2023 Memorial Day Meet

Created: April 17, 2023 at 2:51 pm

John Krolewski

Email: jkrolew@msn.com
Mobile: 7045628088

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 1, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 1 Subtotal: $100
Ribeye 0, Filet 1, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $243

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 17, 2023
Comments:
Payment status: Completed

Created: April 18, 2023 at 8:34 am

Martin Mayer

Email: mmayer110@netzero.net
Mobile: 3345499371

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 0, Chicken 0, Vegetarian 1
Sunday Dinner – Southern Prime Steakhouse Qty: 1 Subtotal: $100
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 1
TOTAL: $243

Judging category: Display only
Owner’s Name: Martin Mayer Year: 1955 Model: s Chassis: B145LAP
Liability insurance: $300,000.00 with insurance company: American Collectors
Policy #: ACI04B06867401 From: To:
Signed: Martin Mayer Date: April 18, 2023
Comments:
Payment status: Pending

Created: April 18, 2023 at 9:01 am

Peter Nikonovich

Email: pjn_nc@live.com
Mobile: 7045626070

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 0 Subtotal: $0
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 0 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $105

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: $500,000.00 with insurance company: usaa
Policy #: From: To:
Signed: Date: April 18, 2023
Comments:

Not bringing car to show or display

Payment status: Completed

Created: April 18, 2023 at 9:52 am

Doug White

Email: mcwhite@triad.rr.com
Mobile: 336-408-0415

Spouse/Partner/Guest Names

Mary White

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 0, Beef 1, Chicken 0, Vegetarian 1
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $271

Judging category: Touring
Owner’s Name: Doug & Mary White Year: 1923 Model: Silver Ghost tourer Chassis: 29LK
Liability insurance: $500,000.00 with insurance company: Hagerty
Policy #: 1121906 From: September 15, 2022 To: September 15, 2023
Signed: Douglas R White Date: April 18, 2023
Comments:
Payment status: Completed

Created: April 18, 2023 at 11:10 am

Test Registration

Email: jkrolew@msn.com
Mobile: 7045628088

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 0 Subtotal: $0
Saturday Lunch – Carolina Hotel Qty: 0 Subtotal: $0
Saturday Scenic Drive Qty: 0 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 0 Subtotal: $0
Salmon 0, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $25

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 18, 2023
Comments:
Payment status: Pending

Created: April 18, 2023 at 1:10 pm

Ron White

Email: caroleronniee@yahoo.com
Mobile: 8282791817

Spouse/Partner/Guest Names

Carol White

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 0, Beef 1, Chicken 1, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 2 Subtotal: $200
Ribeye 1, Filet 0, Seabass 1, Chicken 0, Vegetarian 0
TOTAL: $471

Judging category: Display only
Owner’s Name: Ronald White Year: 1961 Model: Silver Cloud II Chassis: LSXC25
Liability insurance: $100,000.00 with insurance company: Hagerty
Policy #: 5N54063-12 From: February 15, 2023 To: February 15, 2024
Signed: Ronald E White Date: April 18, 2023
Comments:
Payment status: Completed

Created: April 18, 2023 at 3:23 pm

Ed Lewis

Email: edlewis4231@gmail.com
Mobile: 16012381920

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $143

Judging category: No car on the judging field
Owner’s Name: Ed Lewis Year: 1953 Model: R type Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 18, 2023
Comments:
Payment status: Pending

Created: April 18, 2023 at 6:25 pm

Martin Mayer

Email: mmayer110@netzero.net
Mobile: 3345499371

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 0, Chicken 0, Vegetarian 1
Sunday Dinner – Southern Prime Steakhouse Qty: 1 Subtotal: $100
Ribeye 1, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $243

Judging category: Display only
Owner’s Name: Martin Mayer Year: 1955 Model: S Chassis: B145LAP
Liability insurance: $300,000.00 with insurance company: American Collectors
Policy #: ACI04B06867401 From: May 8, 2023 To: May 8, 2024
Signed: Martin Mayer Date: April 18, 2023
Comments:
Payment status: Pending

Created: April 20, 2023 at 5:01 pm

ED LEWIS

Email: edlewis4231@gmail.com
Mobile: 16012381920

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $143

Judging category: No car on the judging field
Owner’s Name: Ed lewis Year: 1953 Model: R TYPE Chassis: B135T
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 20, 2023
Comments:
Payment status: Completed

Created: April 22, 2023 at 2:02 pm

John Kennard

Email: jkennard@whiteoaksllc.com
Mobile: 502-558-3821

Spouse/Partner/Guest Names

Linda Kennard

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 1, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 2 Subtotal: $200
Ribeye 1, Filet 0, Seabass 1, Chicken 0, Vegetarian 0
TOTAL: $471

Judging category: Display only
Owner’s Name: John Kennard Year: 2002 Model: Bentley Chassis: 2CX01063
Liability insurance: $300,000.00 with insurance company: Am. Coll. Insurance
Policy #: ACI04B19058901 From: October 13, 2022 To: October 13, 2023
Signed: John V.O. Kennard Date: April 22, 2023
Comments:
Payment status: Completed

Created: April 22, 2023 at 4:10 pm

Scott Keith

Email: sakeith@mindspring.com
Mobile: 770-815-0552

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 0, Chicken 1, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 1 Subtotal: $100
Ribeye 0, Filet 0, Seabass 1, Chicken 0, Vegetarian 0
TOTAL: $243

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 22, 2023
Comments:
Payment status: Completed

Created: April 22, 2023 at 8:42 pm

Richard Boyd

Email: rkb7636@icloud.com
Mobile: 8593801692

Spouse/Partner/Guest Names

Malinda Boyd

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 0 Subtotal: $0
Salmon 0, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $111

Judging category: No car on the judging field
Owner’s Name: Richard K. Boyd, Jr. Year: 1990 Model: Silver Spur II Chassis: VIN ? —SCAZNO2D2LCX33685
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 22, 2023
Comments:
Payment status: Pending

Created: April 23, 2023 at 6:00 pm

Mark Ibenthal

Email: markibenthal@gmail.com
Mobile: 9135583006

Spouse/Partner/Guest Names

Donna Ibenthal

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 0, Beef 2, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $271

Judging category: Touring
Owner’s Name: Mark Ibenthal Year: 1973 Model: RR Silver Shadow Chassis: SRB17019
Liability insurance: $100,000.00 with insurance company: Haggerty
Policy #: 7P31378 From: April 9, 2023 To: April 9, 2024
Signed: Mark Ibenthal Date: April 23, 2023
Comments:
Payment status: Pending

Created: April 26, 2023 at 7:30 pm

John Franklin

Email: gelatoamare@yahoo.com
Mobile: 919-389-2899

Spouse/Partner/Guest Names

Jackie Franklin

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 0 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 1, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $271

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: April 26, 2023
Comments:
Payment status: Completed

Created: May 1, 2023 at 8:25 am

Carlos Fox

Email: carlos.fox@comcast.net
Mobile: 404.277.3373

Spouse/Partner/Guest Names

Marla Fox

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 2, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 2 Subtotal: $200
Ribeye 0, Filet 2, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $471

Judging category: Display only
Owner’s Name: Carl Fox Year: 1954 Model: R Type Chassis: B132XF
Liability insurance: $500,000.00 with insurance company: Hagerty
Policy #: 2227719 From: October 1, 2023 To: October 1, 2024
Signed: Carl Fox Date: May 1, 2023
Comments:
Payment status: Completed

Created: May 2, 2023 at 5:47 am

robert atkins

Email: napkins01@bellsouth.net
Mobile: 704-560-4098

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 0 Subtotal: $0
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 1, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $105

Judging category: Display only
Owner’s Name: robert atkins Year: 1985 Model: silver spirit Chassis: scazs42a9fcx12990
Liability insurance: $300,000.00 with insurance company: liberty mutual
Policy #: ab125842253240 From: February 14, 2023 To: February 14, 2024
Signed: robert atkins Date: May 2, 2023
Comments:
Payment status: Completed

Created: May 3, 2023 at 8:22 am

Mark Meachem

Email: mdmsp1@comporium.net
Mobile: 803-242-0985

Spouse/Partner/Guest Names

Marsha Brandes

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 2, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $271

Judging category: Display only
Owner’s Name: Mark Meachem Year: 1952 Model: Mk VI Chassis: B86PV
Liability insurance: $100,000.00 with insurance company: 300000
Policy #: 3P91543 From: December 5, 2022 To: December 5, 2023
Signed: Mark Meacjhem Date: May 3, 2023
Comments:
Payment status: Completed

Created: May 3, 2023 at 2:07 pm

Graham Davenport

Email: davenport9773@charter.net
Mobile: 18647108269

Spouse/Partner/Guest Names

Debby Davenport

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 0 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 2, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 2 Subtotal: $200
Ribeye 0, Filet 1, Seabass 1, Chicken 0, Vegetarian 0
TOTAL: $471

Judging category: Display only
Owner’s Name: Graham Davenport Year: 1952 Model: Bentley R Type Chassis: B382SR
Liability insurance: $300,000.00 with insurance company: State Farm
Policy #: 272 3557-A07-401 From: January 7, 2023 To: July 7, 2023
Signed: Graham Davenport Date: May 1, 2023
Comments:
Payment status: Completed

Created: May 5, 2023 at 4:05 pm

Mark Dwyer

Email: mdwyer1@outlook.com
Mobile: 9196714637

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 0, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 1 Subtotal: $100
Ribeye 0, Filet 1, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $243

Judging category: Display only
Owner’s Name: Mark Dwyer Year: 1989 Model: Silver Spirit Chassis: SAK25950
Liability insurance: $250,000.00 with insurance company: Essentia
Policy #: 4P64365-00 From: July 6, 2022 To: July 5, 2023
Signed: Mark T. Dwyer Date: May 5, 2023
Comments:

Essentia is the underwriter for Hagerty.

Payment status: Completed

Created: May 17, 2023 at 4:04 pm

Jeff Trepel

Email: jtrepel1@gmail.com
Mobile: 7045199406

Spouse/Partner/Guest Names

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 0 Subtotal: $0
Friday Reception – Hilton Garden Inn Qty: 1 Subtotal: $38
Saturday Lunch – Carolina Hotel Qty: 1 Subtotal: $0
Saturday Scenic Drive Qty: 1 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 1 Subtotal: $80
Salmon 1, Beef 0, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 0 Subtotal: $0
Ribeye 0, Filet 0, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $143

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: May 17, 2023
Comments:
Payment status: Completed

Created: May 18, 2023 at 8:01 am

Doug T. Milld

Email: dougtmills1979@gmail.com
Mobile: 404-803-1492

Spouse/Partner/Guest Names

Georgia Mills

Registration – Region Member Qty: 1 Subtotal: $25
Spouse / Partner / Guest Registration Qty: 1 Subtotal: $10
Friday Reception – Hilton Garden Inn Qty: 2 Subtotal: $76
Saturday Lunch – Carolina Hotel Qty: 2 Subtotal: $0
Saturday Scenic Drive Qty: 2 Subtotal: $0
Saturday Dinner & Awards – Hilton Garden Inn Qty: 2 Subtotal: $160
Salmon 1, Beef 1, Chicken 0, Vegetarian 0
Sunday Dinner – Southern Prime Steakhouse Qty: 2 Subtotal: $200
Ribeye 1, Filet 1, Seabass 0, Chicken 0, Vegetarian 0
TOTAL: $471

Judging category: No car on the judging field
Owner’s Name: Year: Model: Chassis:
Liability insurance: with insurance company:
Policy #: From: To:
Signed: Date: May 18, 2023
Comments:
Payment status: Completed