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MAKE

60 DAY TAG
YEAR VIN# MODEL
BUICK 2012 1G4PR5SK1C4231515 VERANO

09-29-2023
JOPPY TEST
NEW/USED
C315691
Cut here - Keep this section with vehicle until registered and plated
Kansas Temporary Registration Certificate (VR-007)
C315691 Valid for 60 days
Exp: 09/29/2023
Vehicle and Owner Information
Year: 2012 Make: BUICK Model: VERANO COLOR 1: GREY
VIN:1G4PR5SK1C4231515 Odometer:N/A State to be titled: KS COLOR 2:
Owner: LUIS ANGEL CARRANZA MEJIA Driver ID: State Licensed:
Co-Owner: JUNCTION CITY KANSAS Driver ID: State Licensed:
Address of Purchaser(s): 136 E FOURTH JUNTION CITY, KS 66441
Dealer and Insurance Information
Dealer Name: POWERPLAY MOTORS LLC Dealer ID: NW10002463
I certify under penalty of law that the vehicle noted on the face hereof is covered by at least the minimun amounts of insurance required by Georgia Motor Vehicle Laws and that I have no
outstanding violations with the Motor Vehicle Administration. I furthe certify under penalty of perjury, that the statemens made herein are true and correct to the best of my knowledge,
information and belief
Signatures and Date
Owner: Dealership: Date of
Co-Owner: Delivery: 08/29/2023

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