2008 Black Dodge CaravanCity of Northampton
a r�APPLICATION FOR PERMIT FOR TAXI CAB
J (City Ordinance C.2I — 44)
(Except for Signature, PRINT all requested information)
New Application IS Renewal
Milk ve�-,C�e,,h
LAST NAME
Business Name
FIRST NAME
200g
DESCRIPTION OF VEHICL
MIDDLE NAME
Business Address
-rA 2"r551 ID8Nti414gN5G1G2y?e 7
REGISTRATION NUMBER VEHICLE IDENTIFICATIUON NUMBER VEHICLE CAPACITY
(PASSENGERS)
7
NUMBER OF SEAT BELTS INSPECTION EXPIRATION (ATTACH PROOF)
Picture of vehicle required Child Safety Seat Plan Required
Insurance Policy with specified limits required Fee: $25.00
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 FOR LICENSING AUTHORITY USE
CITY OF NORTHAMPTON
Sworn to this day of 20 be r me.
City Clerk
This permit is
IS NOT granted.
Appeal Filed?
DATE
Council Clerk
DATE
+ �`����h� U013
'� REGISTRY Gi MOTOR VEHICLES
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EXTT;RNAL CODE REGISTRA;MUNGj
+E
TAN Normal
MDDEL TEAR MA�cF MODELMODEL NUMBER
2008 DODO cAGRANSE
RE&DENTIAL ADOREss(IrEWFUMM THAN 24i HAYDENVILLE RD LEEA 01053.9768
HAYDENVILLE RE) LEEDS MA 01053-9768
JEFFREY D MILLER
PO BOX 26
NORTHAMPTON MA 01061-0026
LESSEEAN CUSTODY OF
CERTIFICATE OF REGISTRATION
M.G.L. Chapter 90 Section 24B makes it a crime to alter this Certificate
MASSACHUSETTS DEPARTMENT OF TRANSPORTATION
VAN
01-Dec-2019 BS088668
COLOR VEHICLE IDENTIFICATION NUMBER
TOTAL REGISTERLR wEIGHT FOR A COUMERCIAL VEHICLE OR TRAILER
Les
PROTECTIVE INSURANCE COMPANY
MAXIMUM SEATING cApAp7y FOR VEHICLES FOR HIRE
Registrar of Motor Vehicles
C"MrSOFAUORM ❑ 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.
No Insurance Card Required: Massachusetts law does 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.
Commonwealth of Massachusetts Motor Vehicle Inspection and Maintenance Program MASSACHUSETTS
Vehicle Inspection Report
Cleaner Alr • Safer Roads
Please Review This Important Information
Your vehicle has PASSED both its SAFETY TEST and its EMISSIONS 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
Safety R esu lt
Emissions Result
Start Test Date/Time
End Test DatelTime
Test Type
Sticker Number
Inspection Type
Inspection Counter
PASS
N/A
2/4/2020 11:56 AM
2/4/2020 11:59 AM
Regular
210707793
Retest
2
Safety Inspection Results
Vehicle Information
VIN
License Plate
Plate Type/Stale
Vehicle Type
Year / Make
Model
Fuel Type
Engine Cyl 1 Size
GVWR
Odometer
1 DBHN44HOBB162479
TA26981
TAN/MA
PASSENGER
2008 Dodge
Grand Caravan
GASOLINE
6 / 3.3L
6000
260020
Station Information
ERNIES GARAGE, LLC
72 KING STREET
NORTHAMPTON MA
(413) 584-0716
Station Number PB005056
Workstation Number MAW00000648
Inspector Number """5128
Inspection Fee $0.00
License Plate Mounting and Condition
PASS
Service Brakes
PASS
Parking Brake
PASS
Horn
PASS
Stop Lights and Tail Lights
PASS
Headlight Aim 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 C'eaner
PASS
Safety Belts
PASS
Air Bags
NIA
Muffler and Exhaust System
PASS
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
Other PASS
Inspection Comments
None
On -Board Diagnostic (OBD) Results OBD Readiness Monitor Results
OBD Additional Data
Tampering Check
NIA Catalyst
NIA
Miles Since Code Clearing
Connector Result
NIA Catalyst Healer
NIA
Warm -Ups Since Code Clearing
RPM Result
NIA Evaporative System
N/A
Pin 16 Voltage
Key -On BuibCheck
N/A Secondary Air System
NIA
Engine -Running Bulb Check
NIA A/C System
N/A
OBD Diagnostic Trouble Codes
Scan Tool Check
NIA Oxygen Sensor
NIA
Communication Result
NIA Oxygen Sensor Heater
NIA
MIL Status Result
NIA EGR and/or VVT System
N/A
OBD Permanent Fault Codes
Readiness Result
NIA
NIA
VIR Number
910111111111
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