HEADINGS


LEFT PAGE:
Paid  | No. of | State   | Owner's | P. O.   | Kind of | Manufacturer's | Vehicle | Vehicle  
Date  | County | Tag No. | Name    | Address | Machine | Name *1*          Model     Year 
      | License


RIGHT PAGE:
Power | Max.     | Engine | Transfer | State | Visitors' | Years | County | Remarks  
        No.        No.      Date       Tax     Tax         Paid    Tax
        Capacity            *2*                *2*                 *2*
        *2*


*1* = Column used for Seal Number
*2* = Left Blank