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Home My WebLink About1987 1 Ton Chev Truck MINNESOTA MOTOR VEHICLE REGISTRATION/CAB CARD I H DF 1420815.$ RECORDED OWNEM=)RUM OF SALE NUMBER 1 14.2 4/7 NUMl /� �a BER N414C7087 V.I.N. 1GPHR341(31}J14696C DUE TAX EXPIRES 44,t9 FEB 94 10.0iFEB29‘96 BUYER'S SIO /IES� Y/ P l Bt'LE DATE STREET yrr. /4„, CITY STATE ZIP CODE Lj CITY OF OAK PARK HEIGHTS f. 14168 57TH ST N ` STILLWATER MN 55082 MINNESOTA VEHICLE REGISTRATION CARD • DEPARTMENT OF PUBLIC SAFETY \ W PY 6:so3$$28 z,'+o 11424? V11407089 0 ;A!" +' PLATE NO. I TITLE NO. I TAX BASE / CH MV E ISR I TK KPE I FEB 88 20.00FEB28,90 1GBHR p4K3H IDENTIFICATIONNUMBER87 TK MVEHICLEAKCITY OF OAK PARK HEIGHTS PLEASE USE THIS FORM FOR RENEWAL 0 14168 57TH ST N STILLWATER MN 55082 114247 V11407089 0 PLATE NO. I TITLE NOI TAX BASE CHEV1878 ISK MAKE TYPE 1GBHR34K3HJ146960 NO VEHICLE IDENTIFICATION NUMBER I AGREEMENT / PLEASE BRING THIS FORM WHEN APPLYING FOR RE v/ DEPUii 065 MOTOR 'VEHICLE STILLWATER MN APR17 487 REG TAX 10.00 ARREARS 5.00 TI!L.E 2.00 �:NT`i FEE 3. 5 Sa�E 10Tr L 0.25 20.25 001A80°0 23:188 • /`,,,;';,,j�:i�� `��!��!..i`"��..i�� -•` ` (1111,1 400' Minnesota VEHICLE 03136467 (c:�>>) Vehicle Certificate ID No. (I,I,I,Ii) (`"4) INSPECTION REPORT 0313E.46' (•A• Inspection ((hitt) e.M AM Program 4,:s0 dikii) VAP CERTIFICATE AT BOTTOM NEEDED FOR LICENSE REGISTRATION RENEWAL ((i�lj 1'li(1 THANK YOU for cleaning up our air.Your vehicle's inspection results are printed below. If your vehicle passed the inspection, hill (1111) present or mail the Inspection Certificate to the registrar when you purchase your vehicle license tabs. If your car failed, see C(ill�))) (.:II the back of this form for information on repair and retest requirements. Note: Repairs may be covered by the 5 year/50,000 "•' ;;;, (iii ki mile warranty provisions of the Clean Air Act. (••!:::::- 40) (ilii) Tx:ix, (This emissions test complies with the EPA short test requirements.) (( i)) (( ij) 00 INSPECTION FACILITY INFORMATION •!;!•;,)) (siut) Inspection Date/Time Station ID/Fleet ID Lane No. Inspector ID/Fleet Signature Analyzer No. (1111.! 0•x. 06/18/93 10.,x' 011+995 ((,',,1''',)` ((1111,1 )) C(i;!;i$ ((!;!!j) 40 VEHICLE INFORMATION qt);(!�) ((%O!MM�) License Plate Vehicle Identification Number Year Make Type Engine Yr. Mileage 11111 1 :14247 1G}3F•ilk.:"sti•V..:,H.111+h960 19/3 CI It:V PU .19f3736, 00171 ` :..0 (((1111) (11,1,1,1) ((((I:il)) ((11,1,1)) ...m. EXHAUST EMISSIONS READINGS �.•".� (((((1) C FAST IDLE (1;((1:1) ego LOADED (tim)) • ((((11)) C•:•••••� INITIAL IDLE CONDITIONING FINAL IDLE �'.'.� ((1;1111j) HC(ppm) CO(%) CO2(%) HC(ppm) CO(%) CO2(%) HC(ppm) CO(%) CO2(%) (1:1;1H) (�(111;1) Min m m Minim m J r r r r, Minimum 1/((1,(1;1))) .:�� t.:.�r r . }w. r 0 r 1 G:. r. .. f.:.T r K.) c.c.: . 4= \.., ((�„")` Test Maximums (::::t. • (((Ilii)) IZI00 L.: 00. 0, 14. 9 VA 1: Initial Test Readings ;:..;� ((111;11)) (�!!!!.!)) Retest Readings ••: ((j�,�,f ((((((P (illi) Initial Test Serial No. Retest Serial No. No.of fee bearing reinsp. Waiver Serial Number Insp./Reinsp.Indicator(1=Initial Test) ` 04 ((1;1;111)) 0 3 1..:,C,�., -7 CCI 1 /((1110 � r(Il�il`� (((u.1.1.$ \ (�'s4 11111 / ((1;1111)) ' �'�) EQUIPMENT INSPECTION RESULTS DIAGNOSTIC CODE INSPECTION (((iii))) RESULT ((11�!�1)) • Fuel Inlet Catalytic Unvented (11111)) ((!(��!?) Restrictor Converter Fuel Cap `"''' (((11;11), ((11(1)) ((((I;ls)) i-!A S S PASS P A S r'ca ONO )) • �9,0: ♦ 466 ((urns)) COMMENTS: ((Il;4 • • ADVERTISING/ Thane Hawkins Chevri,y r ,�. ((TYPE) (TYPE) ofe1 801 E. Cty Rd. F SALESPERSON IN lar & MQ Zw WHITE BEAR LAKE, MN. 55110 DATE L.; •" ``� (612) 429-7791 STOCK a • / .4.. INS. CO. Lf ui..t• (.1. i'.,V .'I': 1 '.:-.J1(\`_) .1,, i , t .:..i ..�,i\t, I IL,i.' POLICY tt ' ` - u'` ' 5-i PURCHASER'S NAME DOB PURCHASER'S ADDRESS - '-,'' i i ..r z: b ',. ZIP''''''c '- PHONE ‘,';;� CITY & STATE PLEASE ENTER MY ORDER FOR A ' '.i.:` >;': ii,''; Ca =(:,t,l G LAa1•ii USED (YEAR AND MAKE) RUCK- (MODEL) (BODY TYPE) DEMO LICENSE • COLOR BODY L'1. r_•r.,i." ROOF .TRIM '-'1a--}' SERIAL NO. . ;-(,t,,'.1' ",.L'',—L. CASH DELIVERED PRICE OF UNIT $ LOCALLY INSTALLED OPTIONS $ t\,/ FREIGHT ('•.i 1. OPTIONS ii,. , t is < , . . . . . . . ,. jI 1,,.i ,. : ,'..,, :i ', TOTAL PRICE OF UNIT $ c.L/LiL,.1i() TRADE IN YR. ' MAKE MODEL AND EQUIP. TRADE IN ALLOW.AND DISC. $ 1\,/4 BALANCE $ 1.4.t-/(-;‘,„(31 LOCAL DEALER HANDLING AND ADJUSTMENTS $ INCLUDED RUSTPROOFING YES NO is $ PAINT SEALANT YES NO i. $ FABRIC PROTECTOR YES NO $ BALANCE $ L4.:b"-i.')0 SALES TAX $ is,/,/,. LICENSE $ Iv/ DOCUMENT ADMINISTRATION FEE $ '32.00 -- RECORDING/TRANSFER + CERTIFICATION $ 1\;!i;, FEES BALANCE $ iGZ(.l‘-l.')U Buyer certifies that all pollution control equipment CUSTOMER(s)SIGNATURE on the trade-in vehicle is intact and in operating X LESS CASH DEPOSIT $ 'V:ti condition. DRIVERS LICENSE NO. SERVICE CONTRACT YES NO " $ 1. (PRIMARY) 2. (SECONDARY) BALANCE DUE ON DELIVERY $ 1.:0-, L.,.‘,1 % DEALER DISCLAIMER OF WAHHAN I IES Any warrantieson the products sold hereby are those of the manufacturer.As between the retail seller,Thane Hawkins i 4, -.tet.1 ,.i Polar.Chevrolet,Inc.,and buyer,the product is to be sold as is,and the entire risk as to thequality and performance of the DATE product is with the buyer.The seller expressly disclaims all warranties,either express or implied,including any implied c? warranty of merchantability or fitness for a particularpurpose,and theseller neither assumes nor authorizes any other 1 t G. -, .yet,,,,,. person to assume forit any liability in connection with the sale of said products. The buyer acknowledges being so - informed prior tothe ilCUSTOMER SIGNATURE The front and bCONTRACT comprise the entire CONTRACT affecting this purchase.The DEALER will not recognize any verbal agreement,or any other agreement or understanding of any nature.I cno credit has been extended to me for the purchase of this motor VEHICLE except as appears in writing on the face of this CONTRACT. The terms of thCT/were agreed and the CONTRACT signed in this dealership on the date noted at top of 1f YOU are arrhpfj1n edit for ME,this CONTRACT is not valid until a credit disclosure is madblyd in Regulation nd I have accepted the credit extended. IMPORTANT: I UNDERSTAND THAT THIS MAY BEA BINDING / CONTRACT AND I MAY LOSE ANY DEPOSITS IF I DO NOT PER- NOTICE OF SAVEMIT,ED I*TI O Y ;� MRM A.E ORDIN TO S TERMS. t / • ' f i � ,(X�I RD ? • ,',M.a4-4---- ThisAccepted� /�.L I t('(;✓ 7 ;. [ Uri This order fa n tvalid unless signed and accepted by Sales Manager or Officer of Company. 'Buyer's Signature THIS ODOMETER MILEAGE STATEMENT REFERS TO VEHICLE BEING SOLD You are required by law to disclose the actual odometer reading at the time of transfer.Any false statement may make you liable for civil and criminal penalties pursuant to the Federal Motor Vehicle Information and Cost Savings Act and Minnesota Laws 1973 Chapter 264 and 1977 Chapter 105. I Iwe) THANE HAWKINS POLAR CHEV.&MAZDA,INC. ,the owner(s)of this vehicle,certify the vehicle is free of security interests.Warrant title,assign the vehicle and taxes paid Transferor's I.NNni name-prior /r to the personls)named below and state that the odometer on the vehicle described below now reads rrtiles/ ilometers. CHECK (1)I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the actual mileage of the vehicle described below. ONE ❑ 12)I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the amount of mileage in excess of designed mechanical odometer limit of BOX 99,999 miles/kilometers of the vehicle described below. ONLY 0 (3)I hereby certify that to the best of my knowledge the odometer reading as stated above is not the actual mileage of vehicle described below and should not be relied upon. MODEL-YR. MAKE BODY/MODEL TYPE SERIAL NUMBER(VIN) LICENSE NO. 'LIC.EXP.DATE `-i,. i ..i."\r Y'L.I'':: t •,'`.':,i'', L. :..1.`.V. ;,` I,.1 ,:,rit.._, ,,. 1 �: .';,;_. -. - CHECK 11)I hereby certify that the odometer of said vehicle was not altered,set back or disconnected while in my possession and I have no knowledge of anyone else doing so. ONE 0 (2)I hereby certify that the odometer was altered for repair or replacement purposes while in my possession, aqd that the mileage registered the repaired or replacement BOX odometer was identical to that before such service. eJ ONLY El 13)I hereby certify that the repaired or replacement odometer was incapable of registering the same miieag that it was resdt'to f' r zero,Add at the mileage on the original odometer or odometer before repair was miles/kilometers . / TRANSFEROR'S(SELLER)STREET ADDRESS CITY STATE ZIP yTRP.N$FE 'r/ /Ek(6fR)SIG,KIA7 E ' F J L,L `DATE 1801 E.CTY.RD.F WHITE BEAR LAKE MN 55110 ' ' / ., � = TR S99EREE:S NAN )BL11(EP) I_. i;.,..i,`.,', STREE,TADDRESS V . ,c, r ? S-`. 'I. C'''TY ..:.q, ,s,IP.RTATE ZIP r'i,.,. Receipt of copy acknowledged.Transferee's(Buyer)SignatureVre e 1',..i.! T• .,...11;:::..J.,-.. -,-,;<:—.......___ • J 1987 WARRANTY AND OWNER ASSISTANCE INFORMATION GM , /6 mow QUALITY COMMITMENT PLAN CHEVROLET FOR NEW CHEVROLET TRUCK AND CHASSIS SERIES 10 THRU 30 AND EL CAMINO • • CITY OF OAK PARK HEIGHTS 14168 - ;57TH S1'4tEET NORTH , STILLWATER MN 55082 1 G B H R 3 4 K 3 H J 1 4 6 9 6 0 14 APR 87 • 21 IMPORTANT: This booklet contains General Motors warranties covering your new vehicle, along with owner assistance informa- tion. It also includes other important information, separate from the terms of the warranties,on the GM Mediation/Arbitration Pro- gram and the GM Protection Plan. Keep it with your vehicle and make it available to a Chevrolet dealer if warranty work Is needed. The booklet should remain with your vehicle when you sell it so future owner's will have the information. • • OAK PARK HEIGHTS STATE BANK Cs '` "'`- ST.CROIX MALL `� � ORDER-CHECK CITY OF OAK PARK HEIGHTS STILLWATER,MN 55082 r WASHINGTON COUNTY • 75-511/919 STILLWATER,MN 55082 PAY i � � ,��i 'i I ,i lel f` 1�� I �„ , Its 1. W��i t • 1 t' f,t ii d. DATE April 16, 1°87 AMOUNT TO THE . ORDER OF 12 s 999.00 Thane Replr.d.na Polar Chevrolet . MAYOR—CLERK—TREASURE • R • NON—NEGOTIABLE '_ r r a—a CITY OF OAK PARK HEIGHTS 4/16/87 -Truck; 12,999.00 201-44444-505 AGE FOR OpTEI y ?ERM!TE EXp1R NSE FU11 SP/ Q tR GR WE�GNT (� UGK OSS DM 1E1p°RpR i A 1 ,D • N1yANE A E, 3 EDEFOR / E 1SSUE0 NSE FUU SP ' f V W lSER1AI,N/1'6E, K. I op,I v 111010 'lSl 0. PODG00'1 � C.I % ll • URuA 1 RESA1l ® F;V �i t. '`n SS V pp• ►�, � DORE I tV �� r r-,,,...,c):::, ):: , A i MPANY6, rgI. 211 OAYS \NSURANGEL / (N.°, o tit x°�?4 s r,` F °. 4 U\N MIN A P OR1O ES f"T REG1S RAT ON C • L.t. 1RAR OR OE, ` bctne VIr* s S\ .a ?'",:u d E ,.pURGRTF G to N1NG M1NN 4E��E REG\S Ar. t •VE opt H 1HIS GOA OF OB PPRTMENI I. OEA\ER NU gER THE VEHIGC`Mpo�B g�U NGE NE O1 ER ANp VEH G\-E O\V\S1ON FROM 1\-\E OA1E M\N OR1V PS"2434.04 C/TyOF ,-, PgRk HFIGyT US 4/1 7 j8, Li0e 19 e �� hs 8� p1 1 Tin the r1GBHR3 eZe� T 0Ck246960 1932 S 2 0• 2S ' APPLICAf lON TO TITLE/REG.A VEHICLE PLATE NUMBER02YEAR FOR VALIDATION AND OFFICE USE ONLY CENTRAL OFFICE USE ONLY STICKER NUMBER 01 YEAR BTITLE TITLE REG REG ONLY ONLY CHANGE TFR PREV :S$Ia TE NNUMBER YEAR MONTH YEA AREG /9 (J EXPIRATION pp� DATE 4./y ,!µ1 61 ///xGG�� PURCHASER(S) DIE NEVA( CHECK OTHER N/A OWNER(S) USED FUEL GASOLINE 1 Y 03 TYPE GC)L3 -oNi ��T MUST --.:4t COMPLETE YEAR 04 14 � daVROLg V PE IS & DUMP �Y ► vehicle • information iF TIOJ M i „ CCOOOERti\ IEROOF 19 PURCHASER(S)► LAS4 IR T,ANQ MIDDLE. PARK 10_ HEIGHT'S DRIVERS LICENSE NO. DATE OF BIRTH 14 OWNER(S) > Lam* ' ' information ADDITIONAL PURCHASER(S)OWNER(S)LAST,FIRST,AND MIDDLE NAME(S)11 8 12 DRIVERS LICENSE NO. DATE OF BIRTH(S)64 •��ST{tTNORTH T ps�� i� app L f�1f7�D DDDRE5 47 STREETc�V 1, A.JPR COUNTY16 AHI� H2 STATE ZIP CODE 17 55082 • ► NAME OF O POLICY NUMBER �A HOME TELEPHONE NO. OF MN CITIES INS TRUST BA 528387 439-4439 B ► IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)? YES . NO - IF YES, COMPLETE SECTION BELOW. FIRST SECURED PARTY(PRINT NAME)21 DATE OF LOAN 23 NOTE: WHEN THERE IS A LIEN THE TITLE PR • PURCHASES) I 14 87 RMUST GO TO THE FIRST SECURED PARTY. OWNER(5) STREET ADDRESS 24 CITY 25 STATE 26 ZIP CODE 27 MUST COMPLETE SECOND SECURED PARTY(PRINT NAME)28 DATE OF LOAN 30 FOR ADDITIONAL SECURED PARTIES,ATTACH LOAN information COMPLETED FORM NO. PS2017. STREET ADDRESS 31 CITY 32 STATE 33 ZIP CODE 34 MILES/KILOMETERS 59 ODOMETER STATEMENT AND ASSIGNMENT BY SELLER(SEE WARNING ON BACK OF LAST PAGE) riii G1 I(WE)THE OWNER(S),OF THE VEHICLE DESCRIBED ABOVE,CERTIFY THE ODOMETER ON THE VEHICLE NOW READS THE MILES/ KILOMETERS AS SHOWN ON THE LEFT. I(WE)THE OWNER(S)OF THIS VEHICLE,CERTIFY THE VEHICLE IS FREE OF ALL SECURITY SELLER(S) ► INTERESTS,WARRANT.TITLE,ASSIGN THE VEHICLE AND TAXES PAID TO THE PERSON(S)NAMED ABOVE. MUST CHECK I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the actual mileage of the vehicle described above. COMPLETE ONE I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the amount of mileage in excess of designed mechanical AND BOX odometer limit of 99,999 miles/kilometers of the vehicle described above. SIGN ONLY ❑ I hereby certify that to the best of my knowledge the odometer reading as stated above is not the actual mileage of vehicle described above and should not be relied upon. ► CHECK X I hereby certify that the odometer of said vehicle was not altered,set back or disconnected while y poss s n and I have no knowledge of anyone ONE else doing so. BOX 0 I hereby certify that the odometer was altered for repair or replacement purposes while n •asses on nd tha *mileage registered on the ONLY repaired or replacement odometer was identical to that before such service. SE R' '•NSFER +S � (ALL SELLE"S MUST SIGN) El I hereby certify that the repaired or replacement odometer was incapable of fj" MILES/KILOMETERS registering the some mileage,that it was reset to zero,and that i the mileage on the original odometer or odometer before repair a - - was as shown on the left. STREET ADDRESS CITY STATE ZIP CODE ;4301 COUNTY ROAD $ WHITE BEAR LAKE MLN 55110 THANE HAIkKINS POLAR CHEVROLET, INC PURCHASER'S EXCISE(SALES)TAX DECLARATION BASE VALUE OR REGISTRATION FAX+ $ t D $ 12999.30 GROSS WGHT 20 REFLECTORIZING FEE 18 /G QU I- I FULL PURCHASE PRICE PURCHASER(S) REGISTRATION PERIODjjARREARS TAX 8 PENALTY �//O 4 OwNER(S) 2.LESS TRADE-IN ALLOWANCE N/A FROM TO 2. COMPLETE ITEM NO.6 G' CONVERSION FEE MUST 12999.00 COMPLETE 3.NET PURCHASE PRICE CHANGE OF GROSS VEHICLE WEIGHT TIME OF AND 4 OF LINE 3 N/A CHANGE HOURS TRANSFER TAX SIGNTITLE/TRANSFER FEE OO' 5.LESS TAX PAID TO ANOTHER STATE / DATE OF V NET EXCISE TAX DUE$ N/, CHANGE I I EXCISE TAX GO NET 6.TRADE-IN WAS A MAKE PLATE NUMBER DATE LATE TRANSFER PENALTY MODEL YEAR CHANGEI I SUB-TOTAL S / CUO� EXPIRES CHANGE OF WGT.AND/OR CLASS STATE/DEPUTY FILING FEE .i•45 I DECLARE I.D.NUMBER FROM TO ITHIS TAX f [�/ / /y" TOTAL DUES �21J 4 EXEMPTION CODE' -/ - 0�T 7 Co O ,owE 1��cA.,F. �welE..,1•aEl o��Ec.�.c E.�.�e V NOTARY SIGNATURE SUBSCRIBED AND SWORN TO BEFORE ME. Y/� a,�^ jo�aj oETiR'; sF:a°:w��E ,co :oFr.:i "l.) , LT+►VVV$24��`�� COUNTY DATE MY COMMISSION EXPIRES p=�(w:::UE avow LE R� t ops M._EE voE oEo� SIGNATURE(S)(ALL PURCHASERS OWNER(S)MUST SIGN) DATE MINNESOTA DEPARTMENT OF PUBLIC SAFETY DO NOT SIGN UNTIL COMPLETED DIVISION OF DRIVER AND VEHICLE SERVICES TRANSPORTATION BLDG.,ST.PAUL,MN 55155 `,/ / ,.- -,-- -•,,/1.i. _.., , A.S..4000-09 PURCHASER'S(OWNER'S COPY) , 'P[ATE NUMBER 02 YEAR _ FOR VALIDATION AND OFFICE USE.ONLY • APPLIC�CfION'TO TITLE/REG. A VEHICLE FOR CENTRAL OFFICE USE ONLY JJ Ir jYEAR STICKER NUMBER 01 t f r' t/2 . tpR�U�Q� MONTH YE R '''''ti 6 r).'t{F±'•..' TITLE TITLE REG 11ff REG TFR fYi "."--•TE NUMBER YEAR EXPIRATION / `' A 8 REG ONLY ONLY CHANGE DATE F�if. 7 ^.i."'"` '- r! N Il I 61 Y)1 7 PURCHASER(S)I ATE owe"36 CHECKOTHERI3�USED FUEL GASOLINEOWNER(S). 1NE 03 l TYPE MUST YEAR 04 1. 1 V V�Y � COMPLETE ' � it WV ilioDy vehicle ► information . 6 COLORU UWE ROOF CODE: 19 DATE OF BIRTH 14 DRIVERS LICENSE NO. I I PURCHASER(S) I�j $T'0V hEi s OWNER(S) I ••••••4 4! �8E �N Cir.+1 information DRIVERS LICENSE NO. DATE OF BIRTHS)64 ADDITIONAL PURCHASER(S)OWNER(S)LAST,FIRST,AND MIDDLE NAME(S)118 12 I 1' bAD428E 11 W sTREETl l3 r'S C iLunA liAttil -ToN Wgi7 POLICY NUMBER bi S2t�'4 ;.' J7`17 NO. ► NAME OF{� 0m crass INs U/s _)GCT.7V ► IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)? YES I I NO r r IF YES, COMPLETE SECTION BELOW. B FIRST SECURED PARTY(PRINT NAME)21 14 0,44z 20. NOTE: WHEN THERE ISA LIEN THE TITLE MUST GO TO THE FIRST SECURED PARTY. PURCHASERS) OWNER(S) STATE 26 I ZIP CODE 27 I CITY 25 STREET ADDRESS 24 MUST COMPLETE DATE OF LOAN 30 FOR ADDITIONAL SECURED PARTIES,ATTACH SECOND SECURED PARTY(PRINT NAME)28 COMPLETED FORM NO. PS2017. LOAN information STATE 33 ZIP CODE 34 CITY 32 giii , STREET ADDRESS 31 F LAST MILES/KILOMETERS 59 ODOMETER S EAND ASSIGNMENT SELLSEEER WARNING ON BANKPAGE) I WE)TNR( OFHVEHICLEBOE,CERTIIFYHEODOMRONNOW READS THE MILES/ KILOMETERS AS SHOWN ON THE LEFT. I(WE)THE OWNER(5)OF THIS VEHICLE,CERTIFY THE VEHICLE IS FREE OF ALL SECURITY SELLER(S) INTERESTS,WARRANT TITLE,ASSIGN THE VEHICLE AND TAXES PAID TO THE PERSON(5)NAMED ABOVE. ed ve d above. MUST CHECK I I y certify to the the bestst of my knowledge the odometer of my knowledge the odometer readingl as as dtabovereflectsl the amount ofthe lmile mileage in excess ofof the lcle des designed mechanical cal, COMPLETE BONEOX 0 hereby f5 AND BOX I odometer f ato best of my the vehicle described e above. SIGN ONLY 0 I hereby certify that to the best of my knowledge the odometer reading as stated above is not the actual mileage of vehicle described above and should not be relied upon. os scion and I have no knowledge of anyone CHECK J I hereby certify that the odometer of said vehicle was not altered,set back or disconnected whit my p ONE else doing so. BOX 0 I hereby certify that the odometer was altered for repair or replacement purposes whip;in posse ion:and th t mileage registered on the ONLY repaired or replacement odometer was identical to that before such service. SEERFER R' SSf YR (ALL SELF'S MUST SIGN) 0 I hereby certify that the repaired or replacement odometer was incapable of :f,, MILES/KILOMETERS registering the same mileage,that it was reset to zero,and that F the mileage on the original odometer or odometer before repair was as shown on the left. a yrET/aQRESC1101,� [t� � CITY 1,11.1% BEAR ir[rATZIP CODE SilO MANE CqMKIN7 POLAR C LRO E 1f INC C PURCHASER'S EXCISE(SALES)TAX#4� BASE VALUE OR REGISTRATION TAX+ $ /, D $ ft.G • GROSS WGHT 20 REFLECTORIZING FEE 18 g I.FULL PURCHASE PRICE REGISTRATION PERIOD ARREARS TAX 8 PENALTY PURCHASER(S) ly�` ' ' ' `/ 2.LESS TRADE-IN ALLOWANCE FROM TO CONVERSION e OWNER(S) COMPLETE ITEM NO.6 1't_(�4(��(� •1 MUST 14:99 •t W CHANGE OF GROSS VEHICLE WEIGHT COMPLETE 3.NET PURCHASE PRICE TIME OF HOURS TRANSFER TAX % /7!) AND CHANGE C [/Gi 4" OF LINE 3 I,,� TITLE/TRANSFER FEE SIGN DATE OF 1 I 5.LESS TAX PAID TO ANOTHER STATE CHANGE NET EXCISE TAX DUES , PLATE NUMBER LATE TRANSFER PENALTY DATE I Ce r> 6.TRADE-IN WAS A: MAKE I CHANGE .1111111EXCISE £1" MODEL YEAR EXPIRES I CHANGE OF WGT.AND/OR CLASS UTY FILING FEE FROM TO „.%I DECLARE I.D.NUMBER THIS TAXEXEMPTION CODE: oF NOTARY SIGNATURE SUBSCRIBED AND SWORN TO BEFORE ME. DATE ° X- U- f.r ,G.- COUNTY DATE MY COMMISSION EXPIRES "'clr`:»"�E»"E".o`=..':;41`...'74.4=""A` X "n1p SIGNATURE(S)(ALL PURCHASERS OWNER(S)MUST SIGN) DATE • MINNESOTA DEPARTMENT OF PUBLIC SAFETY E°°"".,°».,.',.E"", ..% °,... ""` DO NOT SIGN UNTIL COMPLETED tDDIVISION OF DRIVER AND VEHICLE SERV TRANSPORTATION BLDG.,ST.PAUL,MN 55155 ICE5 't "'r ` P.13,2000-09 SELLER'S COPY I" j.'r/ YEAR FOR VALIDATION AND OFFICE USE ONLY PLATE NUMBER02 " APPLICATION TO TITLE/REG.A VEHICLE ' -FORCENTRAL OFFICE USE ONLY J YEAR STICKER NUMBER Ol L MONTH YEAR TITLE TITLE REG. REG. TFR PREY OU&PLATE NUMBER YEAR EXPIRATION A 6 REG ONLY ONLY CHANGE t iw o' • A «p 61 TE ,�u R��C 3' NE CHECK - OTHER f PURCHASER(S) N c 03 USED FUEL GASOLINE '';r y� Nik OWNERS) TYPE MUST AK OS B Y� O E TYPE OB x;y. 1n C_r"SV COMPLETE ► ,YEAR 04 p� tyir-[C1F• { y {,,,{o,ssis L VA'eO rAd vehicle 4.4 \ l i+ L information VEHICLE IDENTIFICATION NUMBER 06 COLOR :r�a ROOF 9, y4t'pr r ' i( CODE. DATE OF BIRTH 14 .0 L F T AND DRIVERS LICENSE NO. PURCHASER(S)► LAST,rFIRST,OE 'Oat MIDDLE NAME 10 OWNER(S) i CITY `-/ PA iN "'IC DATE OF BIRTH(5)64 informationDRIVERS LICENSE NO. ADDITIONAL PURCHASER(S)OWNER(S)LAST,FIRST,AND MIDDLE NAME(S)1 18 12 I LyZTCDDRESSI1x4 ^^ xYLCITY IS SI RLC S COUNTY NTY 16 WAShi3TON 61 STATE E ZIP CODE 17 Cb< HOME TELEPHONE NO. POLICY NUMBER 52636'7 419-4439" NAME OF IN URANCE Otoitt bP P. IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)? YES NO IF YES, COMPLETE SECTION BELOW. B FIRST SECURED PARTY(PRINT NAME)21 DATE OF LOAN 23 NOTE: WHEN THERE ISA LIEN THE TITLE 14 WI, 67 MUST GO TO THE FIRST SECURED PARTY. STATE 26 ZIP CODE D7 PURCHASER(S) CITY 2s OWNER(S) STREET ADDRESS 24 MUST COMPLETE DATE OF LOAN 30 FOR ADDITIONAL SECURED PARTIES,ATTACH SECOND SECURED PARTY(PRINT NAME)28 COMPLETED FORM NO. P52017. LOAN STATE 33 ZIP CODE 34 informationCITY 32 STREET ADDRESS 31 All data collected on a motor vehicle application, with the exception of your home telephone number,are required by law.These data are used to identify your motor vehicle.Failure to provide required nial of he fer of ership, registration stdata may result in de excise t(ales)stax data,nyour motor vehicle(record ithis scpublic andle,or other requested action-. Except for transcripts may be issued to anyone. LENDER'S COPY P.S.2000-09 PROPOSAL FOR 1 1/2 Ton Truck with Dump Box and Related Appurtenances Oak Park Heights, Minnesota Opening Time: 2:00 P.M., C.S.T. Opening Date: % g AC City Council City of Oak Park Heights 14168 - 57th Street North Oak Park Heights, MN 55082 Councilmembers: We, the undersigned, have examined the contract documents, including the Advertisement for Bids and detailed specifications on file in the Office of the City Clerk, and hereby propose to furnish the following: One (1) new 1 1/2 ton capacity truck chassis and appurtenances including cab, dump box and other related items as specified for the LUMP SUM of: '1 9 /�O Dollars Cents Lump Sum$ f.o.b. Oak Park Heights, MN Description: Truck Manufacturer: Truck Model: Box Manufacturer: Descriptive literature and complete accessory and specifications list, in duplicate, is included. The undersigned further proposes that upon written notice of acceptance of bid, the unit, complete with all specified appurtenances, will be delivered in days. At /r/n6447 A?i,Q 67,Sd// E I do /y 7- au; <v cgs P-1 �e'ti.�L-/ OPH-3774d /,3k, j� • Evening Gazette, July 23, 1986 CITY OF OAK PARK HEIGHTS ADVERTISEMENT FOR BIDS The City Council of the City of Oak Park Affidavit of Publication Heights, Minnesota will receive bids at the office of the City Clerk until 2:00 P.M., ty Hall, STILLWATER EVENING GAZETTE Friday, Aug. 22, 1986, in the 14168Y57th St?North,Oak Park iHeights, Minnesota, for the furnishing and • STATE OF MINNESOTA ) delivery of the following equipment and )ss. related appurtenances for use in the City COUNTY OF WASHINGTON ) Public Works Department: One (1) Newt '/s ton truck with John Easton,being duly sworn,on oath says that he is the publisher or authorized agent dump box body and related appurtenances. and employee of the publisher of the newspaper known as Stillwater Evening Gazette,and All bids received for the delivery of said vehicle will be publicly opened, read has full knowledge of the facts which are stated below: aloud and considered by the Council Inthe (A) The newspaper has complied with all of the requirements constituting qualification City Hall in said City at 2:00 P.M.Aug.22. All bids shall be submitted on the Pro- as a qualified newspaper,as provided by Minnesota Statute 331A.02,331A.07,and other ap- posal form of the City and shall be accom- plicable laws,as amended. panied by a cash deposit,certified check Advertisement for Bids or bid bond made payable to the City (B1 The printed Clerk for not less than five (5%) percent Re: City of Oak Park heights of the amount bid. Bids shall be directed to the City Clerk securely sealed and endorsed upon the outside wrapper," 1 1/2 ton Public Works which is attached was cut from the columns of said newspaper, and was printed and Dump Truck." published once each week, for two successive 5x-weeks; it was first Specifications, proposal forms and con- Wednesday , the 23rd day of July tract documents may be obtained at the published on _ y office of the Clerk, Oak Park Heights, 19and was thereafterprinted andpublished on everyMinnesota. $6 Wednesday_ to and in The City Council reserves the right to se- cluding the _ 30th day of July , 19 86 ; and ject any and all bids, to waive ir- regularities and informalities therein and printed below is a copy of the lower case alphabet from A to Z, both inclusive, which is reserves the right to award the contract hereby acknowledged as being the size and kind of type used in the composition and in the best interests of the City. The City Council reserves the right to re- publication of the notice: Iain the deposits of the three lowest abcdefghiiklmnopgrstuvwxyz responsible s bidders the period not to ex- set ceed 30 days after the date and time set BY: for the opening of bids. No bids may be TITLE• -ublisher withdrawn for a period of 30 days after the date and time set for the opening of Subscribed and sworn to before me on this bids. LaVonne Wilson,City Administrator 30th day of July City of Oak Park Heights,Minnesota . — --.— -- 7/23 630 19 $6 j '<;, BEVERLY HARVIEUX NOTARY PUBLIC-MINNESOTA- - 4--- WASHINGTON COUNTY Notary Public 2` .�' My Commission Expires Feb.28,1991 RATE INFORMATION (1) Lowest classified rate paid by corn- /D 30— mercial users for comparable space S (Line,word,or inch rate) (2) Maximum rate allowed by law for the �D gs above matter $ (Line,word,or inch rate) (3) Rate actually charged for the above 11 95 matter S �j (Line,word,or inch rate) • Received Payment 19__ STILLWATER EVENING GAZETTE By City of Oak Park Heights Minutes of meeting Monday, July 14 , 1986 Page two - O'Neal, seconded by Carufel, moved to approve Stillwater Volunteer Fire Dept. request for raffles at the Stillwater VFW. Post 323 on October 18 , 1986. 4 aye votes. Carried. O'Neal, seconded by Carufel, moved to remain with United Fire and Casualty for the City Umbrella Policy. 4 aye votes. Carried. Carufel , seconded by O'Neal , moved to approve request from Northwestern Bell to place, construct and maintain telephone communications on 60th St. Court No: (Pondview) . 4 aye votes. Carried. O'Neal, seconded by Torgerson, moved to designate La Vonne Wilson as responsible person for the investing of City funds and approval of collateral provided by the institution with which investments are made. 4 aye votes. Carried. O'Neal, seconded by Torgerson, moved to schedule a hearing on request from Norenco for a conditional use permit. Hearing to be held Monday, August 11, 1986 at 7 : 00 P.M. providing application and additional information is recieved. 4 aye votes. Carried. Torge;*on, secdnd i by Carufel, moved to open bids for : �¢ trine with dump box on August 22, 1986 at 2 : 00 P.M. 4 aye votes. Carried. Carufel, second by Torgerson, moved to send Roger Benson to Wastewater Operators Conference-August 5th through 7th. City to reimburse meals, mileage and 3 nights lodging. 4 aye votes. Carried. Torgerson, seconded by` O'Neal, moved to adjourn. 4 aye votes. Adjourned. Vonne Wi son ✓ Administrator/Treasurer • At CITY OF •OAK PARK HEIGHTS 14168 - 57th Street North - Box 2 0 0 7 STILLWATER, MINNESOTA 55082 439.4439 • July 18 , 1986 Stillwater Gazette Stillwater, MN. 55082 Gentlemen: Please publish the attached advertisement for bids once the week of July 21st and once the week of August 4th. Thank you. CITY OF OAK PARK HEIGHTS Vonne ilson Administrator/Treasurer • ,. • • CITY OF OAK PARK HEIGHTS 14168 - 57th Street North - Box 2 0 0 7 STILLWATER, MINNESOTA 55082 439-4439 July 18, 1986 White Bear Press 4779 Bloom Avenue White BEar Lake, MN. 55110 Gentlemen: Please publish the attached advertisement for bids once the week of July 21st and once the week of August 4th. Thank you. CITY OF OAK PARK HEIGHTS J�..,,` L--� nne i son Administrator/Treasurer a