1158 TREATIES [61 STAT. INTERNATIONAL AUTOMOBILE CERTIFICATE Issued in accordance with the provisions of the Convention on the Regulation of Inter-American Automotive Traffic signed at Washington, D.C ., U.S.A., in 1943. Issued by -- ..... .. _______.... . . . . At ... ... . ..... Date
....
. Date ---------------------------------------------------------------- Signature (x) -
----------- -----.-...
-..- _________
Number Number --------------- ..- --- ---- --- --- --- --- --- --- --- --- --- (x) Signature of Authority or signature of Association empowered by the Author- ity, and "visa" of the latter. Good for one year from date of issue. Owner fSurname: ---------.- -- -- ___ ___
or Other names: __ ____ __ Holder tHome address: - -- - - ____ _-
.....
Class of vehicle: Name of maker of chassis: Typ ofchssi:------------------------------------------------- Type of chassis: .. Serial number of type or maker's number of chassis: ..... . ... .-- -- -- Number of cylinders: ----------------------- Engine - . ... Stroke:...
Bore: ... .. ... .. Hore pwer -------------------------------------------- Horse power:
.--------..
Type: -...... Body ....... Color: .----------.......
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I--------------------------- Number of seats: .....--- Weight of vehicle without load (in kilos): -------------------------------- Weight of vehicle fully loaded (in kilos) if exceeding 3,500 kilos: --------- Identification marks on plates: .. .-- --
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