VALENTIN MOISE MITU

CALLE Yerro, 0033

23790 PORCUNA
JAEN

Certificate of Antecedents
Zurich Insurance
In compliance with the provisions of Royal Legislative Decree 8/2004, of October 29, which approves the
Regulation on civil liability and insurance in the circulation of motor vehicles of the Second Additional
Provision, and at the request of the owner of the vehicle and / or the policyholder of the insured vehicle,
C E R T IF Y:
The data that appear in your registration of policy number 00000061515227 of motor vehicle insurance are the
following:

License plate: 4376CDR

Model: CHRYSLER VOYAGER 2.5 CRD LX
Expiration date: 25/12/2019
Insured / Owner: VALENTIN MOISE MITU
Date of birth of insured: 12/10/1975
Driver: VALENTIN MOISE MITU

Reported period: from 14/05/2014 to 14/05/2019

Claims declared in the period::

Date of occurrence Coverage affected (*)

No casualties affected in the period.

(*)Acronym for hedges affected

COVERAGE ACRONYM

Compulsory Civil Liability RCO

Supplementary Civil Liability RCS

Stole ROBO

Own Damage DAÑOS

In VALENCIA on

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