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ltt€r|lt I t3[.f,:*] .o (BI.PiD[, &L f-E ] U?e Srom€.O 66o0 cooemsd gg8Ooaail gdGO "Fttr {FE'F 'Fts'gil*|q5 eillircdnrb ttt!.IoaTtor ror r puruoArt olf,rlu0alt o! tlelSttaflof {tgt otd Oostt€ct) /(ilnq 23s)f8o, bn rts) oOrO6 Sron oqfaO. oror€o. A/6,tht-nfi al'.6.d u$uneft, 6.,'g'oq lPo,' TEE AAOIFilRIR, OA XOfOA VEffiCLES, COLOUBO. goa.......... - .. .... qdo 818ccord & qoro................................ qeo qdrtdlogot 6d q.o....... qdn oglo$ Oootno e0georf 64d mda eq q.to......... .....q&r €,0or4.0 AEoo oopdroocJ 99, Od f,caooQ'O 66o0 oo6:so oon ogoof od4 6o0"... .016 ?r arrd 9/E:rrog/0ror6gr Q9 o0Ea'l gaooo zod 886. @r4@o e6r)d6B ........ ,.) Q.ontuz, op|,.djtL .no6oFpndt Gtpn@c0f6tltt0falas5@pgF 6tu6Fauap @$pnat 6pfutttDlaQarpat tho bold€r ofoorti8octo Eriae No..... ..........beroby doclers tbst t'he gaid oortidorte of regietrrtion hs beon lost/detroyed o8............ , ..... ,. (datc) in the following oiroumstsnoss. , csorrroO deoC64 ro@r eQ. / dupq0 LtPF666JtrodES OurdloJiLLir ubA...,,..,., ...... .... ........ St F.F.............. 6r-rroJlOCr ogi.6r pSsla$Gpea. S. 914ancQ/8ar69toodno oO oQo OOo g1tl. a 6 fi p $e p V b p' " I "ttt Ll P p. P 6, F @ $ s r-oi,r @or euppga&tlpr*r. I ero eneloriog herowitS $o defroed/Comagodt Certi6cate of Re6ir0rrtioo. tq.8.0. /ra.u.un./nt o.

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Page 1: Department of Motor Traffic

ltt€r|lt It3[.f,:* ] .o

(BI.PiD[, &L f-E ] U?e

Srom€.O 66o0 cooemsd gg8Ooaail gdGO"Fttr

{FE'F 'Fts'gil*|q5 eillircdnrb

ttt!.IoaTtor ror r puruoArt olf,rlu0alt o! tlelSttaflof

{tgt otd Oostt€ct) /(ilnq 23s)f8o, bn rts)

oOrO6 Sron oqfaO. oror€o.A/6,tht-nfi al'.6.d u$uneft, 6.,'g'oqlPo,' TEE AAOIFilRIR, OA XOfOA VEffiCLES, COLOUBO.

goa..........-.. ....qdo 818ccord & qoro................................ qeo qdrtdlogot 6d q.o.......

qdn oglo$ Oootno e0georf 64d mda eq q.to......... .....q&r €,0or4.0 AEoo oopdroocJ

99, Od f,caooQ'O 66o0 oo6:so oon ogoof od4 6o0"... .016 ?r arrd 9/E:rrog/0ror6grQ9 o0Ea'l gaooo zod 886.

@r4@o e6r)d6B ........,.) Q.ontuz,

op|,.djtL .no6oFpndt Gtpn@c0f6tltt0falas5@pgF 6tu6Fauap @$pnat 6pfutttDlaQarpat

tho bold€r ofoorti8octo

Eriae No..... ..........beroby doclers tbst t'he gaid oortidorte of regietrrtion hs beon lost/detroyed

o8............,.....,. (datc) in the following oiroumstsnoss. ,

csorrroO deoC64 ro@r eQ. /

dupq0 LtPF666JtrodES OurdloJiLLir ubA...,,..,.,...... .... ........St F.F.............. 6r-rroJlOCr

ogi.6r pSsla$Gpea.

S. 914ancQ/8ar69toodno oO oQo OOo g1tl.

a 6 fi p $e p V b p' " I "ttt

Ll P p. P 6, F @ $ s r-oi,r @or euppga&tlpr *r.I ero eneloriog herowitS $o defroed/Comagodt Certi6cate of Re6ir0rrtioo.

tq.8.0. /ra.u.un./nt o.

Page 2: Department of Motor Traffic

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?rryg.PTo {ptit^dlct-ot^atq.rfco*rrtudodtdt ug6,ltJ..tp8'.fi.'',F qdrolo .qg,dt f'tug,$orurcugrrb eeffir-@jprtl. Parat c.l'[email protected] st gpJ&qalt FqEO Gtu n gtfru 1!t?Q9 cAn.

If t'he octi8ioa$e of^rogirtratioo wbtoh ir rport,ed to hrw becn tod or deetroyed or fouod or aoy pgjc of it ie bereoftor ruoorusdI uodertsle toforward tho sime to you. '

EOood 64d zodzl e6co 96f6r 8OO.

, Qofia-fiuoror unqrb e-rlrlcltoGtwdtgrb rrdD60rar6Deuilgrb elf)anoxtlll,uilu6srg,d .-g:tgwaipg,u$altt LtppEgpd prd[ grt9r.3665ldu5rrudld66tr0p,6dr. - F--- --"

Ald I hcrborr deolau t&rt tbo abotl rtotcmcqtt ere truc ood accuratc ir evory !o.poct, md apply for r dnpliootc ocrtifor;.of mgietretion. -

Ocoano E8dzodlod qdoor.o-fi a ont n eilfl at @66)crn!u &.

Sigrrdueol Ororrrl?.!

Qsr., IF.9 t . . ' . . ' . . ." . .Dbh J

i !999<6 og orotQ€ g4odol/gog,o @uwt Grufiu ogppa/I.ult ranein Capirela.' @an I pun6t oflonco/Postol oddress.t qapol OOo rooo o6atzn/6)i.rn@rptilbp Or,rcre,Eorr gd"0Oe ./Strite out rords not applicoble.

9t€:* 6$oQ 100 ril eoOc zg8noolSo eO8 qg06t?n.cn.flt gpn fm A Orgrrpo upgtgt@L gllGs tCr orrir.

Pay Re. 100 e.d pogte ths Caah roceipt bere.

H 031769 - 100,000 (2008/10) P 6 c.-o dd€d gg5 oqoo6ao&at4o