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STILLW:ATER G,TYMPANY 050256
:r 'OO Sfsflw L: N.5
STILIkikTEk,
DATE RECEIPT NO. CONTROL NO
fi RECEIVED FROM AMOUNT
-, • 1 t i t
• HOW PAID PAID ON
CASH ❑ ACCOUNT n
CHECK CD NOTE
CREDIT - -
CARD n ------.__-----
DRAFT/M.O. Li] , OVER$10,000
CASHIERS _i 1 FILE FORM IRS-8300
CHECKev a
FORM NAF AA-508(2 OR 3 PART)
Thank You!
•
•
•
Y OF OAK PARK HEIGHTS
035485
8/14/98 Vehicle License/Registration/Tax 934. 75 401-44444-505
Slit!
flr)An 1 r,77/7-7,7- - P
Stock#:
C8527A Date: 08/1'198 Salesperson:
Buyer Name:(Last)
CITY OF OAK PARK HEIGHTS (First) (Middle)
Co-Buyer Name:(Last) -
(First) (Middle)
Zip:
Address: 14168 57TH STREET NO. City: 11Ai'_,D17 f-IoT T tate: plj,( County 55082
Home Phone: (651) 439-4723 Bus.Phone:
Buyer DOB: Co-Buyer DOB:
Co-Buyer D.L.#:
Buyer D.L.#:
Buyers Insurance Co.:
LEAGUE OF MTNHFV1TA CITIES Policy#: '
Address
PLEASE ENTER MY ORDER FOR: New 0 Used IX Demo 0 Lienholder COLOR INTERIOR
BODY TRANSMISSION
YEAR MAKE MODEL Rr
96 I CHEV I BLAZERI I c 4U11 EAUTO Ala DELIVERED
LIC.p TAB EXP.DAT STATE ON OR ABOUT
v,N„ WT (•(p( 34825
1GNDT13W5T2151236 CASH PRICE OF VEHICLE
1999 ,160
FREIGHT
DEALER INSTALLED OPTIONS
THIS VEHICLE HAS HAD ADDITIONAL ITEMS AND/OR
ACCESSORIES INSTALLED WHICH ARE NOT COVERED
BY THE MANUFACTURER WARRANTY.
THESE INCLUDE:
TRADE-IN DATA
YEARMAKE 'MODEL BODLE Y
STY
93 ICHEVV CAPRICE Itt 4DB
VIN#
• e,
L
NAME
CUSTOMER INITIALS X--
NAME
ADDRESS
LICENSE LICENSE DATE /(�5
p
PLATEN 30c/ STATE MN I I
MILEAGE R TR(tLJyS,�AI6SION _-(Jj^ Q�.�(� iti-4- i��A
NOW ��Ii��� (Ij(.J•1• (Y"`" ,
DOES YOUR TRADE-IN HAVE A BRANDED YES❑ NO❑
TITLE OR INSURANCE SALVAGE HISTORY? /
�, + t
POLLUTION CONTROL SYSTEM DISCLOSURE TOTAL
(TRADE-IN VEHICLE) 19995,0 0
o order atomotor
vehicle with M houp Statues,Section incl su e1, t trans mey LESS TRADE-IN ALLOWANCE FOR USED VEHICLE
transferbuyera moyingtcwithout providing a written disclosure to the transferee 6045 00
(buyer)certifying the condition of the pollution control system.
Transferor(seller)hereby•ertifies,to the best of his/her knowledge,that the TRADE DIFFERENCE 13950. 00
pollution control system o s vehicle,beefing traded in,including
inopera ive restricted the
gasoline pipe,has '.t be m ( STATE&LOCAL TAXES
1 i g N(�,(� LICENSE PLATE
Seller's Signature® ' N� t TITLE&TRANSFER FEES FEDERAL LUXURY TAX
DEALER'S DISCLAIMER OF WARRANTY
LIEN RECORDING FEE ADMINISTRATIVE FEE
The Dealer expressly disclaims all warranties,either express or implied on the SERVICE CONTRACT
vehicle sold,except any warranties offered and explained in Paragraphs 10 through
PI
13 on the back of this contract Buyer acknowledges receiving this information
before the sale and furthernowledges having read and understood the TOTAL LICENSE&FEES
provisions on the bac of thi- ntrac.
A CASH SUBMITTED SUBTOTAL
r WITH ORDER 13975.00
Buyer's Signature® LESS BALANCE OWING TO
DEALER'S POLLUTION CONTROL SYSTEM DISCLOSURE LIENHOLDER ON TRADE-IN ►
(VEHICLE BEING SOLD) TOTAL DOWN PAYMENT
Transferortioncontrol(Dealer)em on is rve icl to the boof his/hgr heowledge, that the TOTAL AMOUNT DUE ON DELIVERY ] 'iQ?S A0�
pipe,ha oobeen
em e end sold,includingpthe restricted gasoline
pipe,has not been removed,altered,or rendered inoperative.
he
nt or
The
rand
of army nature YouCONTRACT y that no cred t hasthe
beenentire
ext nndedCONTRACT
dealferforng tthethis
purpurchase.
of this motorDEALER
VEHICLwill
E nYouot ecertify that you are 1verbal
8 yyea s of age orgreement, or any
older, andaacknowledge
understanding
receiving a copy of this contract. IMPORTANT: THIS MAY BE A BINDING CO
The terms of this CONTRACT were agreed upon and the CONTRACT signed in the dealership on TRACT AND YOU MAY LOSE IF YOU
the date noted at toper this form. . DEALER is arranging tionit for YOU,this CONTRACT is not vcredit
DON T 1{ERFOR ACCOSE ANYNG DEPOSITSO ITS IF
until a credit disclosure is m.• described in Regulation Z and you have accepted the credit
extended. MS.
C ��„
NOTICE OF SALESPE'.ON'S �'TED AUTHORITY. This contract is not valid unless signed and cji
�`~�� +, 11accepted by Sales Ma :ger er r of Dealership. / it I I �61:‘ — ------
,i Buyer's Signature Accepting Terms of Contract
Accepted
This ODOMETER DISCLOSURE STATEMENT and ASSIGNMENT Refers to Vehicle Being Sold
risonment
Federal and State law require that you state the mileage upon transfer of ownership.Failure to complheeeowner(s)dof ingthe veh cle described below,certify thestatemnt may result in fines end/or vehicles free of all security interests.
I(we). ,Ir seer Name.Print) (no tenths)miles and to the best of my knowledge
warrant title,assign the vehicle and taxes paid to the person(s)named below and state that the odometer now reads
that it reflects the actual mileage of the vehicle,unless one of the following statements is checked.
0(1) I hereby certify to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits.
El(2) I hereby certify that the odometer reading is NOT the actual mileage.
WARNING — ODOMETER DISCREPANCY if box(1)or(2)is checked. 'BODY TYPE
YEAR p�
I MAKE 'MODEL
;;77ff {t`HEV �6A4 'uL
C EXP.DATE S 4UR
VIN No� ��1
1GNUT13W5T2151236 TR NIFERORS(SELLER)STREET ADDRESS M1
TRANSFEREE'S NAME(BUYER)PRINT __. - ZIP
CITY OF OAK PARK HF.T(,H`PS
STREET ADDRESS CITY STATE
14168 57TH STREET NO STATE ZIP TRA E ELLER)SIGNATURE(PRINT SIGNERS NAME ALSO)
CITY o� �Y�{�Pi� �� � STATEMENT DATE
OAK PARK HEIGHTS )
TRANSFEREE S(BUYER)SI - •-E '. SIG y E A ) C.,' ...,
, �_,._^_ _ _ -
Receipt of copy acknowle••ed(k) I� s•-- .'. �,(� , _ • — • i _
This ODOME'�ER DISCLOSURE fSTATEMENT and p Failure to oASSmpleteIGNMENTr providing a aRefelse rsetont mVehicay result le n 'Benes ing Tradednd/or
t
Federal and State law requireF that you state the mileageuponf the owner(s)of the vehicle(desc�r7ibed below,certify the vehicle is free of all security interests
I(we), CITY OF OAK PARI: HEIGHTS _D, 7 U (no tenths)miles and Io the best of my knowledge
(Tran SiFlftrs Name.Pont)
warrant title,assign the vehicle and taxes paid to the person(s)named below and state that the odometer now reads
that it reflects the actual mileage of the vehicle,unless one of the following statements is checked.
❑(1) I hereby certify to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits.
❑(2) I hereby certify that the odometer reading is NOT the actual mileage.
WARNING — ODOMETER DISCREPANCY it box(1)or(2)is checked BODY TYPE
MODEL
YEAR MAKE
' T: IIC EXP DATE
93 LI' ^
VIN NO
1G A.11 .
B 3 3) Kir 10238 TRANSFEROR'S(SELL ER)STREET ADDRESS TRANSFEREES NAM ( UV R) I ZIP
1A1,6-8 t 17TH STREET NO. StArF C
STREET ADDRESS ,. - A�{ L.]p }/,+. r]ry, .yj�j 55082 t_.
STATE ZIP TR7�ty. IP—. -,,'(S�F,\Lr. 'U ` INT SHINERS NAME ALSO)
CITY .� L. [('fl X)-/' 1t ,'..,. STAIFMENT DATE
SIGNER'S NAME AlSO)
TRANSFEREE S(BUYER)SIGNAr F(P� L.
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Receipt of copy acknowledged a) /
MADA 2436' Copyright MADA SERVICES INC: (7 93)Reorder Pool MADA SERVICES.INC;.277 Llmversty Ave Si Paul.MN',6103 1612)291-2400
ACATION TO TITLE/REG. A VEHICLE PLATE NUMBER YEAR FOR VALIDATION AND OFFICE USE ONLY
FOR CENTRAL OFFICE USE ONLY 96 / 733
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( DATE 61 G TAX PAID FOR THE PERIOD INDICATED.THE REGISTRATION PLATES SHOWN ON
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CODE: 44//^'1 ❑ Do not disclose my information for surveys,marketing or solicitation.
PURCHASER(S) ►LAST,FIRST,AND MIDDLE NAME DRIVERS LICENSE NO./DEALER NO. DATE OF BIRTH
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FIRST SECURED PARTY(PRINT NAME) DATE OF LOAN
PURCHASER(S) FOR ADDITIONAL SECURED PARTIES,
OWNER(S) STREET ADDRESS ATTACH COMPLETED FORM NO.PS2017.
MUSTCITY STATE ZIP CODE
COMPLETE
C 0. MILES(NO TENTHS) ODOMETER STATEMENT AND ASSIGNMENT BY SELLER (SEE WARNING ON BACK OF LAST PAGE)
I(WE)THE OWNER(S)OF THE VEHICLE DESCRIBED ABOVE,CERTIFY THE ODOMETER ON THE VEHICLE NOW READS THE MILES AS SHOWN ON THE LEFT
SELLER(S) AND THAT TO THE BEST OF MY(OUR)KNOWLEDGE THAT IT REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE DESCRIBED ABOVE UNLESS ONE OF THE
FOLLOWING STATEMENTS IS CHECKED.I(WE)THE OWNER(S)OF THIS VEHICLE CERTIFY THE VEHICLE IS FREE OF ALL SECURITY INTERESTS,WARRANT
MUST TITLE,ASSIGN THE VEHICLE AND TAXES PAID TO THE PERSON(S)NAMED ABOVE.
COMPLETE
AND ❑ (1)I HEREBY CERTIFY TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING REFLECTS THE AMOUNT OF MILEAGE IN EXCESS OF ITS MECHANICAL LIMITS.
SIGN
❑ (2)I HEREBY CERTIFY THAT THE ODOMETER READING IS NOT THE ACTUAL MILEAGE.WARNING—ODOMETER DISCREPANCY IF BOX(1)OR(2)IS CHECKED.
► DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF MY KNOWLEDGE THIS VEHICLE ❑ HAS) NAS NOT(CHECK ONE)SUSTAINED DAMAGE IN EXCESS OF 70%ACTUAL CASH VALUE.
► POLLUTION;YSTEM DISCLOSURE STATEMENT. TO THE BEST OF MY KNOWLEDGE THE POLLUTION CONTROL SYSTEM ON THIS VEHICLE INCLUDING THE RESTRICTED GASOLINE PIPE
❑ HAS Al HAS NOT(CHECK ONE)BEEN REMOVED,ALTERED OR RENDERED INOPERATIVE.
SELLER'S PRINTED NAME(S)
DATE
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SUBSCRIBED AND SWORN TO BEFORE ME. DATE AND HIGHWAYS,THE VEHICLE WILL BE OPERATED N COMPLIANCE WITH
THE LAWS WHICH APPLY TO ITS CLASS OF REGISTRATION,HAVE RECEIVED `,43 it /
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A COPY OF THIS APPLICATION AND ALL OF MY(OUR)DECLARATIONS
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CIAL VEHICLE I(WE)WE)HAVE
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CIAL KNOWLEDGE OF STATE AND FEDERAL REGULA-
TIONS DATE MY COMMISSION EXPIRES UTTEES,CHAPTERAPPLICABLE TO
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DRIVER AND VEHICLE SERVICES DIVISION D• N T SIGN UNTIL COMPLETED
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TDD/TTY(651)282-6555 PURCHASER'S (OWNER'S COPY)
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APPLICATION TO TITLE/REG. A VEHICLE PLATE MUMS:: YEAR FORVAUDAI1074ANL,Urn.,LucWPM
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FIRST SECURED PARTY(PRINT NAME) DATE OF LOAN FOR ADDITIONAL SECURED PARTIES,
PURCHASER(S) ATTACH COMPLETED FORM NO.PS2017.
OWNER(S)
STREET ADDRESS CITY STATE ZIP CODE
MUST
COMPLETE
MILES(NO TENTHS) ODOMETER STATEMENT AND ASSIGNMENT BY SELLER (SEE WARNING ON BACK OF LAST PAGE)
0.
I(WE)THE OWNER(S)OF THE VEHICLE DESCRIBED ABOVE,CERTIFY THE ODOMETER ON THE VEHICLE NOW READS THE MILES AS SHOWN ON THE LEFT
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MUST TITLE,ASSIGN THE VEHICLE AND TAXES PAID TO THE PERSON(S)NAMED ABOVE.
COMPLETE 0 (I)I HEREBY CERTIFY TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING REFLECTS THE AMOUNT OF MILEAGE IN EXCESS OF ITS MECHANICAL LIMITS
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0 (2)I HEREBY CERTIFY THAT THE ODOMETER READING IS NOT THE ACTUAL MILEAGE.WARNING—ODOMETER DISCREPANCY IF BOX(1)OR(2)IS CHECKED.
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El HAS .f] HAS NOT(CHECK ONE)BEEN REMOVED,ALTERED OR RENDERED INOPERATIVE.
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SELLER'S PRINTED NAME(S) DATE
SELLER'S STREET ADDRESS CITY STATE ZIP
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6.TRADE-IN WAS A: MAKE PLATE NUMBER
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EXEMPTION CODE TOTAL DUE$ K
CONTINUE TO BE INSURED WHILE OPERATNG UPON THE PUBLIC STREETS 414
NOTARY SIGNATURE SUBSCRIBED AND SWORN TO BEFORE ME DATE AND HIGHWAYS.THE VEHICLE WILL RE OPERATED R4 COMPLIANCE WITH
THE LAWS WHICH APPLY TO ITS CLASS OF REGISTRATION.HAVE RECEIVED
A COPY OF THIS APPLICATION ATV ALL OF MY(OUR)DECLARATIONS "?3
ARE TRUE AND CORRECT.I(WE)FURTHER CERTIFY THAT IF THIS ISA COMMER-
CIAL VEHICLE I(WE)HAVE KNOWLEDGE OF STATE AND FEDERAL REGULA-
TIONS APPLICABLE TO COMMERCIAL VEHICLE OPERATION MINNESOTA STAT.
COUNTY DATE MY COMMISSION EXPIRES UTES,CHAPTER 221,PUOLC SERVICE COMMISSION RULES I THROUGH IS,
AND CODE OF FEDERAL REGULATIONS.TITLE 49,PARTS 390 TEROIJGIt,H ,.,,
399,AND IF A TRANSPORTER OF HAZARDOUS MATERIALS,CODE OF PEDIREL
REGULATIONS,TITLE 49,PARTS 171 TO 199. t L t.5'.
IEDPS MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES DIVISION PS2000-22 ._S . . -E(3(ALL Pu ..r.E• . ,'RS(E)Mt -7, ) DATE
DO N'T SIGN UNTIL COMPLETED
AN eouAt.orvoavuovre motor. 445 MINNESOTA ST.,SUITE 160,ST.PAUL,MN 55101-5160 (651)296-6911
TDD/TTY(651)282-6555 SELLER'S COPY
POLICE DEPARTMENT
CITY OF OAK PARK HEIGHTS
06....47.tfe_a":3‘0
„,/ 14168 57TH STREET NORTH•P.O. BOX 2007
LINDYSWANSON
r`�;' OAK PARK HEIGHTS, MINNESOTA 55082 CHIEF OF POLICE
0; `I` �o TELEPHONE: (612)439-4723
FAX: (612)439-3639
EMERGENCY: 911
August 17, 1998
MN Dept. of Public Safety
Driver and Vehicle Services Div.
445 Minnesota Street
Suite 160
St. Paul , MN 55101-5160
Dear Sir/Madam;
Please be advised that the below listed vehicle is utilized by the Oak Park Heights
Police Dept. as an unmarked police vehicle.
1996, Chevrolet Blazer, V.I.N. 1GNDT13WST2151236
Sincerely,
Li dy Sw nson
Chief of Police