Renewal Receipt

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PROCESSING COUNTY: OCHILTREE TAC NAME: LINDA WOMBLE

RESIDENT COUNTY: OCHILTREE DATE: 05/13/2022 EFFECTIVE DATE: 06/01/2022


PLATE NO: LXL9577 TIME: 10:04PM EXPIRATION DATE: 5/2023
DOCUMENT NO: 17920043641155714 EMPLOYEE ID: TRANSACTION ID:

RENEWAL RECIPIENT NAME AND ADDRESS OWNER NAME AND ADDRESS


MARIBEL TREVIZO PASCUAL TREVIZO
121 SE 15TH AVE MARIBEL VILLA
PERRYTON, TX 79070-4728-21 121 SE 15TH AVE
EMAIL: [email protected] PERRYTON, TX 79070

REGISTRATION CLASS: TRUCK-LESS/EQL. 1 TON


PLATE TYPE: PASSENGER-TRUCK PLT
ORGANIZATION:
STICKER TYPE: WS

PREVIOUS PLATE NO: LXL9577 VEHICLE CLASSIFICATION: TRK<=1


VEHICLE IDENTIFICATION NO: 1FTEW1E42KKD12365
YR/MAKE: 2019/FORD MODEL: BODY STYLE: PK UNIT NO:
EMPTY WT: 4900 CARRYING CAPACITY: 2100 GROSS WT: 7000
BODY VEHICLE IDENTIFICATION NO: TRAVEL TRLR LENGTH: 0

INVENTORY ITEM(S) YR FEES ASSESSED


WINDSHIELD STICKER 2023 WINDSHIELD STICKER $ 54.00
REG FEE-DPS $ 1.00
CNTY ROAD BRIDGE ADD-ON FEE $ 10.00
INSPECTION FEE-1YR $ 7.50
PROCESSING AND HANDLING FEE $ 4.75
ONLINE DISCOUNT $ -1.00

TOTAL $ 76.25
VEHICLE RECORD NOTATIONS
ACTUAL MILEAGE
PAPER TITLE
MAJOR COLOR: RED

THIS RECEIPT IS PROOF OF REGISTRATION FOR LAW ENFORCEMENT UNTIL


06/13/2022

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