Oklahoma Motor Vehicle Power Of Attorney Page 2

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Described below at: __________________________________________________.
(Address)
Year
Make
Model
Style
Vin#
Odometer
Owners Name
Owners Address
Station Name
Station Address
Certified Technician Name
Certified Technician Name &
Number#__________________________
(Signed)
(Printed)
I have inspected the vehicle described above and have not found any safety or
equipment requirements that would reject this vehicle from being considered roadworthy.
The following items have been inspected. Please list all other inspected items under
OTHER.
Brakes
Headlights (incl. aim specifications)
Windshield
Taillights
Horn
Registrations Plates and Rear Plate Lighting
Rearview Mirror
Directional Lights
Window Glass
Rear Reflector
Seat Belts
Body Elements and Sheet Metal Hazards
Steering Mechanism
Splash Guards
Suspension System
Catalytic Converter (1983 and subsequent models)
Wheels and Axles
Fuel Pipe Restrictor (1983 and subsequent models)
Frame
Gas Cap Pressure (if applicable)
Exhaust System
On-Board Diagnostic (if applicable)
Tires
OTHER: ____________________________________

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