I the undersigned, _____________________ , hereby declare I have accepted the vehicle, the
serial number of which appears opposite, in perfect condition.
Serial No.: ________________________ Customer signature: ____________________
Engine No.: _______________________
Inverter unit No.: ___________________
Registration No.: ___________________
Date of 1
st
registration:
Vehicle owner: _________________________________
Street and No.: ________________________________
____________________________________________
Postcode:_____________________________________
Town: ________________________________________
Telephone: ____________________________________
Stamp of establishment selling the
vehicle:
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