Receipt

Vehicle Description: 2007 CHEV AVALANCHE 1500 Annual Registration Fee: $68.00
Vehicle Serial Number: 3GNFK12387G206231
Annual Insurance Premium: $1,281.00
Registration Period: 05Apr2022 to Continuous Insurance Discount: $0.00
SK Licence Plate: 335MPF
PST on insurance: $76.86
Unit No:
Annual Total: $1,425.86
This registration was issued to: * First Payment: $99.75
Finance Fee: $4.21
Admin Fee: $0.00
Jackson Cody L Total First Payment: $109.63
3327 41 AVE * Monthly Payment: $113.57
Lloydminster, SK S9V 2K6 Finance Fee: $4.80
Monthly PST on insurance: $6.47
Total Monthly Payment: $124.84

Funds Available Day: 1

Declaration Anniversary Date: Apr 04

* Includes Reg. and Ins.

Cash Cheque Debit Card Credit Card
Please inform SGI if your residency status or the use of your vehicle changes during the registration term. Issue Date: 05Apr2022 11:08 AM
Validation#: 356846214
* Please cut off the top portion when using as a receipt of fees paid. This top portion is not a Certificate of Registration.

Saskatchewan Certificate of Registration Saskatchewan Certificate of Registration

Refer to Payment Schedule for fees.
Expiry Date: Plate No: 335MPF Vehicle Identification Number (VIN):

Continuous Funds Available Day: 1 3GNFK12387G206231

Issue Date: Customer No: 32574725 Declaration Anniversary Date:
Apr 04
05Apr2022 Canada Inter-Province Motor Vehicle Liability Insurance Card Motorcycle Engine/Coach VIN:
Certificat d'assurance automobile responsabilité
Registration Issued To:
Applicable within Canada and the United States of America
Jackson Cody L En vigueur au Canada et aux États-Unis d'Amérique Vehicle Description:
This certifies that the party named herein is insured against liability for bodily injury and property
damage by reason of the operation of the motor vehicle described herein, in an amount not less than the
statutory minimum requirements in any area of Canada. 2007 CHEV AVALANCHE 1500 4WD
Body Style: Truck WARNING - Any person who issues or produces a card to show that there is in force a policy
of insurance as indicated herein that is in fact not in force is liable to a heavy fine and/or imprisonment
VIN Information:
Colour: Blue and their driver's licence may be suspended. This card should be carried in the insured vehicle for
production as proof of insurance when demanded by police.
Leased
Ce certificat atteste que la personne susnommée est assurée contre la responsabilité pour blessures et
From: dommages aux biens découlant de l'usage du véhicule ci-décrit, conformément aux limites minimales
exigées par les lois d'assurance en vigueur partout au Canada. Transfer of Ownership (Please Print)
Leased AVERTISSEMENT - Quiconque émet ou présente un tel certificat comme preuve d'une police Purchaser:
From: d'assurance-responsabilité qui effectivement n'est pas en vigueur, est coupable d'une infraction passible
d'une forte amende et/ou d'emprisonnement et suspension de son permis de conduire. Ce certificat doit
Unit No: NSC No: RGVW: Declared Value: être laissé dans le véhicule assuré afin d'être présenté comme preuve d'assurance lorsque la police
l'exige. Date of Purchase: Amount Paid:
Saskatchewan Government Insurance DD MMM CCYY
Primary Use: Dealer Type: Automobile Accident Insurance Act coverage
$
Personal Saskatchewan Certificate of Registration
Seller Name:
Intended Subject to the AAIA and its Regulations
Use(s)/ Personal Injury: SEE AAIA GUIDE
Seller Signature:
Discounts: Vehicle Physical Damage: ACTUAL CASH VALUE
Class: Fuel: Seat Cap: Engine Cap: Vehicle Deductible: $700
LV F Liability: $200,000 Printed: 05Apr2022 11:08 AM 356846214 2766

Declarations I understand that a false declaration will render this application null and void. Plate#: 335MPF
- NO - During the registration term, will the vehicle leave Saskatchewan for any of the following reasons: for use while attending school; travelling to and from work; or for
business use?
- NO - Will the vehicle be outside of Saskatchewan for more than 30 consecutive days for any reason other than school, work or business (i.e. snowbird, extended vacation, full-
time traveller)?
- NO - Will the weight of the vehicle exceed 5,000 kg (with or without a trailer(s) and load)?
- NO - Is the vehicle being used in a commercial enterprise or undertaking at any time?

x___________________________________
Signature of Registered Owner or Authorized Individual