2005 Dodge MagnumCity of Northampton
APPLICATION FOR PERMIT FOR TAXI CAB
' r (City Ordinance C.21 — 44)
(Except for Signature, PRINT all requested information)
New Application ID Renewal
LAST NAME FIRST NAME MIDDLE NAME
Business Name Business Address
20o,5
DESCRIPTION OF VEHIC
TA 2 GCr5 -S '-bLI G'Z y It V X 5- H 9- 21 U 5
REGISTRATION NUMBER VEHICLE IDENTIFICATIUON NUMBER VEHICLE CAPACITY
(PASSENGERS)
NUMBER OF SEAT BELTS INSPECTION EXPIRATION (ATTACH PROOF)
Picture of vehicle required Child Safety Seat Plan Required
Insurance Policy with specified limits required Fee: $2S.00
I declare the above facts are ture and complete to the bestof my knowledge and belief. I further understand that any false or
misleading answer(s) will be just cause for denial or revocation of permit.
SIGNATURE
APPLICANT DO NOT WRITE BELOW ++++++rrrrrrrrrrss+ssssrrrra FOR LICENSING AUTHORITY USE
CITY OF NORTHAMPTON
Sworn to this day of 20 Abe,.
City Clerk
This permit IS
IS NOT granted.
Appeal Filed?
DATE
Council Clerk
DATE
Commonwealth of Massachusetts Motor Vehicle Inspecl on and Maintenance Program
MASSACHUSETTS
Vehicle Inspection Report ammas „'
Cleaner - Safer Roads
Please Review This Important Information
Your vehicle has PASSED its SAFETY TEST. The results are summarized in this report.
Questions? Visit www.mass.gov/vehiclecheck or call Customer Service at 1-844-358-0135. Customer Service is staffed from 7
a.m. to 5 p.m. Monday, Wednesday, Friday, and Saturday, and from 7 a.m. to 8 p.m. on Tuesday and Thursday.
Overall Result:
PASS
Vehicle Information
Station Information
Safely Result
PASS
VIN 2D4GZ48VX5H511216
ERNIES GARAGE, LLC
Emissions Result
NIA
License Plate TA26983
72 KING STREET
Start Test DateTme 5/6/2020 8:48 AM
End Test Date/Time 5/6/2020 8:56 AM
Test Type Regular
Sticker Number 210718353
Inspection Type Initial
Inspection Counter
Plate Type/Slate
TAN / MA
NORTHAMPTON
Vehicle Type
PASSENGER
(413) 584-0716
Year / Make
2005 Dodge
Model
Magnum
Station Number
Fuel Type
GASOLINE
Workstation Number
Engine Cyl / Size
6 / 3.51-
Inspector Number
GVWR
6000
Odometer
226736
MA
PB005056
MAW00000648
"'*'0933
Inspection Fee
Safety Inspection Results
License Plate Mounting and Condition
PASS
Service Brakes
PASS
Parking Brake
PASS
Horn
PASS
Stop Lights and Tail Lights
PASS
Headlight Alm and Operation
PASS
Lighting Devices and Reflectors
PASS
Directional Signals and 4-Ways
PASS
Front End
PASS
Steering and Suspension
PASS
Frame
PASS
Windshield Wipers and Cleaner
PASS
Safety Belts
PASS
Air Bags
NIA
Muffler and Exhaust System
Window Tint
PASS
Windshield
PASS
Rear View Mirror
PASS
Bumpers/Fenders/Exterior Sheet Metal
PASS
Fuel Tank Filler Cap
PASS
Fuel Tank Filler Neck and Components PASS
Visible Smoke
PASS
Altered Vehicle Height
PASS
Tires
PASS
Other
PASS
Inspection Comments
None
VIR Number
illlll� I��Il�l�al�l�l�lllf �I�'I�II?�I�f NIA Ina
Scan to visit website
0
8013 CERTIFICATE OF REGISTRATION
RemsrRr o• koTaR vENICILi M.G.L. Chapter 90 Section 24B makes it a crime to alter this Certificate
�
MASSACHUSETTS DEPARTMENT OF TRANSPORTATION
TAN
oEL vEAR wuaE
2005 Dt;
iI &M LL AOPRESS
TYPE
Ki Normal
HAYDENVlLLE RD LEEDS MA 01053-9768
1 HAYDENVlLLE RD LEEDS MA 01053-9768
JEFFREY D MILLER
PO BOX 26
NORTHAMPTON MA 01061-0026
CUSTOQYOP
TITLE NUMM
6983 01-Dec-2019 BV096470
sTYLE caoR 30-Nov.
VENKAE IOENTIFICATM NlMER
STWAG GRAY 2D4GZ48VX5H511216
TOTAL RE6ISTEAEo wE16NY FOR A COWNERCNL VEHICLE OR TRAXER
FOR
PROTECTIVE INSURANCE COMPANY
L'AXMM WATING CAPACITY FOR VEHICLES
J- :L„ eb,- Registrar of Motor Vehicles
CHAg6E OF A0PRE33 RESIDENTIAL ❑ MAILING GARAGE
Important information for vehicle owners
• Certificate of Registration: Every person operating a motor vehicle shall have the Certificate of Registration for the motor
vehicle and/or trailer, in the vehicle, in some easily accessible place. The records of the RMV constitute the official status
of the vehicle registration.
• Change of Address: By law, you must report any change of address to the RMV within 30 days. Visit mass.gov/rmv to
change your address. Once you have reported the address change to the RMV, please write corrected address in box
Provided above.
es not require an insurance card. M.G.L. Chapter 90, Section 34, and
Chapter 175, Section 113A, requires the vehicle's owner to maintain a compulsory motor vehicle liability insurance policy
or bond for bodily injury coverage and property damage insurance. The insurer is required by law to electronically notify
the Registry of Motor Vehicles if coverage lapses. The vehicle owner Is then notified by the RMV to obtain new insurance
within 10 days or the registration will be revoked. Bonds are filed with the State Treasurer's Office.
• Transferring Your Plates: Massachusetts General Law (M.G.L. Chapter 90, Section 2) allows you to transfer valid
registration plates from this vehicle to a newly acquired new or used motor vehicle or trailer while you obtain insurance
and a new registration. See the Transferring a Registration Section on the RMV's website at mass.gov/rmv for more
information.
• Cancel the registration plates if:
• The vehicle has been sold or junked and the registration is not going to be transferred to another vehicle.
• You move to another state and you register the vehicle in that state.
The insurance policy is not renewed or is cancelled and there is no plan to obtain a new policy.
FMPA
6
7
ICC
TAXI
1 6
9
8 3