HomeMy WebLinkAbout1994 Chev. Caprice 4 dr. Squad CVNGI' DE4L SI:�,r`l
Thone Howkins ADVERTISING
CI)`"'/"'F.P, rE /P 7.166*-:6 ^AxTF TTIOP?,AS (TYPE)
-.. SALESMAN - (NAME)
chev�e G i 0!►,04,94
® � inc.
■, DATE
Llocolar
1801 E. Cty. Rd. F WHITE BEAR LAKE, MN. 55110 (612) 429-7791 STOCK# 3521s0
INS.CO. LNCTT
POLICY# CMG 12802
BUYER'S
NAME CITY OF OAK PARK FREIGHTS D.L.
CO-BUYER'S # DOB / /
NAME D.L.
# DOB / /
BUYER'S
CO-BUYER'S RESIDENCE
SOC.SEC.# SOC.SEC.# PHONE
STREET STREETt BUSINESS
ADDRESS 14168 57TH NOn.TH,. PHONE (612)439-4439
CITY,OU TY,ZOAK PARK HTS ( WASHINGTON ) MN 55082 CAR• CAPRICE ZIP TRUCK 4 1?F, SEDAN
94 CHEVROLET
IVAN (MODEL) (BODY TYPE)
PLEASE ENTER MY ORDER•FOR A 1
USED - _ -
SPECIAL TU-'agl# DEMO (YEAR AND MAKE)
COLOR BODY MILEAGE 8 SERIAL NO. 1 C 1 B L 5 2 P 3 R R. 1 4 9 4 8 1
CASH DELIVERED PRICE OF UNIT $ NON G I • : _ -.:"."4.'"- ONS $
FACTORY INSTALLED OPTIONS PO i; L SWArdSON
OPTIONS AS PER WINDOW STICKEP.
BILLING INVOICE
`, TOTAL PRICE OF UNIT $ 14153.00
TRADE IN YR. N/A MAKE N/A
MODEL AND
TRADE IN ALLOW.EQUIP.AND DISC.
$
BALANCE $ 14153-00
LOCAL DEALER HANDLING AND ADJUSTMENTS $ INCLUDED
RUST PROOFING YES NO XX $
PAINT SEALANT YES NO XX $
FABRIC PROTECTOR YES NO yy
BALANCE $ 14151.00
DEALER INSTALLED OPTIONS
SALES TAX $ • Now:
LICENSE $
DOCUMENT ADMINISTRATION,FEE
RECORDING/TRANSFER + CERTIFICATION FEES $ 9.50/11.1tOtitto
BASIC 9.50 LIENHOLDER 11.50 LIENHOLDER&PLATES 13.50 BALANCE $ 14151.00
w LESS CASH DEPOSIT $ NONE
TRADE-IN DATA SERVICE CONTRACT YES NO $ NONE.
DUPLICATE TITLE FEES $ XX15WRX
YEAR N 0 N E . MAKE
BALANCE DUE ON DELIVERY $ 14153.00
MODEL - MILEAGE
SERIAL POLLUTION CONTROL SYSTEi1� RE _`
(TRADE-IN VEF GLE)-
N0. to order.to campty with Minnesota statutes,Section$25E.{)$51,no person may transfers motor-•-
vehi�le without pfo ding a written disclosure to the'transferee(buyer)certifying the condition of
the pollution control system. -;
PLATE Transferor(seller)hereby certifies,to the best of his/her knowledge,that the pollution cohtrol
NO. system on this vehicle being traded in,including the restricted gasoline pipe,has not been removed,
EXPIRES altered,or rendered inoperative.
I CERTIFY THAT THE VEHICLE I AM TRADING IN IS FREE&CLEAR OF Seller's Signature ® N O NF
ANY LIENS EXCEPT: ti 0 r. n
Buyer's Signature X N 0 N E DEALER'S DISCLAIMER OF WARRANTY.
The Dealer expressly disc.firs all warranties,either express or implied on the vehicle sold,except
Transferor(Dealer) hereby certifies,to the best of his/her knowledge,that the pollution any warranties affe d a . .xplained in Paragraphs 10 through 13 on the bade of this contract,
control system on this vehicle being sold, including the gasoline pipe, has not been Buyer anddknolersto th hi nfdr' n before the sale and further acknowledges having
removed,altered,or rendered inoperative.' read understo••th. . ;;Is• s•n ba of this contract.
The front and back of this CONTRACT comprise the entire CONTRACT affecting
this purchase.The DEALER will not recognize any verbal agreement,or any other agree- Buyer's Signatu- ' t
ment or understanding of any nature. You certify that no credit h s been extended by
dealer for the purchase of this motor VEHICLE.You certify t ou e 18 years of age
or older,and acknowl ge receiving a copy of this contr IMPORTANT: THIS MAY BE A BINDING CONTRACT AND
The terms of this/ ONTRACT were agree', upo nd the CO TRACT signed in YOU MAY LOSE ANY DEPOSITS IF YOU DO NOT PER-
this dealership on a date'noted . top oft is f• m.If DEALS is arranging credit FORM ACCORDING TO ITS TERMS. CUSTOMER(S)
for YOU,this CON R CT i not v. id until-cr .'t dice 4ure- made as described
in Regulation Z a d ro�u,h. p a e,p ed t•- ' it ekten ed. AUTHORIZES DEA E', HIP TO OBTAIN A CONSUMER
NOTICE OF SALTS/EPAoj'S L'I�,'ED • •RIYY.T contrac ' not valid unless CREDIT REPORT IN C • -i I WITH THE FINANCING
signed and acct t •:le ger.n• er.f 11•,F1,•,...-",'
Accepted ® % ��� OF THIS VEHICLE f f _ ��•,�� �
Buyer's Signature Accepting Terms of Contract
APPLICATION TO TITLE/REG A VEHICLE PLATE NUMBER YEAR FOR VALIDATION AND OFFICE USE ONLY
.vi, FOR CENTRAL OFFICE USE ONLY / " 71-1/e 0 /
4. P.
‘ ......
STICKER NUMBER
"a.r'
PM
IDLEaj•'.EG REG TFR PREVIOUS E ATE NUMBER YEAR MONTH YEAR
LY CHMICEtt [� EXPIRATION /y�(y�A N�S.0. DATE � p199k
�X NATURAL GASF�P.iPURCHASERS) ��! E CHECK GAsoLFIE_OR PROPANE
OWNER(S) 04/04/94 NEW XX USED FUELTYPE I DIESEL
OTHER .. -
MUST -#I65
COMPLETE MODEL YEAR MAKE BODY/MODEL TYPE 07 -F.
Vehicle 94 CHEVROLET 4 DR SEDAN CAPRICFA+ NON-NEooT Mt.(MRe�RND CAS CARD
► IS COPY WHEN VALIDA A THE UPPER RIGHT CORIRI BY
DEPUTY REGISTRAR OR THE ENTRAL OFFK:E,WILL SERVE AS EVES OF
information VEHICLE IDENTIFICATION NUMBER TAX PAID FOR THE PERIOD INDICATED.THE REGISTRATION PLATES SHOWN ON
rill NJtO(� THIS RECEIPT HAVE BEEN ASSIGNED TO THE OWNER FOR USE ONLY ON THE
1G1BL52P5RR149481 COLOR SPF•CtX Ttit:5f0NE VEHICLE DESCRIBED.
CODE: rw
PURCHASER(S) ►LAST,REST,AND MIDDLE NAME DRIVERS LICENSE NO. DATE OF BIRTH
OWNER(S)
information CITY OF OAK PARK HEIGHTS
ADDITIONAL PURCHASER(S)OWNER(S)LAST,FIRST,AND MDDLE NAME(S) DRIVERS LICENSE NO DATE Of BRTH(S)
STREET ADDRESS OTY COUNTY STATE ZIP CODE
14168 - -57TH STREET NORTH OAK PARK HTS WASHINGTON 82 tiN 55082
NAME OF INSURANCE CQ POLICY NUMBER HOME TES NQ
o.
LNCIT CMC 12802 (612)439-4439
B - IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)? YES NO XX IF YES,COMPLETE SECTION BELOW.
FIRST SECURED PARTY(PRINT NAME) DATE OF LOAN
PURCHASER(S) NONE
OWNER(S) STREET ADDRESS CITY STATE ZIP CODE
MUST
COMPLETE
LOAN FOR SECURED PARTY(PENT NAME) DATE OF LOAN FOR ADDITIONAL SECURED PARTIES,
information ATTACH COMPLETED FORM NO.PS2017.
STREET ADDRESS CITY STATE ZIP CODE
•
eMILES(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 OFLALL SECURITY INTERESTS,WARRANT
MUST TITLE,ASSIGN THE VEHICLE AND TAXES PAID TO THE PERSON(S)NAMED ABOVE.
COMPLETE ❑ (1)I HEREBY CERTIFY TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING REFLECTS THE AMOUNT OF MILEAGE IN EXCESS OF ITS MECHANICAL LIMITS.
AND
SIGN 0 (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 ❑ HASXi
HAS NOT(CHECK ONE)SUSTAINED DAMAGE IN EXCESS OF 70%ACTUAL CASH VALUE.
► POLLUTI• EM DISCLOSURE STATEMENT. •THE BEST Of MY KNOWLEDGE THE POLLUTION CONTROL SYSTEM ON THIS VEHICLE INCLUDING THE RESTRICTED GASOLINE PIPE
0 HAS��. HAS NOT(CAia ONE)BEE OVED ALTERED OR RENDERED INOPERATIVE.
III. ',E HA ° •L:R C ,VROLET 04/04/94
SELLER'� yi � DAIE
/.t�J! .L� rir"... l;5. F. WHITE REAR LAKE MN 55110
LA/%I / / i� /j'/A CITY D3948 STATE ZIP
PURCHASER'S EXCISE(SALES)TAX DECLARATION BASE VALUE OR REGISTRATION TAX - $
D $ ¢ GROSS WGNT.1. PLATE FEE /
FULL PURCHASE PRICE- 14153.00 REGISTRATION PERIOD ARREARS TAX / ///G/
PURCHASER(S) 2 LESS TRADE-IN ALLOW //
OWNER(S) COMPLETE ITEM N 6 NONE FROM TO CONVERSION FEE
MUST CHANGE OF GROSS VEHICLE WEIGH
3 V
;1.,,,,
COMPLETE NET A 14153.00 TIME OF
AND a_ LINE 3 NONE CHANGE • HOURS TRANSFER TAXir
J
SIGN TITLE/TRANSFER FEE
5. LESS TAX P TO AN ER STATE NONE DATE OFG I I .(J.
NET EX TAX DUE $ NONE. 4 CHANGE EXCISE TAX NONE
Q TRADE-IN WAS A: I MAKE PLATE NUMBER DATE LATE TRANSFER PENALTY
MODEL YEAR CHANGE4l
EXPIRES I I v SUB-TOTAL$ (]
CHANGE OF WGT.AND/OR CLASS STATE/DEPUTY FILING FEE 3 S(1
I DECLARE (lFROM TO
r LD.NUMBER TOTAL DUE S 1. 70T
EXEMPTION
THIS TAX I(WE)CERTIFY I(WE)AM(ARE)OF LEGAL AGE,HAVE BOUGHT THIS VEHICLE c, �
EXEMPTION CODE /V.1 SUBJECT TO URNS SHOWN AND NO OTHERS,THIS VEHICLE IS AND WILL
CONTINUE TO BE INSURED WHLE OPERATING UPON THE PUBLIC STREETS ile) . ),1),,, ,,-,_NOTARY SIGNATURE SUBSCRIBED AND SIYORN TO BEFORE ME. DATE AND HIGHWAYS,THE VEHICLE WILL BE OPREGIST AT CFH HAV RE WIEDTHE LAWS THIS APPLY TO ITS AV S OFU.OF MY(OUR)DECL RA IO S
A COPY OF DCIS RECTI(WE)F AND CLL OY TH (OUR)DKLAONNER-
ARE OHINS
VEE CND CNE) ) EDCERTIFY TEAT F TFISE A REGULA-
COL S AP LIC I(WE)HAVE KNOWLEDGE OF STATE AND FEDERAL RESULT.
UTE& PT221,1,CRUC SERVICLE
OPERATOR I TIROU STAT. X
COUNTY DATE MY COMMISSION EXPIRES AND.CHAPTER FEDERAL PUBLIC GULATI COMMISSION R ART 19IROUGH G48,H
AND CODE T ORT REGULATIONS,TITLESM 49,PLS.C 39THROUGH P�L 0
REG,AND IFATR LLE 49 ARS 171 HAZARDOUS CODEMATERIALS. OF FEDERAL ()4/"4/04
REGULATIONS,TITLE 49,PARTS 171 TO 199.
SIGNATURE(S)(ALL PURCHASERS OWNERS(S)MUST SIGN) DATE
R DPS MINNESOTA DEPARTMENT OF PUBLIC SAFETY DO NOT SIGN UNTIL COMPLETED
DRIVER AND VEHICLE,SERVICES DIVISION,TRANSPORTATION BLDG
.µEWKM011Tuwm'l�ROVEl1 395 JOHN IRELAND BIND.,.ST.PAUL,MN 55155 P.S.2000-I5 PURCHASER'S (OWNER'S COPY)
APPLICATION TO TITLE/REG.A VEHICLE PLATE NUMBER YEAR FOR VALIDATION AND OFFICE USE ONLY
--•,, FOR CENTRAL OFFICE USE ONLY ✓
4
J
4 " le � ,1 1/
STICKER NUMBER '
TITLE TITLE TFR PREVIOUS PLATE NUMBER YEAR MONTH YEAR e a+�
AONLY !{ @ ^ EXPIRATION
i' f f.S•O R DATE roma! (n� (1 1p(�y,5�g�
PURCHASER(S) CHECK NATURAL GASH # !`b [) A R&
OWNER(S) - 1 NEW pp USED FUEL oR PROPANE
MUST
04/04/94 XX TYPE DRSEL OTHER
COMPLETE. MODEL YEAR MAKE BODY/MODEL TYPE _ .. 9 i 1.71 sr/TAR-46F
vehicle ► 94 I CHEVROLET 4 DR SEDAN CAPRICS W"-';)T(',TON COUNTY
information VEHICLE IDENTIFICATION NUF4RER
101BL52P$1E1R149481 colDE°RSPRC FADi TUR2 ONE
PURCHASER(S) ►LAST,FIRST,AND MIDDLE NAME DRIVERS LICENSE NO. DATE OF BIRTH ...
OWNER(S)
information CITY OF ����''4��}K*r PARK HEIGHTS
ADDITIONAL PURCHASEF(S).OWNE10)LAST,FIRST,AND MIDDLE NAME(S) DRIVERS LICENSE NO DATE OF DIRTIES) ..
. . I
' STREET ADDRESS I. OTY COUNTY STATE ZIP CODE
14168 — i7 'H STREET NORTH OAK PARK HTS WASHINGTON 82 MN 55082
NAME OF INSURANCE CO POLICY NUMBER HOME TELEPHONE NO
11.
LMCIT *Ng 1/802 (612)439-4439
B ►IS THIS VEHICLE&EJECT TO SECURITY AGREEMENT(S)? YES I I NO ,XX IF YES,COMPLETE SECTION BELOW.
FIRST SECURED PARTY(PRINT NAME) DATE OF LOAN
PURCHASER(S) NONE
MUST) STREET ADDRESS ICITY STATE ZIPCODE
COMPLETE
LOAN SECOND SECURED PARTY(PRINT NAME) DATE OF LOAN FOR ADDITIONAL SECURED PARTIES,
Information
ATTACH COMPLETED FORM NO.PS2017.
.. -. STREET ADDRESS L OTY STATE ZIP CODE
C . 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) 8 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 OR AU.SECURITY INTERESTS,WARRANT
MUST TITLE,ASSIGN THE VEHICLE AND TAXES PAID TO THE PERSON(S)NAMED ABOVE. 51
COMPLETE
AND ❑ (1))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(S)IS CHECKED.
► DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF MY KNOWLEDGE THIS VEHICLE ❑ HASHAS NOT(CHECK ONE)SUSTAINED DAMAGE IN EXCESS OF 70%ACTUAL CASH VALUE.
► POLLUTION EM DISCLOSURE STATEMENT. TO THE BEST OF MY KNOWLEDGE THE-POLLUTION CONTROL SYSTEM ON THIS VEHICLE INCLUDING THE RESTRICTED GASOLINE PIPE
❑ HAS ,:ii HAS NOT(CHECK ONE)BEE •-'•VED ALTERED OR RENDERED INOPERATIVE.
► T'AN , HAWKIN. AR C VP.OLET 04/04/94
. .. .SELLER' PRINTED AME(S
DATE
1'1 v �R • P
F. WHITP. REAR LAKE MN 55110
... _ SEL R/� A ' ,,'.:" CRY STATE ZP i
//�� ////r I?3948
PURCHASER'S EXCISE(SALES) DECLARATION BASE VALUE OR REGISTRATION TAX+ $ ¢
D 1 $TAXaGROSS WORT.
- 1.FULL PURCHASE PRICE.. ...F... 14153.00 PLATE FEE
PURCHASER(S) REGISTRATION PERIOD /
x LESS TRADE-IN ALLOW ARREARS TAX I''/f
,1 144
OWNER(S) --'
MUST NONE FROM TO CONVERSION FEE
COMPLETE COMPLETE ITEM �RS ` 14 15 .00 CHANGE OF GROSS VEHICLE WEIGHT /�
_ J TIME OF l/
SIGN A LNE3......... .. NONE CHANGE •• HOURS TRANSFER TAX
5.LESS TAX TO ANOTHER STATE NONE DATE OF TITLE/TRANSFER FEE J` Cy NET EXCISETAX DUE S NNONE ¢ CHANGE I I EXCISE TAX NONE
6.TRADE-IN WAS A: MAKE PLATE NUMBER DATE LATE TRANSFER PENALTY
;
MODEL YEAR CHANGE
EXPIRES I I SUB-TOTAL$
DECLARE NUMBER �CHANGE OF WGT AND/OR CLASS STATE/DEPUTY FILING FEE 3.50
THIS TAx TOTAL DUES ¢
��
EXEMPTION CODE I(WE)CERTE?I(WEl AM(ARE)GE LEGAL AGE,HAVE BOUGHT Tlu VEHICLE j( I' jCOINTI TOBNAHD NORATINGOBN6 ii
1..JNOTARY S GNATERRE - AND HIGH lA BE IERISRHI WHW L BE OPE ATED I THE PUBLIC ETRkTH \\�..JJf SUBSCRIBED AND SWORN'-P BEFORE ME DATE AND HIGHWAYS;711 VEHICLE WILL BE OPERATED NONHAVE ITEC WITH (,
TIE LAWS WHICH APPLY TO ITS CUSS OF REGISTRATION RECENED ) t\\
AA COPY OF THIS APPRECTI(ION AND AU.OF TMYHAT
(OUR) IS
COMMNS L `{ `,'. ',,r,,_„,-�
ARE TRUE APRI(WE)HLI(WE)RIRTIER CERTIFY THAT PTNSISACOMMER- /j(,/L\�(j , \.-.
CULL VEHICLE I(WE)HAVE KNOWLEDGE OF STATE AND FEDERAL REGUU- S'l 1rn
TONSAPPUOSNE TO COMMERCIAL VEIICLEOPERATION,MNESOTA STAT-
COUNTY 1 DATE MY COMMISSION EXPIRES UTES,CHAPTER 221,PUBUC SERVICE COMMISSION RULES 1 THROUGH 48, \/ `1,
I AND CODE OF FEDERAL REGULATIONS,TOILE 49,PARTS 390 THROUGH n* 04/04/94
399,AND R A TRANSPORTER OF HAZARDOUS MATERIALS.CODE OF FEDERAL
REGULATIONS,TITLE 49,PARTS 171 TO 199.
SIGNATURE(S)(ALL PURCHASERS OWNERS(S)MUST SIGN) DATE
R:DPS
MINNESOTA DEPART NT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES DIVISION,TRANSPORTATION BLDG Ps z000-ls DO NOT SIGN UNTIL COMPLETED
MIU A,,AAIRONrP,ROVE 395 JOHN IRELAND BLVD.,ST PAUL,MN 55155 SELLER'S COPY