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NOTE / A NOTER APPLICATION FOR DEMANDE …

VEHICLE DESCRIPTION / DESCRIPTION DU V HICULEFEE CALCULATIONS / CALCUL DES DROITSS ticker / VignettePlate / PlaqueMake / MarqueSeries / S rieModel / Mod leExpires / ExpireYear / Ann / / Essieux Colour / CouleurRC / CR Fee Paid / Droits pay s$Serial No. / No de seriekgGross Mass / Masse brutePrev. Plate / Anc. plaqueOff. / ..TOTALEXCHANGE FROMCHANGEMENT DEDatePrev. Prov. or StateAnc. province ou tatYearAnn eK - 22 DateDJ M YAOwner No de / MassekgNOTE / A NOTERP lease sign and complete the appropriatesection on the reverse side of this et signer la partie qui s'applique auverso du pr sent D'IMMATRICULATIONDU V HICULEAPPLICATION FORVEHICLE REGISTRATION$$$$$$Name / NomAddress / AdressePostal Code postalI declare that all the foregoing information is d clare que tous les renseignements ci-dessus / NomAddress / AdressePostal Code postalName / NomAddress / AdressePostal Code postalBirth Date de naissanceD / JY / AMRecord below the name(s) and address(es) of al

EXCHANGE FROM CHANGEMENT DE Date Prev. Prov. or State Anc. province ou État Year Année K - 22 Date DJ M YA Owner No de prop. Mass / Masse kg ... Gasoline / Propane VÉHICULES CV Décapotable 2D 2 portes 2B 2 portes et hayon 4D 4 portes 4B 4 portes et hayon 2W 2 portes familiale 4W 4 portes familiale ...

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