HomeMy WebLinkAboutUntitled wed ® EXTENDED
SERVICE
PLAN
ShipID Ship Name and Address
656 City Of Oak Park Heights
14168 Oak Park Blvd No.
Oak Park Heights, MN 55082
Mileage at
Warranty Agreement Vehicle Identification Number Price of ESP
Start DateInception (17 Digits)
042616 1 1 FM5K8AR8GGC72840
ily5iti_ v
CERTIFICATE OF ORIGIN FOR A VEHICLE '°'!
iiiii(iiiii0111-111,6';', .1;;; ;F-'.',. :',
n 1 ' n :i. a r _w/ Y f , 1
stei
iol,i111::4:17'iftliNgttii,;'-1,--;-:71):till'iitlfi.izit?"47(:.;0';'r:''"':''''Ll--;;;,-;;;-4;;!, ;:1/:" .---------- ' -"'''''':''''':'1°:'•.f.'''''':,t*°T'AI.1...'' ',.. r "..:14,t:;^;.t.';:::'''Ifiritifil-iItliti,AW11-..-!'i-4:1251711'Hil...7 1 1:::::::!!
.. .. 'et
' ''Ilr i:.;
a�, DATE
/ MARCH 24,201 Fj INVOICE NO
VEHICLE IDENTIFICATION NO GC 72 84 0 (J Ara
1FM5K8AR8GGC72840 YEAR MAKE
2016 FORD
hil: BODY TYPE
113 EXPLORER POLICE AWD 4DR SHIPPING WEIGHT
/" 4548 LBS.
HP(S.A£) GV.W.R
33. 93 6342 LBS NO CYLS. SERIES OR MODEL •
j NOMINAL TONNAGE 6 K8AT
1/2
I,the undersigned authorized representative of the company firm or corporation named below,hereby cer_
f tlfy that the new vehicle described above is the property of the said company,firm or corpporation and is
transferred on the above date and under the Invoice Number indicated to the following distributor or dealer.
I\ NAME OF DISTRIBUTOR,DEALER ETC
\ P.O. NUMBER OAKPARKHEIG
Nelson Auto Center, Inc.
l'''
t..;1:: ;....;:i.';',:..,3_:'
• O. BOX 338
Fergus Falls MN 5653
g
.' 58B404
''.:.,1:14;1.7It is further certified that this was the first transfer of such new motor vehicle in ordinary trade and commerce. '
�4MEMO DATA
L f?
FINANCE SOURCE FORD MOTOR COMPANY
660055
BANK OF AMERICA By „ ,, �'
'kali'
. 4161 Piedmont: Pkwy• ONATHAN E.OSGOOD,SECRETARY
�-
I
Greensboro (AGENT)
f 10 DEARBORN '.
27410 MICHIGAN i-
CITY-STATE '.
r` � ".-:IIIIIIIIIIIIIII��WIiIflLiiIII „
IIIII.. : �A�•,. I�IIIIIDVIII
7 1f�.O
}
Each undersigned seller pditi ie5 is the best of his knowledge,information and belief under penalty of law that the vehic'e is new and has not been regs
this or any state at the 4FORIVALURECEIVED IhTRANSFER THE VEHICLE DESCRIBED ON THsccurity interests E han FACE OF THIS CERTIFICATE those disclosed herein Twarrant title to the vehicle.
delivery and the
NAME OF
_:__Lu cc PURCHASER(S)
4 C13 ADDRESS No Tenths
o G /'jl
wiled e that the od+meter reading Is u'
z Z 1 certify to the best of my k By./11s OF D ' rBeing
O W DEALER
BLes P DEALERS LICENSE NUMBER forth are duly
sworn
nd cororectath Sub y bed ah d e statements
n to[meet
s NAME DEA day, of
before thisNotary Public
(1) State of___---____-4-.----------
-.------ '.
Et.
4 >County of USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION
Ce NAME OFy
w¢ PURCHASER(S)------'--
ADDRESS No Tenths a
o a - W — F-
• z z Icaddy to the best of my k wledge that the odometer reading Is W
O 1-
BY. _
WDEALER_----*----
CC
-- DEAL ERS LICENSE NUMBER forthCare t true and coworn rrect.Subsn oath cr b d and s that the sworn totme set
cn D
a NAME OF DEALERSF..- Before this__day of Q
m IT a State of - -I--
Notary Public
I--. '7.-n.:m (County of USE NOTARIZATION ONLY„IF RWUIRED IN TITLING JURISDICTION - --
Z - --
W n NAME OFO
o w w PURCHASER(S)-----1----''
No Tenths =
2 w m ADDRESS
O' oD
J Z Z I certify to the best of my knowledge that the odometer reading is CD
BY Y
1 i
LL, Q r- : sworn upon oath says that the statements set U
W r'w DEALER DEALERSLICENSE NUMBER Beme cwy P
_I m NAME OF DEALERSHIP forth are true and correct Subscribed and sworn to me
State of -r before this day of CO
— _Notary Public
L
•W
z 0 4 'County of e:__ USE NOTARIZATION ONLY t REQUIRED IN TITLING JURISDICTION z
NAME . —._�_._._-it-.- I"'
Z
4 W PURCHASER(S) I -- ,u
C0 -1 ujam ADDR SS -----i-- NoTenrhs: g
p w� s 2
O 0 U
� Z certify tot°tabes of my knowledge that the bdomefel leao�ng is BY
• O z P
W r-w 'DEALER__--- DEALERS.LICENSE Nur'BER forth are true and corrrrect.Subscribed and sworn meet Q
g m z NHME C'DEALERSHIP day of J
before th s votary Public S
U ¢Eh State of�: "_ -- — —
• r_
O O N County of ^C--- ATICN ONLY IF REQUIRC IN TUNE;:JURISDICTION
a --�.w
"I -- Federal Law requires you to state the odometer mileage TART in e fret sfer of onmership-Failure to template or providing a false statement may result
F-. in fines and/or imprisonment.
WARNING ODOMETER DISCREPANCY
I certify to the best of my knowledge that be odometer reading is the actual mileage of the vehicle unless one of the following statements is checked.Odometer
uI ReadingNo Tenths.U The mileage stated is in excess of its mechanical limits.U The odometer reading is not the actual mileage
w
rn Dace of Statement� -----
Date of Sale_-------
(s
Y -44 2
Sign Jure(s)of Se'IerPrinted Name(s)of Sellell er(_):----- Being duly 3warn upon oats says that the,statements set
I. U Dealer's No
p F .---- forth are true and correct.Subscribed and sworn to me
—.dayof
4
ES� , Signature of PLrchaser(s)__�------ before this,
-- - _ Notary Public
uirc
0 Printed Name(s)of P.�rchaSer(s),_
Company Name Of Applicaple)
Stat o —
Cour tv 'f--" ^----- ---_""'_
Address of Pu rchaser(s)_...- USE NOTARIZATION ONLY IF REQUIRED IN ITLING JURISDIOTION
W
l st lien•in favor of % o
O'. whose address is ._- ,- —�LL.—
Y 2nd lien in favor o;'
UI whose address is_ —