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<br /> t� MOTOR VEHICLE DNISaON
<br /> �.� CERTtFICATE �F TITLE FOR A VEHICLE ND DEPT.O�TRANSPORTATION
<br /> NORTH DAKOTA DEPARTMENT OF TRANSPORTATION 608 E.BOULEVRRQ AVENUE
<br /> � SFN 2875(Rev,0'1�71) BISMARCK,ND 58505-0780
<br /> �� YEAR YEAR PMONE(7d7)328-2725
<br /> � �� MODE� REGFSTEREQ MAKE BODY STYLE MODEL
<br /> �'' �VI03�759:1; - 2013 AAANSIO 8880
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<br /> � OWNERfS•1 NAl1AE
<br /> �u�- HANCOCK CONCRET�PRODUCTS LLC•, TITLE NUMBER VEHICLE TYPE SHIPPING WEIGHT DATE ISSUE
<br /> �+
<br /> .�Y 6872969 TRAILER 0 07-11-2013
<br /> MAII TO 312
<br /> �� "�II'I�"'�II�N'1�I�'��'�'�'�I���Ill�lln�ll�l'll�l'��1�'icl��l� ODOMETER STATU�
<br /> ,�� HANCOCK CONCRETE PRODUCTS LLC` EXEMPT
<br /> ��� 17,4tlanti¢Ave
<br /> �� Hancock MIV 56244g715
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<br /> � PART 1. A3SIGNMENTAND WARRANTY OF TITLE(DELIVER TITLE TO BUYER WITHIN 15 DAYS FROM DATE OF 5ALE)
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<br /> �� Applicant's Legal Name(first,middie,last)or Firm Name(Lessor,Trustj: ❑Dl�CI�J Q CORPID[J FEIN(Check�n�,Telephone Number
<br /> �� Maiting Add�ess
<br /> �;. Ctty S1at� Z��. Counf}
<br /> �� Co-A licanYs L
<br /> �-� pp egal Name(frrst,tniddle,last)or Firrn Name(Lessor;Trusi}. [�OL Q C1G Q CORPID[I FEW(Check�r,e,q�)��hone Number
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<br /> �.�� lJlailinQAddres� CitY State Zip Gourt;y
<br /> �' Check one•
<br /> � ❑ Or C�ate of Sa�e �,atiing Price
<br /> t ❑ And ❑ AndlJoint Tenants with Righi of Survivorship
<br /> �}�' Odometer.Complete if vehicle is less than ien(10}years old.
<br /> !certify the odometer readin
<br /> r 8 fs the actual vehicle mileage unless one of the following statements is checked
<br /> � Mileage stated is in excess of its mechanicai limits, � Odor►�eter reading�s noi the actual mileage tyvart►�ng'odometer discrepancyj.
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<br /> + 19r�alur SeU t ,ansferpr Qate�Mp,Dg Year Si na�ure of Bu _hTransteree
<br /> �i� . � +� , "� t�" �'"rs.�;�, rx- (�a yr�� � , 9 Y' Dete(Mo,Day,Year}
<br /> �' ,ta1'j, �l+�' l �.:xl.�J.{.} X
<br /> ��� Signature of engyt��k;�� Date(Mo.,Day,Year) Signatu2 of Buyer/Transferee Dale(Mo.,Day,Yearj
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<br /> 4�. Hand-Frmtad NametGltof SeUetts��ranytrmiHe, €iayp,mE Telephone Number Hand-Printed Name�sl of Buyar(sJTra�sferee�s}
<br /> F� ��CK'l.c'-��L7i.'[�:Cf;•I�LS_�. ,(y�.�r .
<br /> � L�GAL TITLE OVIINER(LIENHOLdER) I certiry that the appGcar:t has complied with the reqwremerds o(Tit(e 39 of the North
<br /> 4 Dakota Century Code relative to tfie issuance of a�hficate oi title for a vehicle.
<br /> ��yI Any�ien recorded in ihe office of the Department o{Trensp�rFaiion is shvwn 6e1ow.The
<br /> �q Uenhotdei nam2d is ahd shall remaln legal owner ct!he vefiideuntil the encumbrance is
<br /> �y ��leased or satisfied
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<br /> �°�;� Deputy Di or ior Qrive nd Veh e Ser,rices
<br /> t�� LtEN RELEASE
<br /> ALl INTERESTS IIV TME VEHICLE DESCRIBED ABOVE ARE RELEASED.
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<br /> �'r Wenhofder Name
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<br /> �,�� SignatLrtB i+f A�trrt �ya�
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<br /> �� ' THE DEPARTMENT OF TRANSPORTATION iS NOT RESPONSIBLE FOR
<br /> �,�#� �7 O 3 3 4 2 FALSE OR FRAI�JDI�LENT STATEMENTS MkDE IN THE ASSIGNMEN'�
<br /> ��- OF FHE CERTIFICATE 4F TITLE.
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