JAPAN INSPECTION ORGANIZATION 3-8-10 Unoki, Ohta-ku, Tokyo 146-0091, Japan Tel: 03-5481-1666 Fax: 03-5481-1660

VEHICLE DELIVERY RECEIPT
Date
Your full name
Your address in Japan
Your telephone No. in Japan
Destination country
Destination port
Make & Model of vehicle
Chassis No.

Your Signature - - - - - - - - - - - - - - - - - - - - - - - -