HomeMy WebLinkAboutVehicle Title_Misc_10/09/2006~---~ Kawasaki
DATE
lf){0912JU~
VEHICLE IDENTIFICATION NO.
.~I'~.1A~1=IS .I~7~~s'1(77'J41
BODY TYPE
;UTILITY
H.P. (S.A.E.) G.V. W. R.
I2.5
INVOfCE NO.
7~~.X~
YEAR MAKE
~~ '~ A~DASAK I
SHIPPING WEIGHT
~~~~ Lis.
NO. CYLS. SERIES OR MODEL
Z K61~~t43'3~~~
E~IGINr ~'tl. F.14~3t~~ED33i~~1
I, the undersigned authorized representative of the company, firm or corporation named below, hereby cer-
tify that the new vehicle described above is the property of the said company, firm or corporation and is
transferred on the above date and under the Invoice Number indicated to the following distributor or dealer.
NAME OF DISTRIBUTOR. DEALER, ETC.
LORIC~A Ct=1AST EtJIPMENT~ INS. lb~b
~~775 ~ ~C7Y~iT~N ~3FACH ELV'~
3(')Y1~1Ttl~J f~EaC~ FL 3343"7
It is further certified that this was the first transfer of such new vehicle in ordinary trade and commerce.
T ~ I S V~H LCLF '~tAS ?~flT
Iw14V,) c A%TtyRF~ F~iR ~JSF ON KAWASAKI MOTORS CORP., U.S.A.
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P~3LIC 5T62EETS~ ~tJAIIS
JR f-IIi~l-IM1AY5+ VICE PRESIDENT,
OPERATIONS
BY:
(SIGNATURE OF AUTHORIZED REPRESENTATIVE) (AGENT)
12 9 7 4:i 4 0 9950 JERONIMO ROAD
IRVINE, CALIFORNIA 92618-2084
CITY -STATE
istered In
uus or any s[are ~ oleo nerem ana warran[ nne [o me venlcle.
_ f1-11S CERTIFICATE TO:
NAME OF 1 P,11
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PURCHASEF .{~.~
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I certif to the
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_ No Tenths
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j ~ _rr~y sworn upon oath says that the staterents
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~ this date
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Coun~ l'~
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_ n-~.ED IN TITLING JURISDICTION
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m ADDRESS
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I certify to the best of my knowledge that the odometer reading is _ No Tenths
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p ~ DEALER BY:
w NnMeaFOEnLERSnIa oEa~ERSUCENSENUmaER Being duly sworn upon oath says that the statements
m ~ set forth are true and correct Subscribed and sworn before me
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State of
_______ on this date
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°a County of __- Notary Public
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USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION
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w NAME OF
PURCHASER
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I certify to the best of my knowledge that the odometer reading is No Tenths
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O t- DEALER _ -___ _ - ___ BY: _
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N~E NUMBER Being duty sworn upon oath says that the statements
m z set forth are Vue and correct. Subscribed and sworn before me
(7 State of on this date
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p a County of ___
__ _ Notary Public
USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION
~ e NAME OF
~ w PURCHASER(S)
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ADDRESS __ ------------ --------------
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I certify to the best of my knowledge that ___
the odometer reading is No Tenths
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O t-
Z DEALER BY:
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m NAME DF 6EALERSHIF ~.. ~_ ~. ir;
r. RISE NUMBER
Being duly sworn upon oath says that the statements
z set forth are We and correct. Subscribed and sworn before me
~ C? Sfate of _. on this date
N m
° a
County of ---
- _ ___ _ __-- Diary u Ic
USE NO TAHIZFlTION ONLV IF REQUIRED IN TITLING JURISDICTION
Federal Law requires you to state the odometer mileage in connection with the transfer of ownership. Failure to complete or providing afalse statement may
result in fines andlor imprisonment.
~ I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked. Odometer
y w Reading __No Tenths ^The mileage stated is in excess of its mechanical limits. OThe odometer reading is not the actual mileage.
-~
~ a WARNING ODOMETER DISCREPANCY
Signature(s) of Seller(s)
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Printed Name(s) of Seller(s)__ Date of Statement- _ -Date of Sale_.,_____________
_ -Dealer's No._____ _ .-. Being duly sworn upon oath says that the statements
w ~ Signature of Purchaser(sL._ set forth are true antl correct. Subscribed and sworn before me
P
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t
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h on this date- _
n
r
e
ame(s) o
urc
aser(s)__ Notary Public
-----
O a Company Name (If Applicable) State of
°
O ________,_
Address of Purchaser(s) ,___-_____ _____ _ __-_
_____.
_ County of ___ _
USE NOTARIZATION ONLV IF REQUIRED IN TITLING JURISDICTION
1° 1st lien in favor of_____ __ __ - _ _- ,_ _ __
_ _ _ ...-..__ _ -- __ . -- - -..-------- -
~ - whose address is
= 2nd lien in favor of
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whose address is
_ ---------- ~---_--...----------
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