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•;+ JAN. 5.2©01 4:39PM HASTINGS FIRE DEPT■�,.lr4�II at� �� �� NO.
<br /> N P 3i4a1'�*w r?pe•;•
<br /> . :� (C'``��„''i �'• •t�'H.�( ,+. •. .' , "�+_AIRI ESPORTS '�•'' y" A
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<br /> `ri:• .}"�. r
<br /> •I fi.�f t'K:���, 'h° .L �.l/ 11733
<br /> iM1iti r{f'' �' ""fftt 5,
<br /> 11aw 33 P'r.DOUGLAS DRIVE SULI 19
<br /> r;� • HASTINGS,AIN 55039'
<br /> , � 651•x! .*►?3 'r• • � •I ��� ,, '��•' -
<br /> w.y 1 4.
<br /> 4SrocktY: Dat■' ! / r� OV .,'.,, ,t'i �,r.R'lh�;,
<br /> Selasporsom . ...
<br /> Buyer Name:(Last) 1 ' i �.�4,e
<br /> :fir IraO Idd►e) ' a.�"�;',,�'„�,,�T��_
<br /> Cc-Buyer Name: (Fired (Middle)
<br /> Address: City: Stater Co
<br /> Home Phone;
<br /> Bus Phase: unry. r,•.� Ass�+
<br /> Buyer DOB Co Buyer 000.1
<br /> Buyer Ot8yi wy�t
<br /> .L k: ClrBuyor O.L
<br /> Buyers Insurance CD,: Policy ff; a•+kR:" �"
<br /> PLEASE ENTER MY ORDER FOR; New.!
<br /> Used 11 Doma:1 Lienholdar Address
<br /> YFApIIAKIt, MO EL BODY
<br /> ! fil N LOP ( IDR^
<br /> Vi ' r tl �'`c cif_ ;� -� r4 < 4 �" TRAN MI ,.,
<br /> ••arae' r
<br /> N 0
<br /> LICA A A5 EXP.QATIFINTA M�LEAGO pEGvERED
<br /> !, y....
<br /> L1 r� J V � � � r , � ON OR A80Ur.
<br /> CASH PRICE OF VEHICLE COO
<br /> FREIGHT U�
<br /> DEALER INSTALLED OPTIONS y+•;1ttt�i�tr
<br /> • �-�1.4•IlrY�� ''1n'L v
<br /> TRADE-IN DATA �•
<br /> DOES YOUR TRADE-IN HAVE:A BRANDED r
<br /> TITLE OR INSURANCE SALVAGE HISTORY? YES a No,;]YEA ;i „i•+;,,
<br /> R MA .� �f �•IR(OD aTYLC ,;",'�1:
<br /> VIN a
<br /> NAME - '•''ye':�'t�
<br /> A OryESS
<br /> h.
<br /> U NfiE l NEE �'�v$
<br /> PUITI ■ STATII OATIt S
<br /> MILEAGE TRAN$ I I N
<br /> NOW 0.
<br /> POLLUTION CO11110n.eye=niscLaauR _ -•,ecr .rya;. �
<br /> tllJ .c-' Svy , , ' � .. fl1. .p.',-,a. n+�,•al�i5��+ •:��}'
<br /> . ��+,4t1>ltADaaNvtnacuq 1:
<br /> TOTAL r. �tr+•
<br /> M drdtr v hel"c C�et I,IInneSaA eulvl.:,0e�an ettaa eQel,me pt►eon mev bander
<br /> .slater vSM In Wtheut prow nti a wfmm dhaioeum to IM tr5ntftM(buyeq cet111ylna
<br /> em Condition or the pahreton oonset eyetSnL LESS TRADE-IN ALLOWANCE FOR USED VEHICLE
<br /> Tmrnrelor(t.lterl hereby amulet,to the bunt or hloAnr(thowledpe,thRtM paHinton
<br /> coneot""e'"On mie rehtue wino traded In,Muding the mtoletgete
<br /> mmowdw tble pot,hra L
<br /> net been ,}tared,or rendwed Imp0Wvg, TRADE DIFFEg6NCE..
<br /> ° 'L' r ,•r.
<br /> A. ;...,, LICENSE PLATE STATE 6 LOCAL TAKES
<br /> eet�r agmnCm W
<br /> ntEAL[A°e Olech•Atit[tt OFWARRANTV „
<br /> TIRE&TRANSFER FEES FEDERAL LUXURY TAX •':',
<br /> IT
<br /> the o.ener. LIEN RECORDING FEE 1.0 DOCUMENT v
<br /> tax5ttly d}.tlalrnt d wartenlMt.ilgar eep:en or Implied an Ills vehicle DMINI6TiiATIVE FEE
<br /> valid,e><eept any wermMI1111 onered A"eepr■hfed In her5arapht to Ihroughta an Me
<br /> DAM or thl+tantmci Buyer at-rnawiedge5 reah"it Ihte Infoenetlon balm the 5914 end SERVICE CONTRACT
<br /> nrnher ecknowledgen having tend end untlamlood the provltldn5 an the bm*of tole
<br /> uorth5ac. ,
<br /> TOTAL IJCEN9E FEES
<br /> SUBTOTAL 4/
<br /> DEALER'S POLLUTION CONTROLSY3TEM DISCLOSURE LESS CASH SUBMITTED WITH ORDER (—)
<br /> (VEHICLE BEING SOLD) (+)
<br /> Trantgrot(Dealerl hereby cenlllee,is Ria butt of h1wher Irnowledpe,that the pollution PLUS BALANCE OWING TO LIENHOLDER ON TRADE IN
<br /> control symm an Ihit vehicle being sold.Including the ratipcted proline ppe,hie ITOTAL AMOUNT DUE ON DELIVERY
<br /> no[been runlaved,altered,or rehdeed inciperniive. /i
<br /> The front and back of thltl.CONTRACT cOTprlse the enure CONTRACT affecting info purchaval, The DEALER will not recognize any verbal agreement.or any other agreamen
<br /> mderetanding of any nalure You cerilly thal.no credit has been extended by dealer:or the purchase of this motor VEHICLE. You cantly that you are 1B years of age or older.I
<br /> icknowledge receiving a5mpy 61 this contract; .
<br /> The terms of this CONTRACT wera4grssd upon and the CONTRACT signed In the IMPORTANT.. THIS MAY BE A BINDING CONTRA(
<br /> feelarshlp On the delta noted Al top of this form, If DEALER In arranging credit for YOU,title AND YOU MAY LOSE ANY DEPOSITS IF YOU C
<br /> :ONTRACT to not valid until a credit disclosure Is made an described In Regulation 2 and
<br /> rou have accepted the Credit axtended. NOT PERFORM ACCORDING'TO ITS TERMS.
<br /> 40TICE OF SA4ESPERSON'S LIMITED AUTHORITY. This contract li not valla unless signed
<br /> and 21CCepted by Setas Manager or.-Officer of Dealerehtp•
<br /> rccapted
<br /> j "' Buyer e$IGnUUreAcceoiinoferrllt4l Coriirmt
<br />
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