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Account 1679108606 PDF

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TO OBTAIN A TITLE OR REGISTRATION CARD, MAIL THE ATTACHED DOCUMENTS AND REQUESTED ITEMS TO: DMV, PO BOX 942869,

SACRAMENTO, CA
94269-0001. PENALTIES ARE DUE IF RENEWAL FEES ARE PAID AFTER THE EXPIRATION DATE. PLANNED NON-OPERATION (PNO) REQUESTS MUST BE
SUBMITTED WITHIN 90 DAYS OF THE EXPIRATION DATE (ON OR BEFORE THE EXPIRATION DATE FOR OFF-HIGHWAY VEHICLES) OR ALL FEES AND
PENALTIES ARE DUE. FOR A DMV OFFICE APPOINTMENT, GO ONLINE AT WWW.DMV.CA.GOV OR CALL 1-800 777-0133.
SMOG INSPECTION/CERTIFICATION REQUIRED
* * *
POSTING FEES ONLY
* * *
ERROR STATEMENT FOR
X
COMPLETED BY
X
* * *

V69 031623 L2
0009 F00 11
6FGN568 854
REPORT OF
DEPOSIT
OF FEES
PAGE 1 OF 1

* INCOMPLETE APPLICATION**SEE ABOVE**THIS IS NOT AN OPERATING PERMIT *


MAKE YR MODEL YR 1ST SOLD VLF CLASS *YR TYPE VEH TYPE LIC LICENSE NUMBER
NISS 2009 2009 AF 2023 120 11 6FGN568
BODY TYPE MODEL MP MO VEHICLE/VESSEL ID NUMBER
4D G EC 1N4AL21E49N446854
TYPE VEHICLE/VESSEL USE DATE ISSUED CC/ALCO DT FEE RECVD PIC USE TAX
AUTOMOBILE 03/16/23 34 03/16/23 0 77
RDF REASONS: 0 U G
ORTEGA CRYSTAL AMOUNT PAID
R 2610 DEL PASO BLVD $ 107.00
/ AMOUNT DUE AMOUNT RECVD
O $ 107.00 CASH :
SACRAMENTO CHCK : 107.00
CA 95815 CRDT :

L PR EXP DATE: 03/08/2024


/
O

V69 L2 0010700 0009 CS 031623 6FGN568 854

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