet ree nie nett dame nar art
. SoPPLY THE OLLOWING “INFORM Ton FOR THe v HICLE You ARE SOISTERING.
» “ao vont, ac. Soka Cols o\ A we 310 2
GYITTLELELL IL LOE CLTrTg
7
¥ Type of Power
° ae oes O Dlese!) TC) eiectrie
a identification Number
TH.) — 125 i ad (Gea Capacity 71a
» 0
OR A DUPLICATE, RENEWAL On TRANSFER OF PLATES, FiLL IN LINE 10.
<i i Se
Your Present! Piate Mo. . aati Type of Regitiration Prevent Expiration Cate (
$s endgev— bo] 2017
se ate a AG ele Ct nan alee te tile Re teenies ah
FOR A PARTNERSHIP SESTETRAVION Fike iN LINES 11 AND 32.
i Co-Owner's Last Name Middte Inittat
Dale Month “sty a= perks
FOR 1973 AND NEWER VEHICLES, COMPLETE TEMS
» ¥enicle Was Purchased
D vess New PA seed of tiret sna”
>” Lienholder's Name tif none - enter “None") . Lien Dats
Mailing Address (Number and Street} City State ZiP Code
Becond Lisnholde:'s Name (if none - enter “None"> tren Date
Mailing Address (Number end Street) City fitate ZiP Code
ERGATA BGR aT OT WOT Than Registrant, on Other Side. grt ,
BE SURE TO COMPLETE FORM AND SIGN THE OTHER SIDE. eww
“ . . ;.
= ; i “ ;
“Noa santiliDbaath weceaghetisibey ge Dydsareenintunces sstenecninie he mphttenigammins 94 sae waa senate! A eat
4
-* a - t Feta a Se naa p APONTE oa aahe
“ag Cae: pais ri ee i it ag
. a, 3” + >. S f, sts . fe
a. . 2 * 7 .
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