YLQ475
CERTIFICATE OF REGISTRATION (RENEWAL)
VRN 1276191
Registered Operator
VAN ACKER, JILL
Unit 14
3 BURKE Crescent
GRIFFITH ACT 2603
VEHICLE DETAILS
HYUNDAI SEDAN
‘VIN KMHUA21NPWU291499
Engine Number G4EKV186136
Manufactured 08/1997
TAX INVOICE/ADJUSTMENT NOTE
Registration fee: $95.00
CTPI premium *: $199.05
Road rescue fee: 98.00
Road safety contribution: $1.00
Registration surcharge: $25.00
Duty:
REGO1O-18-FILE,
NRMA Insurance Limited
Receipt Nbr: INCOMING20070207003735
Registration Conditions
PRIVATE Registration
Garage Address
unit 14
3. BURKE Crescent
GRiFFITa ACT = 2603
Expiry Date 06/08/2007
Fee Code PCV
tare 910
cm 0 ccu 0
$328.05
Including 6st: $18.10
‘The Registered Operator is recorded as not entitled to claim an Input Tax Credit (ITC). If unsure please Application to transfer the registration of this vehicle aos 12005)
Disposer | Disposal Date Market Value Purchase Price (appicabe)
1. Complte all disposer detals. Goth signatures are needed the vehicle ¢ —
isregeterd in two nares O for fox | 2 coe [ 2 aos |
2. Complete, ter off and se the Notice of Disposal slip to (Chiposar's Nome Bloats ps
Road User Sarvces, PO Box 582, Dickson, ACT 2602, panne e beereniny
8. Give this application to transfer to the acquirer. die VAN ACKER
‘Acquirer ~ Aaguirer's Name (please print) Licence No.
+. Completa acquirer datas on rh. '
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