Page 7 - newhallwomansclub1964cookbook
P. 7

STATE  LICENSE  NO. ____________ _


          DRIVER'S  LICENSE  NO. ___________ _

          YEAR ______ MOTOR  NO. _______ _

          TYPE                   MAKE  OF  VEHICLE _____ _

          CYLINDERS ____ SERIAL  NO. ________ _


          WEIGHT _____ MODEL _________ _

          DATE  BOUGHT ______________ _




                                 TIRE  RECORD


          NAME  OF  TIRES ______ NUMBER OF  TIRES.                    _

          SERIAL  NOS. _______________ _
                                           SPEEDOMETER
          PUT  ON - DATE ______ MILEAGE ______
                                           SPEEDOMETER
          TAKEN  OFF-DATE ____ MILEAGE ______ _




                              CAR  INSURANCE

           AGENT _________________ _


           ADDRESS ________________ _

          CITY                   STATE ____ Phone


          0  LIABILITY           OCOLLISION           0 FIRE AND THEFT



       PUBLISHED  By:  CONTINENTAL  PUBLISHING  COMPANY-MISSION,  Kansas
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