e13*2001/116*0170*02
0.4. Categorie: 3
Category of vehicle. m
Nom et adresse du constructeur du
vehicule complet: General Motors Corporation
Name and address of man ufacturer of the complete Detroit, Michigan 48265
vehicle: USA
Nom et adreste du constructeur du
vehicule de base :
Name and address of manufacturer of the
base vehicle:
not applicable
Nom et adreste du constructeur
de la derniere etape de construction
du vehicule complete: 3
Name and address of manufacturer of the
latest built stage of the completed vehicle: not applicable
Nom et adreste du constructeur du
vehicule incomplet :
Name and address of manufacturer of the
latest built stage of the incomplete vehicle not applicable
0.8. Nom et adreste des ateliers de montage: Wilmington Assembly
Name(s) and addresse(s) of assembly plant(s): P.O. Box 1512-19899
Wilmington, Delaware 19899-1512
Le soussigne certifie exactitude de la descriptioıı fournie par le constructeur dans la fiche de
renseignements ci-jointe concernant le(s) vehicule(s) decrit(s) ci-dessus [un (des) echantillon(s) ayant ete
chnisi(s) par les autorites competentes en matiere de reception, et presente(s) par le constructeur en tant
que prototype(s) du type de vehicule[, sinsi que Papplicabilite au type du vehicule des resultats d'essai
joints en annexe.
The undersigned hereby certifies the accuracy of manufacturer's description in the attached information document of the vehicle(s) described
above (as sample(s) having been selected by the approval authority and submitted by the manufacturer as prototype(s) of the vehicle type)
and that the attached test results art applicable to the vehicle type.
I . Pour les vhicules/¥«-r-iautes
complets/eensplıs.tes"
For completeleompterect vehielesNarkams: complete vehicle
Le type de vehicule satisfait / ne satisfait
pas aux exigences techniques de toutes les
directives partienlieres applicables
conforrnement aux annexes IV et XI de la
directive 70/156/CEE:
The vehicle type-meets J does not mont the technical
requirements of all the relevant separate Directives as the vehicle type meets the requirements of alI relevant Directives
prescribed in Annex [V and XI to Directive
70/156/EEC. as prescribed in Annex IV to Directive 70/156/EEC
2. Pour les vehicules/variantes incomplets:
For incomplete-vehiclesivariants: not applicable
Le type de vehicule satisfait/ne satisfait GENERAL MOT RKIYE LTD $ Tl
pas aux exigences techniques des Yetkili M hangi Nil
directives particulieres reprises dans le K
tableau de la page 2. Od
The vehicle type metre does-not-meet the technical Yetki
requirements of the separate Directives listed in the
sahte on Side 2:
not applicable
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