VEHICLE ARRIVAL CERTIFICATION - Honolulu

CS-L (MVR)199 (REVISED 3/02)DEPARTMENT OF CUSTOMER SERVICESCITY AND COUNTY OF HONOLULUDIVISION OF MOTOR VEHICLE , LICENSING AND PERMITSVEHICLE ARRIVAL CERTIFICATIONI, , hereby certify:(PRINT NAME OF REGISTERED OWNER)That I am the registered owner of the following VEHICLE : VEHICLE Identification No. (VIN) ,Make , Type ,License Plate No. issued by the State of ;That the VEHICLE was transported into the State of Hawaii by and arrived into the state(NAME OF SHIPPING COMPANY)on .(MONTH, DAY, YEARThat I submit this CERTIFICATION in lieu of the shipping receipt or bill of lading asrequired by Rule of the Rules and Regulations of the Director of Budget and FiscalServices of the City and County of Honolulu due to the following reason(s): .(SIGNATURE OF REGISTERED OWNER)(DATE))

cs-l (mvr)199 (revised 3/02) department of customer services city and county of honolulu division of motor vehicle, licensing and permits vehicle arrival certification

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Transcription of VEHICLE ARRIVAL CERTIFICATION - Honolulu

1 CS-L (MVR)199 (REVISED 3/02)DEPARTMENT OF CUSTOMER SERVICESCITY AND COUNTY OF HONOLULUDIVISION OF MOTOR VEHICLE , LICENSING AND PERMITSVEHICLE ARRIVAL CERTIFICATIONI, , hereby certify:(PRINT NAME OF REGISTERED OWNER)That I am the registered owner of the following VEHICLE : VEHICLE Identification No. (VIN) ,Make , Type ,License Plate No. issued by the State of ;That the VEHICLE was transported into the State of Hawaii by and arrived into the state(NAME OF SHIPPING COMPANY)on .(MONTH, DAY, YEARThat I submit this CERTIFICATION in lieu of the shipping receipt or bill of lading asrequired by Rule of the Rules and Regulations of the Director of Budget and FiscalServices of the City and County of Honolulu due to the following reason(s): .(SIGNATURE OF REGISTERED OWNER)(DATE))