This is to certify that __________________________________, of ____________________ has

received the MVR 2 registration form (___no. copies) as of Feb.7,2013.

DUE:
____________________________
SIGNATURE OVER PRINTED NAME

This is to certify that __________________________________, of ____________________ has

received the MVR 2 registration form (___no. copies) as of Feb.7,2013.

DUE:
____________________________
SIGNATURE OVER PRINTED NAME

This is to certify that __________________________________, of ____________________ has

received the MVR 2 registration form (___no. copies) as of Feb.7,2013.

DUE:
____________________________
SIGNATURE OVER PRINTED NAME

This is to certify that __________________________________, of

____________________ has received the MVR 2 registration form (___no. copies) as of Feb.7,2013.

DUE:
____________________________
SIGNATURE OVER PRINTED NAME