TEMPORARY PERMIT RECEIPT - MUST BE KEPT WITH VEHICLE CONTROL #

M 779 3973
Year 2013 Make FORE Name KAIN POLIO-ARMSTRONG
VIN # 1FADP3L98GL361323 Address 516 HARDESTY AVE INDEPENDENCE,
KANSAS , MO 64125
Permit Number 2727C13
Date Permit Issued 02/09/24 Telephone Number
Date Permit Expires I hereby certify that the statement(s) herein are true to the best of my knowledge. Falso Certify that I have a
04/09/24
will mantain, during the period of registration financial responsability with respect to each motor vehicle that
Issuer Name TB own, license or operate on the streets or highways. Temporary permit shail be retuned to the Departament.
Issuer Number 303005

Purshaser’s Signature DOR-5461

Datach Receip Slowly Along Perforation

YEAR MAKE
Missouri SHOW-ME STATE
VIN: 1FADP3L98GL361323
2013 FORE

2727C13
EXPIRES
04/09/24 CONTROL #
M 779 3973