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ADVERTISING/ <br /> hone Hawkins L)yVE 1.4 J yS (TYPE) <br /> . - - c" <br /> r� SO 1 E. Cty Rd. F_ i- - - SALESPERSON INAMEI - <br /> '�� WHITE BEAR-LAKE, MN. 55110 3C! 4AP 33 <br /> maz& DATE <br /> (612, 429-7791 STOCK u_ ' <br /> CJ,JT •)L 4 331/SY INS. CO. _ 1 A 1;e-1, I d: <br /> POLICY li "j 3/D <br /> NAME S CITY .)c 3 NVE-i-14y NAME NA <br /> BUYER'S CO-BUYER'S <br /> DRIVERS LIC. N DOB DRIVERS LIC. # DOB <br /> STREET 33C'1 3IL VER LAKE P34D RESIDENCE >j-33 j1 <br /> ADDRESS <br /> CITY STATE -r .ridrrl•JtdZ , !4:4 ( iEhidFr'!.i 27 ) » I3 BUSINESS <br /> COUNTY,ZIP PHONE <br /> PLEASE ENTER MY ORDER FOR A_® '-3 j 3 _'E P-)L E f �� CAPP i,c 13L 5) 1 D:? =Ji v) <br /> DEMO (YEAR AND MAKE) UCK (MODEL) (BODY TYPE) <br /> LICENSE <br /> COLOR BODY 'IdITe ROOF TRIM 31 JE SERIAL NO. I'=3L Di <br /> CASH DELIVERED PRICE OF UNIT $ LOCALLY INSTA LLED-0 $ <br /> FREIGHT _:l:L . . F)X 1 s? <br /> OPTIONS '�3 FEP a[ .l:)h' S f I C ER <br /> .31LI :q, i.vJ E.. . ✓. <br /> TOTAL PRICE OF UNIT $ ]?C- <br /> TRADE IN YR. MAKE <br /> MODEL AND EOUIP. <br /> TRADE IN ALLOW. AND DISC. $ 'A <br /> BALANCE $ 12 ?.I <br /> LOCAL DEALER HANDLING AND ADJUSTMENTS $ INCLUDED <br /> RUSTPROOFING YES NO C $ <br /> PAINT SEALANT YES NO C $ <br /> FABRIC PROTECTOR YES NO $ <br /> BALANCE $ <br /> SALES TAX $ <br /> XJ LICENSE $ <br /> DOCUMENT ADMINISTRATION FEE $ <br /> RECORDING/TRANSFER + CERTIFICATION — $ �� <br /> BALANCE FEES $ <br /> 6ESS.GAS �l� fosfd�P $ ; <br /> Buyer certifies that all pollution control equipment CUSTOMER'S SIGNATURE SERVICE CONTRACT YES NO •� $ <br /> on the trade-in vehicle is intact and in operating ,, r•; <br /> condition. X BALANCE DUE ON DELIVERY $ <br /> DEALER DISCLAIMER OF WARRANTIES <br /> Any warranties on the products sold hereby are those of the manufacturer. As between The retail seller.Thane Hawkins <br /> Polar Chevrolet,Inc..and buyer.the product is to be sold as is,and the entire risk as to the quality and performance of the DATE <br /> product is with the buyer.The seller expressly disclaims all warranties.either express or implied.including any implied <br /> warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other <br /> person To assume for it any liability in connection with the sale of said products. The buyer acknowledges being so JA a2z 54�j� <br /> in prior to the sale- i CUSTOMER$IGNATU <br /> The front and back this CONTR T comprise the fir CONTRACT affecting this purchase.The DEALER will not K ognixe any verbal agreement,or any other agreement or understanding <br /> of any nature.I certi that do c,. has been..tended to a for the purchase of this motor VEHICLE except as appeart in writing on the face of this CONTRACT. <br /> The terms of t ONTR CT re a'reed upon �nddt CONTRACT signed in this dealership on the date <br /> noted at top of i1or t Y are rrengin cr 1 r ME,this CONTRACT is not valid until a credit IMPORT NT: I UNDERSTAND THAT THIS MAY BE A\BINDING _ <br /> disclosure is e s e ribe in R ulatio a I ave accepted the credit extended.. CONTR T AND 1 MAY LOSE ANY EPOS S IF 1 0 NOT PER- <br /> NOTICE OF s LI A H Irr �RM CORDING T ITS TER M$/-' <br /> Accepted <br /> This order Is not valid unless signs nd aeeepted by Saks Manager or Officer of Company. U)r9f' IenBtUfe <br /> THIS ODOMETER MILEAGE STATEMENT REFERS T EHICLE BEING SOLO <br /> alse stetemen ma Y <br /> _ You are required by law to disclose the actual odometer reading at the time of transfer.Any fill make you liable for civil and criminal penalties pursuant to the Federal <br />Motor <br /> Vehicle Information and Cost Savings Act and Minnesota Laws 1973 Chapter 264 and 1977 Chapter 105. <br /> I(wet-_ THANE HAWKINS POLAR CHEV.8 MAZDA.INC. ,the owner(s)of this vehicle,certify the vehicle is free of security interests.warrant title.assign the vehicle and taxes paid <br /> to the personls)named below and state that the odometer on the vehicle described below now reads' 3 — l kilometers. <br /> CHECK: 11),1 hereby certify that to lhe`bem of my knowledge the odometer reading as stated above reflects the actual mileage of the vehicle described below. <br /> ONE 12)1 hereby certify that to the best of my knowledge the odometer reeding as stated above reflects the amount of mileage in excess of designed mechanical odometer limit of <br /> BOX 0 99.899 miles/kilometers of the vehicle described below. <br /> ONLY 13)1 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. <br />