Didn't scan it but here are some photos i took with my phone

This is what the entire sheet looks like, the top is your vehicles info, odo, model, vin, reg number etc. the bottom half is your results
even says cost was $23.00
Down at the bottom It shows the rated fuel economy and the distance driven, my car was rarely driven and went 2400km that year so the emissions were very little

As you can see there's Average and then what you got