Republic of the Philippines

Department of Transportation
LTO LAND TRANSPORTATION OFFICE
National Capital Region East
DILIMAN DISTRICT OFFICE
Agency

January 21,2021
Date Printed

AUTHORIZATION

TO WHOM IT MAY CONCERN:

This is to authorize the use of improvised plate number UVE-140 for

vehicle herein described under the name of ROSEMARIE TUAZONESPLANA With
Complete address 39 CALCITE ST TWINRIVER I| SU8D PARANG CITY OF MARIKINA NCR SECOND DISTRICT

Make/Type MITSUBISHI/ ADVENTURE WAGON

Motor Number 4D56-ARS208
Chassis Number PAEVB5NJ16B008803
Current 0.R. No. 2020202837083
Date Paid 12-04-2020
Classification PRIVATE
File Number 1364-00000053295

This authorization in its original formswhen carried by driver or operator of the

above described motor vehicle is a sufficient compliance to Section 17, 31, 36, (d) of
R.A. 4136 and 6, 8 Blg. 43.

This authority is not valid if not accompanied by OR/CR.

ADELE P. FABIC
C.T.R.0.

Date Paid: (H-P) 12-07-2018

0. R. No.: 1546289894
For plate verification:
Pls. calI @ 8922-90-61 to 66 Local 324