Page:United States Statutes at Large Volume 61 Part 2.djvu/203

 1158 TREATIES [61 STAT. INTERNATIONAL AUTOMOBILE CERTIFICATE Issued in accordance with the provisions of the Convention on the Regulation of Inter-American Automotive Traffic signed at Washington, D.C ., U.S.A., in 1943. Issued by -- ..... .. _______.... . . . . At ... ... . ..... Date .... . Date Signature (x) - --- -.-... -..- _________ Number Number --- ..- --- --- --- --- --- --- --- --- --- --- (x) Signature of Authority or signature of Association empowered by the Author- ity, and "visa" of the latter. Good for one year from date of issue. Owner fSurname: -.- -- -- ___ ___ or Other names: __ ____ __ Holder tHome address: - -- - - ____ _- -..... Class of vehicle: Name of maker of chassis: Typ ofchssi:- Type of chassis: .. Serial number of type or maker's number of chassis: ...... ... .-- -- -- Number of cylinders: --- Engine - . ... Stroke:... - Bore: ... .. ... .. Hore pwer Horse power: --... Type: -...... Body ....... Color: .--....... --.-- I--- Number of seats: .....--- Weight of vehicle without load (in kilos): Weight of vehicle fully loaded (in kilos) if exceeding 3,500 kilos: - Identification marks on plates: .. .-- -- ---

�