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DMV-202-TR REV 07/12 West Virginia Department of Transportation Division of Motor Vehicles 1-800-642-9066 www. dmv.wv.gov Certificate of Inspection THIS FORM MUST BE COMPLETED BY A WEST VIRGINIA INSPECTOR 1. This certificate must be completed in its entirety by the INSPECTOR. Any erasures or alterations will void this certificate. DMV-202-TR REV 07/12 West Virginia Department of Transportation Division of Motor Vehicles 1-800-642-9066 www. dmv*wv*gov Certificate of Inspection THIS FORM MUST BE COMPLETED BY A WEST VIRGINIA INSPECTOR 1. This certificate must be completed in its entirety by the INSPECTOR* Any erasures or alterations will void this certificate. 2. All vehicles must be completely inspected and a new West Virginia Inspection Sticker must be affixed even though a current West Virginia Inspection Sticker is on the vehicle. 3. The inspector must write RECONSTRUCTED on the log sheet in the block marked repairs. Inspected Vehicle Information VIN No* State of Title Odometer Reading Number NEW Sticker Information Sticker Year Inspection Station Information Station Address Station Number STREET ADDRESS CITY COUNTY STATE ZIP CODE Inspector Certification The vehicle described below has been physically inspected and found to meet all requirement of West Virginia Inspection Laws. It is certified by the undersigned as road worthy on the date indicated* PRINTED NAME OF INSPECTOR X SIGNATURE OF INSPECTOR DATE /. dmv*wv*gov Certificate of Inspection THIS FORM MUST BE COMPLETED BY A WEST VIRGINIA INSPECTOR 1. This certificate must be completed in its entirety by the INSPECTOR* Any erasures or alterations will void this certificate. 2. All vehicles must be completely inspected and a new West Virginia Inspection Sticker must be affixed even though a current West Virginia Inspection Sticker is on the vehicle. 2. All vehicles must be completely inspected and a new West Virginia Inspection Sticker must be affixed even though a current West Virginia Inspection Sticker is on the vehicle. 3. The inspector must write RECONSTRUCTED on the log sheet in the block marked repairs. Inspected Vehicle Information VIN No* State of Title Odometer Reading Number NEW Sticker Information Sticker Year Inspection Station Information Station Address Station Number STREET ADDRESS CITY COUNTY STATE ZIP CODE Inspector Certification The vehicle described below has been physically inspected and found to meet all requirement of West Virginia Inspection Laws. 3. The inspector must write RECONSTRUCTED on the log sheet in the block marked repairs. Inspected Vehicle Information VIN No* State of Title Odometer Reading Number NEW Sticker Information Sticker Year Inspection Station Information Station Address Station Number STREET ADDRESS CITY COUNTY STATE ZIP CODE Inspector Certification The vehicle described below has been physically inspected and found to meet all requirement of West Virginia Inspection Laws. It is certified by the undersigned as road worthy on the date indicated* PRINTED NAME OF INSPECTOR X SIGNATURE OF INSPECTOR DATE /.

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