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�! t! _ - - • .9lt /� . � . _S'�. _ •j <br /> � <br /> �t <br /> MOTOR VEHICLE D1VlSION <br /> CERTIFICATE OF TITLE FOR A VEHICLE ND DEPT.OF TRANSPORTATION + <br /> NORTH DAKOTA DEPARTMENT OF TRANSPORTATION 60S E.BOULEVARD AVENUE `�� <br /> BISMARCK,ND 56505-0780 b <br /> � SFN 2875(Rev.01•11) PHONE(701)328-2725 <br /> YEAR YEAR � <br /> VIN,,�,�F MODEL REGISTERED MAKE SODY STYLE MODEL <br /> MANSIO � <br /> � �=581°=' 2013 8880 �, <br /> OWNER(SI NAME <br /> HANCOCK CONCRETE PRODUCTS LLC, TITLE NUMBER VEHICLE TYPE SHIPPING WEIGHT DATE ISSUEO �� <br /> � g$72881 TRAILER 0 07-11-2013 � <br /> . MAIL 70 312 �� <br /> ' ��Im�l���bdr�ild�l�hl�id�lu�l����ih�imli�lld����ll�l ODOMETERSTATUS <br /> t HANCOCK CONCRETE PRODUCTS LLC" EXEMPT <br /> ` 17 Atlantic Ave �� <br /> ' Hancock MN 56244-9715 b <br /> ! <br /> . <br /> , t <br /> [ �t <br /> � <br /> �� <br /> R � <br /> • ,� <br /> � <br /> � PART 1. ASSIGNMENT ANO WARRANTY OF TITLE�DELNER TITLE TO BUYER WITHIN 1S DAYS FROM DATE OF SALE) ��f <br /> AppiicanYs Legal Name(first,middle,last)or Frm Name(Lessor,Trust}: ❑DL❑CID�CORPID 0 FE1N(Check Onel Telephone Number �! <br /> �� <br /> � Mailing Address City State Zip Counry �y� <br /> �• � <br /> . Co Applicant's Legal Name(first,middie,last)or Firtn Name(Lessor.Trust): ❑DL OCID(]CORPIDr]FEIN(Check One Telephone Number ��+ <br /> � Mailing Address City Sfate Zip County p� <br /> � Offie of Sale Selling Price i�j <br /> � Check one: <br /> ❑ Or ❑ And ❑ AndlJoint Tenants with Right of Survivorship �' <br /> � Odometer.Complete if vehide is less than ten(10)yeais old. i <br /> i I certify the odometer reading is the adual vehiele mileage uniess one of the folbwing statements is checked. � <br /> � Mileage stated is in excess of its mechanicai Ilmits. ❑ Odometer reading is not the actuat mfleage(warning"odomeEer discrepancy}. <br /> �i <br /> � Si ts af Seller?rs Dete(Mo,Day,Year) Signature of Buyer/Transteree Date(Mo.,bay,Yeaz) � <br /> � <br /> X �;/ <br /> '� Signeture oi Seeer/Transferor Date(Mo.,Day,Year) Signature of Buyerrfransferce Date(Mo.Day.Year) � <br /> X b <br /> � H d-Printed Name(s)of SeAer(s�frensferor(s) DayMme Tebphone Number Hand-Printed Name(s)of Buyer(spi'�anaferee(s) •�, <br /> ,t ✓�.S(9�1 �U 1 S �' <br /> C LEGAL TfTLE OWNER(LIENHOLDER) I ceAifY lhat 1he applicaM has eomplietl wNh the requiremeMs af Title 39 of tl�e North �nr, <br /> ' Dakota Century Code relaUve to the issuance M a certificate of titk for a vehicle. � <br /> � Any 11en recorded in the offioe of the Department of Transportation is shown below The � <br /> � fienholder nemed is and shall remafn Iegal owner of the veh�de until the encum6rence is � <br /> released or satisfied. � <br /> � <br /> � ' � . ' . � <br /> � Deputy . o�for Driver nd Veh 5etvi�es i� <br /> � h <br /> LIEN RELEASE � <br /> F ALL INTERESTS lN THE VEHICLE OESCRIBED ABOVE ARE RELEASED. .� <br /> .. a <br /> L Lienhotder Namb y� <br /> Si�ature of/lgent Date � <br /> � <br /> X <br /> THE DEPARTINENT OF TRANSPORTATION IS NOT RESPONSIBLE FOR ,; <br /> M 7 0 3 3 41 FAlSE OR FRAUDULENT STATEMENTS MADE IN THE ASSIGNMENT , <br /> OF THE CERTIFICATE OF TITLE. � <br /> ,. . �-.. ... ��.,.,..�.. -.. .,�.. ,. . � . .. ..� .��.. .. . ...�•.-.. � . . . ���� -.,:�,.:,s,:� ��..-. ..�. -.r..�,.r.<...+c.�t'� <br />