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To all qxnders who own or have owned<br />

8 vchicIe daring the Iast 12 months<br />

(dcd 1 ●t 77(g) or W(g))<br />

82<br />

f&coEtD qs<br />

DNA<br />

30<br />

Use scpamte column for each vehicIe<br />

-u__l- -‘083<br />

Per No. _ aPE USNO(239 )@ ZI<br />

........... ........... ........0............. ........... ........... ........... ..........<br />

I I I I<br />

Rhg Colnrnn No.<br />

PA6& 430<br />

During the last 3 months,<br />

that is since . .. ..... .......... have<br />

(any of) you sold any vehicles<br />

belonging to you (excluding<br />

I<br />

1<br />

1<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

t<br />

1<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I e<br />

the trade-in/part<br />

you mentioned<br />

exchange<br />

earlier)?<br />

Yes -<br />

No<br />

1<br />

2<br />

cfi+sou (~3k<br />

i<br />

Q08 L 3;<br />

- Ask (a)-(c)<br />

-Goto83<br />

(8) Was it a<br />

Car e<br />

Van _<br />

Running Motor cycle _<br />

promp; Moped—<br />

(b) When did you sell<br />

the vehicle?<br />

(c) Did you receive<br />

payment by cash,<br />

chequc or giro?<br />

Other motor<br />

vehicle spccify?x<br />

Month<br />

(i) How much did you receive?-<br />

I I I I I<br />

t I I I I<br />

I I I I I<br />

1<br />

2<br />

3<br />

4<br />

5<br />

.....................<br />

.....................<br />

1<br />

2<br />

3<br />

4<br />

ZSOw-rfl<br />

5<br />

..................<br />

............... ...4<br />

I t<br />

1<br />

2<br />

3<br />

[13L&a<br />

‘5<br />

......................<br />

.....................<br />

\<br />

CSOL pp~~ [237 ..Q.Q.$.,2.6 .... ...........<br />

........... ........... ........... .. .. . .<br />

Year. 19 .........

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