HomeMy WebLinkAboutVehicle Title_Truck_08/09/1993
DATE
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VEHICLE IDENTIFICATION NO.
BODY TYPE
H.P. (S.A.E) G.V. W. R.
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INVOICE NO.
MAKE
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SHIPPING WEIGHT
SERIES OR MODEL
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11
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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.
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t is further certified that this was the first transfer of such new motor vehicle in ordinary trade and
;ommerce.
NAVISTARJNTERNATIONAL TRANSPORTATION CORP.
BY: ~ ~~/
~ ~-REF='~,,,.f'}("~.~'+~~~',!"(~ (SIGNATURE FAUTHORIZED R PRESENTATIVE)
N A V 7 5 5 8 5 0 ~. ~.1 ~! ~~.~ ra ~ r;-, ~~; ~...i ~:~ rt ~ r_y r~, a: °, ~ i::
~ CITY -STATE
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i~rrERNanoruu
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YEAR
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NO. CYLS.
Each undersigned seller certifies to the best of his knowledge, information and belief under penalty of law that the vehicle is new and has not been registered in
this or any state at the time of delivery and the vehicle is not subject to any security interests other than those disclosed herein and warrant title to the vehicle.
FOR VALUE RECEIVED I TRANSFER THE VEHICLE DESCRIBED ON THE FACE OF THIS CERTIFICATE TO:
w ~ NAMEOF Sut hen Towers
PURCHASER(S)
Jm ~ Sutphen Court, Hillard, O 430 ~
~ ADDRESS -- --_ ._ . - .._.--- -- - .-_ _-- _ ... .._
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z I certify to the best of my knowledge that the odometer reading is-_ _...- .. _. .._ _ ~- __ - 16 No Tenths
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DEALI~f lte r S 110E OEn Lv.tvsa[~
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NAME OF DEALERSHIP DEALER'S LICENSE NUMf3f= -
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p Z ~~--11--,,.',-, Bcing dul worn pon o says that the statements set
~C7 State of Uiiy.~ forth are ru ~ correct b5crib orn to per, r e
JrtLQTJEfIS1E it. T~G'T .hS
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p ~ f t i~ o g
County of `~` u`ti`-"q (, ~ f.( j~'f PUFi.I,~... ~"i~. i ;f C;F OfII
a USENOTARIZATI NLYIF QUIREDINTITLINGJURISDICTION COIdb:ISSIONEY.°"'~: 1t'dE29.
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w ~ NAME OF
PURCHASER(S)
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ADDRESS
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2 i I certi to the best of m knowled a that the odometer reading is No Tentha
fY Y 9
w BY:
DEALER
NAME OF DEALERSHIP DEALER'S LICEN NUMBER
m ~ Being duly sworn upon oath says that the statements set
~ ~ State of forth are true and correct. Subscribed and sworn to me
rn rn before this day of 19-.
~ a County of Notary Public
USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION
m
w NAME OF
PURCHASER(S)
~
J W
m ADDRESS
~ ~
zZ I certify to the best of my knowledge that the odometer reading is No Tenths
~ Z
5 W DEALER BY:
NAME OF DEALERSHIP DEALER'S LICENSE NUMBER
m f Being duly sworn upon oath says that the statements set
~ ~ State of forth are true and correct. Subscribed and sworn to me
before this day of 19_.
p a County of Notary Public
USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION
NAME OF
~ PURCHASER(S)
m ADDRESS
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ZZ I certify to the best of my knowledge that the odometer reading is No Tenths
OZ
BY
DEALER
'
W LICENSE NUMBER
NAME OF DEALERSHIP DEALER
m f Being duly sworn upon oath says that the statements set
~ ~ State of forth are true and correct. Subscribed and sworn to me
before this day of 19.~
p a County oT Notary Public
USE NOTARIZATION ONLY IF REOUIRED IN TITLING JURISDICTION
Federal Law requires you to state the odometer mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may
result in fines and/or 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. O The odometer reading is not the actual mileage.
O Q WARNING ODOMETER DISCREPANCY
N ~ Signature(s) of Seller(s) Date of Statement Date of Sale
p Q Being duly sworn upon oath says that the statements set
'
~ w Printed Name(s) of Seller(s) Dealer
s No. forth are true and correct. Subscribed and sworn to me
W ~
r before this day of 19-.
Si
n
ture(s)
f Purchas
r(s)
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o
e
Notary Public
o Printed Name(s) of Purchaser(s) State of
~ Address of Purchaser(s) County o}
USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION
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