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220 VEHICLE INSPECTION CERTIFICATE FOR VEHICLE IDENTIFICATION NUMBER VERIFICATION To be completed by an Authorized Nevada DMV Representative or any Law Enforcement Officer Please Print or Type I certify that I have examined the following vehicle Year Make Model Body Type Federal Certification Safety Label and Emissions Label LSVs only Yes No Vehicle Identification Number Odometer Reading as shown on apparatus NO TENTHS If the vehicle s odometer apparatus only displays five numbers please put an X in the first box. 555 Wright Way Carson City NV 89711 Reno/Sparks/Carson City 775 684-4DMV 4368 Las Vegas Area 702 486-4DMV 4368 Rural Nevada or Out of State 877 368-7828 www. dmvnv*com IMPORTANT NOTICE NEVADA LAW REQUIRES REGISTERED OWNERS TO MAINTAIN CONTINUOUS INSURANCE COVERAGE ON REGISTERED VEHICLES FROM A LICENSED NEVADA INSURANCE COMPANY TO AVOID PENALTIES NRS 482. Not all LSVs will have an odometer. 1. The mileage stated is in excess of its mechanical limits. 2. The odometer reading is not the actual mileage. WARNING ODOMETER DISCREPANCY 3. Exempt Model year over 9 years old. Cylinders Rotor If vehicle being inspected is a trailer does it include living quarters Yes Fuel Gas Diesel Propane Electric Other see remarks REMARKS Badge or ID Authorized Officer-Inspector - Printed Name Date If other than DMV Inspection Station Address City Enforcement Agency Agency Nevada Authorized Agency VP15 Rev 9/2011 State Zip Code. 555 Wright Way Carson City NV 89711 Reno/Sparks/Carson City 775 684-4DMV 4368 Las Vegas Area 702 486-4DMV 4368 Rural Nevada or Out of State 877 368-7828 www. dmvnv*com IMPORTANT NOTICE NEVADA LAW REQUIRES REGISTERED OWNERS TO MAINTAIN CONTINUOUS INSURANCE COVERAGE ON REGISTERED VEHICLES FROM A LICENSED NEVADA INSURANCE COMPANY TO AVOID PENALTIES NRS 482. Not all LSVs will have an odometer. 1. The mileage stated is in excess of its mechanical limits. 2. The odometer reading is not the actual mileage. WARNING ODOMETER DISCREPANCY 3. Exempt Model year over 9 years old. The odometer reading is not the actual mileage. WARNING ODOMETER DISCREPANCY 3. Exempt Model year over 9 years old. Cylinders Rotor If vehicle being inspected is a trailer does it include living quarters Yes Fuel Gas Diesel Propane Electric Other see remarks REMARKS Badge or ID Authorized Officer-Inspector - Printed Name Date If other than DMV Inspection Station Address City Enforcement Agency Agency Nevada Authorized Agency VP15 Rev 9/2011 State Zip Code. Not all LSVs will have an odometer. 1. The mileage stated is in excess of its mechanical limits. 2. The odometer reading is not the actual mileage. WARNING ODOMETER DISCREPANCY 3. Exempt Model year over 9 years old. Cylinders Rotor If vehicle being inspected is a trailer does it include living quarters Yes Fuel Gas Diesel Propane Electric Other see remarks REMARKS Badge or ID Authorized Officer-Inspector - Printed Name Date If other than DMV Inspection Station Address City Enforcement Agency Agency Nevada Authorized Agency VP15 Rev 9/2011 State Zip Code. .

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