Receipt.pdf - State of Connecticut Department of Motor Vehicles 60 State Street Wethersfield CT 06161 ct.gov\/[email protected](Twitter Statement Receipt

Receipt.pdf - State of Connecticut Department of Motor...

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State of Connecticut Department of Motor Vehicles 60 State Street, Wethersfield, CT 06161 ct.gov/dmv @CTDMV(Twitter) Statement Receipt: 11121713 Customer Information Name: VINTIMILLA-MATUTE, CARLOS TEODORO Address: 57 PLATTSVILLE AVE APT 1 NORWALK, CT 06851 Statement Information Date: 03/15/2019 01:06:45 PM Location: DMV Website 60 State Street Wethersfield, CT 06161 (800) 842-8222 Comment Additional Customers Name: WESTLAKE FINANCIAL SERVICES Transaction Information
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Unformatted text preview: Quantity Amount 2017 Mitsubishi OUTLANDER SPORT, JA4AR4AW1HZ017539 212 Clean Air Act Fee 1 $10.00 9080 Passport to Parks Fee 1 $10.00 21 Registration Fee 1 $80.00 Total: 3 $100.00 Payment Information Payment Type Customer Customer # Payment # Authorization # Reference # Amount Credit Card VINTIMILLA-MATUTE, CARLOS TEODORO 5941506 086029 $100.00 Total Tendered: $100.00 Cash Back(N/A): $0.00 CLVS...
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