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afd haa noe Hon rigistaredin doo, . : Ench undarsignadseller contifies to the-bost of vigrrant tleto thé vehidle, this of any State at the thd NAMEOF 7 PURCHASER(S]. 34 2 | DISTRIAUTION: DEALER: NUMBERS ADDRESS Lédrtity t6 tne No Tenihs ASSIGNMENT Sti, State of County af___f 3 UGE NOTARIZATION ONLY If REQUIRED IN TITLING JURISDICTION NAME OF gmp we PURCHASERS) NSS Oi pyvy gam0" setue F¥5 SO TOR. Pat __ASSIGNMENT-NUMBER 2 aopress CITRIGUTION-DEALER Leoriity te the beahol any seid REALER MIE. ‘State of pave Ye esta Coury Ge NAME OF ACEWe oar J PURCHASERIS} agai) _ PISTRIBLTIONOEALER. -ASSIGHMENT NUMBERS ADDRESS _ _! | certifyto the bet et : . State ct, County ofa oie Pet dink sszsnoweins & a a La a __ . “Notary Puttic UBE NOTARIZATION QULY IF REQUIRED IN TITLING JURISDICTION NAME OF g . PURCHASERIS} - a . i “ASSIGNMENT NUMBER nisTRIBUTIONSO GEALER wo ee ete ol f certihy te the beat of my kooelodge that the efometer ranging —— _. NO Fanths + DEALER : _ a HAME Of. OSALERSHID DEALER'S LIGER that thus sistsimerit: set [erih ate ctrig me ; Blale oF eon ere Gourty of Notary Publes so clatament |: vt dye that the edomwtét reading Is tho actu! mileageat iiecehicla Unidds ofa ofthe follow ickad. Ovomaler k QOGMETER DISCLOSURE FOR RETAIL SALE © |NoTenths. CiTho ntleage sistedis [a oxtoss of as mechanles. mes, 9 The ae Hater 1g Ib HOU Ih sos willsags. - oe re WARRING IDOMETER DISCREPANCY Signaturets) of & Printed Name 1) _. _.Déaler's No. | Signature] CoiripanyMarti Address of Pure Jatllen in favor H LENHOKOER addren + Ot Tania TL Meee oat OPE we hace EE