You are on page 1of 7

-, J*lUorrbr* G ove rn me nt ilililffiiltilt il I il] llll illll ll ll ffill

uul1b0u000II7IB '{ I
Summary of Driving Record

PAGE: 1
3 Year Driving Record
ISHERWOOD JANNA LYNNE 20LB /01 /21
48 LAKE EMERALD RD SE MVID: 0404*1163'3
CALGARY AB T2J 2J1

DATE OF BIRTH: 7919/06llB HEIGHT : 7l A WtrIGHT: oi Q u-r- . I'

CURRENT DEMtrRIT POTNTS:

SUSPENDED: NO

OUTSTANDING REINSTATEMENT CONDITIONS:

f rr..*.u NUMBER EXPlRY DATE ]SSUtr DATE CLASS CONDITIONS


\r+a 284-L22 2023/A6/LB 20LB /01 /21 5

DemeriV
Case Number Description Suspension Term
Merit Points

** NO INF'ORMATION TO REPORT -I'*

REG0916A (2017t02) * YOUNG PERSON * lndicates a conviction involving a Young Person ....
See Warning On Reverse.
l*tur,C"" Gou.,.nJ.nt lnterim Driver's Licence

client,s Name: Isherwood, JaRRa Lynne Condition Codes / Endorsements


An lnterirn Driver's Licence
Drivers Licence Number: 74 428 4*L22 . must be carried when
oPerati0g a motor vehicle,
tr Special Conditions (Code B)
Class: J MVID: 0 404-71633 be presenteq on demand

for 30 day5 from thtr


Registry Agent's office MVID: 023 4 - 7 I I 11 issue or qntil you
your clrlver's licence
429 4518-070037 9-019 rnail, whichever occurs
rransaction Number:

rssue Date: 2OIB / 01 / 2'1


Year Month Day

REG3115 (2018/01) P/eaSO SCe A/berta 11116pr Vehicles privacy statefient on the r6ysys6.
PLEASE PRINT CLEARLY
Bill of $ale
' r Sections I and 2 nnust be completed in order to make this Bill of Sale acceptable for
,r: ] vehicle registration, Completion of section 3, on the back of this form, is optiona!. tr&i1t'irrt: il;il.Eit ii{{:,
\\--4l . Two copies of thip Eill of Sale should be completed. The buyer keeps the originaEdfiA Srsiri.i .'ii:r:ei il+rih
Sellef keepS the COpy. i;igrii;;, Aii-'c,ri;i i"i-! ?'i9
r Alterations or eorrestions made while completing the Bill of $ale must be initialidsHmm;llll#f;'o*o
the buyer and seller.
Section 1

SELLER{$} |NTORMAT|0N
l.lame(s) Second) Telephone Number

Adciress Street Poslal Code / Zip Code


''o€ fir*lq
Persona I ldentification:
SA
'r-r,6
"nt

1rp
1e 1/y', sz"{g/
V]EffTCLg ITFORMATIOf{
Year Make. t I
I
Hrtoo*t or Eeries

-(71,r{i;/,,*t d6A '&rttQo


Vehicle ldentification NurnQer {ViN / Serial Number
^J Body Colour oo'w' Reading
v6 lN,fr CCA
.-l
Narne(si $ast, First, SecondJ Telephone Number

*EK* rnrdn0
Address

{sr
City / Town Province / Postal Code

:ryuf s', 6rf{?


al ldentj{ication:
u*fr y''. t3 /'08
vehicle nras sold for 'he sum
aNfit<d{ // o"
{Sum wntten ln tuffl
(subject to the tef ms and speclal conOiiions whiclt appear in Seiiion3 on itre bac* of iliGi forml-*-- "*

Section 2
GENERAL INFORMATIOFI

-A /-{rf
Ciiy / Town Prov.ince / Statd
fr, {0$
Country
#
I )rn^
on __ ,_!-.p_"* : IJ t7
I certify tlrat all infog above is true to the best of
-.:tr-\
tl r' -llt'z
lrr'

REG3126 i2015106) Page 1 of2


.ri I ".rNT CLEAR.LY Bill of Sale
. Sections 1 and 2 must be completed in order to make this Bill of Sale acceptable for
vehicle registration. Completion of section 3, on the back of this form, is optional'
. Two copies of thi:s Bill of Sale should be completec. The buyer keeps the original and the
seller keeps the c;opy.
o Alterations or corrrections made while completing ihe Bill of Sale nuLsl be initialled by both
the buyer and se,iler.
Section 1

$ELLER(S) TNFORMATTON
Name(s) (Last, First, Second) Telephone Number
iii j ;
{'c I b,-(
!
t. I
( ctr\ ".c !r.r)r I t c'\ 5 E?
Address Streei City / Town Province / State i Postal Code / Zip Code

3; 3r t-{t,,'.h; t "t );i l{[ l' *\ra 12t3 I BE


Perso n al I de ntr.lcation

<L YEHICLE IhIFORMAT'ON


Make, Ut
tleb &,L-
Year rdel or Series
- /'.a. 2l
c'L-^ > {'tre-r*- (' \, <. t.',/<;: Y( b- '
Vehicle ldentification Number (V iN) / Serial Nurnber Body Colour Odometer Reading

TNFORMATION
Name(s) {Last, First, Second) Telephone Number
lmr' t/ ';" a "Jb€)"+<
/,rt €e573#
\uuresri{,.,
fF
State Postal Code I Zip Code
.-streel --L. 1

2\*s 43
Personal ldentification
z;T,: ]rFfu 1u7

,n'
(Sum written in full)

(Subject to th e terms and special qonditions which appear in Section 3 on the back of this form)

Section 2
GENERAL INFORMATION

sr1, (' o.--


Dated at
Province I State
"{ir16cl
Country

I oodify that all information shown above is true to the best of my knowledge. a,,1
la

{t / 'r
N"",-i ((fi:-,rK*
.:*"7f*i\ -'
Signat,rre olffiuyer
1-\ ( ? {;:s>#\
*;,,,i'
of Seller ;
'-
---Signature
[:iignature of Buyer Signature of Seller

q ignatu,e
of Witness

Page 1 of 2
:,, ,..: :.r i:.'- r:

/ u- ,/

##fu*
'aCIeporq &rfnq ar6 q€n4 s{ awqs uffits rrogmuq A WE*{SI s3 I

il*ilil Ye*E{}itd* - ts}i 3tr5*


a i#xtEs
{uitq s4c$}o *3q eS ry/e f is@rBS {T ieadde (B3f$e* aresffiiffi Wq3sds F{&E 5fi.e,ffi$ *,sI* rrr}!3a*Qr&*,

:},,.,- i';..

, E
ti |I1JILYaIICI1JTIIII tlttrEEl&jItlE

zrsaertr',
I

ii - Aryqf*qe,W;ll ,"qnryr(@E'; ,a*rBd,E.esj.{.rr {rqjla#rs${,wg@,*ffiffiqfl;nii


:IS ,:
2-rt1.2 - -ln\/-f I ,,' 5er?7) :,,i

e,ais,, l.;,";.:,, - -:':,-,:l,i: :: - a i:


N$i.I.vffi s* d&t* 3t**;,.q,

<)_s-_slhg_st
=*x
I

-?al +s v.{-'t r,t-fl / €,." E


ii .9&S > zli,'i
ffir$taltspo3ffis$d
)n
' J uryo:i,4t]
u\l, '

'
it l

y*"f .. -:.1 i._: " i :r


:,:- i;. in

[ ils3as
,}€.sffi pua redrrq a{.s
W & ffi{pfiits eq F-in a$es }s ffi *# e.Wal{&rJs* q6{# aE{$ s}s@g..I ffi,,"!o s{.sqeiaghr .
{de, r a,"g Searq -egre
a{iq true ptqQtlo ary scitaa4 :eflr4 eqX "ffiqeus3 Eq p{mcgs aFS Js ffiS t.igg }o E{dm offi} r
Fmm q "{rffq sm$rc peq aE& iryffi Js,ua$dirsS uwe#r etrS*ae
ilffi '{
"ry Effideme ffi p ffiffi qW effidr u*:apro W peqstdx oo fl Wr e prp l suogsirlg r
g*qs sCI IilE ,{- H\ry'13 .LFIlHd 3SV=ld
@f,ilaffi,. f,Arsa.,a*an C{ }}I\ffiRCLU- NEFfNC}-5 SLIPFI.E,\.ffiI-
li*dXawse& Fcdirx ]iuo&rs Coltrt:
t- fkxiim type - e&t*' rs aplx rgrtble
FI=i{rsrx
L
ii &mm og.w*or

-I
\Vell Sire SrpenisorT
n ester

t)&*r mot
il rxrcrycrarino
saccifiod
li n
r, u

,ii*- Grrio" D*in. ear) ,ur sd as &e oumhm trf rrcrt-* l*rvu:d

2- FIa-r icamu yeus ha. r!ry S{rti. t"alurr


{.8
<da ctrmnenA{ illr **i&e r{ mn :nmlm*ftiin*,'it

\"&
\sr.
ril*ii ,". Ir"-** Mmdlir I fSW

4.. ilsndtulaas of s"swfuanrikic a..u rlee{"


{;mpkte e}t:scripacrn o,f M,txci*aodfu<e,rx }*sesds crdctl {regtxn& c.trrian &r
Specih'il goods are ou'nerf or non-owned. ,)
(i.e.; an.v tools, equipment, supplics, etc
Ycs
farmer fuel. e

5, lDe-qixifx m detd sdrr t>f,dlr ae"**tsc,qnmguo& *s dcfuad am &eTimspmlxfomctCImqssoxrs Gorxfu


.\ct r|i-e.': trtlEtr. g{

6r furticoXars cd
fiarlius (olr rsry .&sr:wrtn Lm't -rt rurl
\rtrrs strt-d
l0{!!/o
,r1 -,30 Prhcipal Cin'/f'ou'n

%
o/o

o/o

9b
7-E-ta,;tn Flrcrqimrt:*, ltrriar-,ran r'ro tt tti*:iafl,
*, I kscErix mr rmc'.irbr=r rx c -trto ruerr* rm mpttadmtircr
\tch l)escnption
No. i.e. roolbox. tidl trok. rvin

CLA - CVS 0115 v3 Page 1 of 2


ffiHffiffssociation
Vrh
No.

l)ate: I /
dd mmP'

?age 2 of 2

CtA - CVS 0115 v3

You might also like