HomeMy WebLinkAbout04 Ford Expedition Patrol Vehicle . >,� .._. ... . �� , � .STATE OF M I IV N ESOTA= cF U
CFRTIFIC�4 r,,:„ TITLE'FOR A MOTOR`��/EHICLE ; "` `` 'W ,`°
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r` i l'!)CL CIJeIVTi C'V n9W N,?, f",? YEAR MA1fE MPREfJBD41Y k I�It�M6*
�'y FIP 16L� L82bb1 04 FORD 4W EPT 14 I Py Y
S C 7E S JEI 3 DOi4EIER TAX BASE CODE PL4TE NUMBER L r « '(at'. ^':o NLY
5/1f9p;4 6 037315 99
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NEW 03/26/04 EXP
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CITY
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14168 57TH' T P�#4" L' �
STILLWATE-R MN ff5 t
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ASSIGNMENT OF4 OWNERSHIP — BUYER(S) MUST COMPLETE THE APPLICATION ON THE BACK
a ® ETER t3PS WS11RESTAT .NTi I{IµE)CL=ATIPr THAT THE ODOMETER DAMAGE DISCLOSURE STATEMENT. TO THF QST€SF t s - ,,t� TFl �''
s • # SOS (NO TENTHS)MILES AND TO THE ❑HAS ❑HAS NOT(CHECK ONE)SUSTAINED TtA�iJ 70�� ( SASt+IALI[E r:
\ E 1 MY NQV9l EDGE TCS CfPOMETEl MILEAGE IS: POLLUTION SYSTEM DISCLOSURE STitTEMFNT T ' l l + ® FEE EDLLU fON
,'` rT)AL 4ILEA CONTROL SYSTEM;ON THIS VEHICLE INCLUDINf,.THERR E TiltF • PIPE �`
'\ rR t l ( E'IYDS MECHANICAL 4IlktI1 S OF;ODOMETER 1:1 HAS
❑HAS NOT(CHECK ONE)SEEN REMOVEb ,TE das E l�Y +t PER TI\#E
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E i tfk'I•At''1ttAL'MI WARNING QDOMETER DISCREPANCY Assignment:I(we)certify thatthis vehicle Is fiee,lir !s({S t}� i is ttr anT7tt9 rind assgfttht! .
registration tax and vehicle t4: , , 4,5
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SELI,El E PRINTED NAMES) DATE OF
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� SALE �T ��
,....\)/?:?& SELLER`SADDRE S DEALER LICENSE# 9 I~
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� � SEta.Et2 fi IGNATURE$ Yo ,<t a
IM O Tti4i ELFAA,SE READ AU rnfonirattopeolteaed on a motor vehicle application is required by law and is used to Identify,
�, ;� ydurmdteryetsmle,Failure to)5mvlde required tnfolrmation may result in denial of the requested action.Except for certain uses 1 5 "
i� +a by fe eral nt1 Mate lay's painonal Ihformation contained In your application may not be disclosed to anyone without ' j�' Y , ,I pl
l r siglresS oottseht. te:rnay e"Xi ass7.colnsen_tto the.disclosure of your information by writing to the following address: r 1
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
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1 1 1 1 1 i' 1 1 1 ' 1 1 1
DRIVER AND VEHICLE SERVICES DIVISION 1 ' 1 1 1 1 1 1 1 1 1 1 s \ �£
111111111111111111111111111111111111111I111111111111111 445 MPHONE 651 2972126 T PT7Y 651N2 2S655 55101 Al 1 t' ,� } 1 1 l I.�f I.
PS2700 13 mndnvemfo ora ,,,..,\,..
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Er:, ,, KEt„P=IN.A'SAFEPL'A�CE�=�;q ':: T '.y. . , , , -. ,, c'.,,' ` .. F 1
''../7-..r.'''.''''''';',1.-1.':-..-,`,;>-<.;•-.,- , �... . .,.. � NY�ALTERATIONOR ERASURE,VOIDS'THIS,;TITL-E� �;.T ��,, -��-
SELLER'S NOTICE OF SALE MINNESOTA MOTOR VEHICLE REGISTRATION CARD
When you sell this vehicle, you are responsible to file the information below with the YR MK MDL
Department of Public Safety within 10 days. Please file this information over the 0 4 FORD 4`W E P T
Internet at mndriveinfo.orq or complete all information on this post card and submit
by mail. This notice is not required if sold to a licensed dealer. VIN
• Minnesota Statute 168A.10 1FMPU16L64LB2661,6
II1�II•IIIIIIII�II�IIIIIIIIIIIII IIII�I IIIIIIIIIIII GROSS VEHICLE WEIGHT/BASEVALUE 037 315
�_. liA1:10S768 1FMPU16L64LB26616
Title Number Vehicle Identification Number
PLATE# EXP
- 'Date of Sale
STICKER# TAX
Purchaser's Driver License Number
RECORDED OWNER(S):
'P rchaser's Full Name Purchaser's Date of Birth CITY OF d A K PARK HEIGHTS
14168 57TH hS1TN P5O 182O1312107.StreetAddress STILLWATER
'City County State Zip Code
PLEASE PRINT