Form 1 GM Sonoma
DATE: November 15, 2025
Driver's Information
Name:
Joe Driver
Address:
100 Main Street
City:
Richmond
Business Phone:
604.250.6171
Personal Phone:
604.250.6171
Vehicle's Information
Year:
2000
Maker:
GM
Model:
Sonoma
Mileage:
111,252
Lic No:
ABC 123
Serial No:
1234456567
Production Date:
01/08/2006
Comments:
SonomaSonoma. Purple
Insurance's Information
Clain No:
6565773
Deductible:
$500.00
Insurance Company:
ICBC
