EFTA01334222

FROM : FAX NJ. : Jan. 22 2003 12:3111 P1 TOWN OF PALM BEACH POLICE DEPARTMENT A NATIONAL AND STATE ACCREINTED LAW ENFORCEMENT AGENCY Law Enforcement Request(s) for Certified/Plain copies of motor vehicle/vessel records To: DMV Representative: Jeanette Maiwald Date of Request: 02/20/03 DMV Photocopy Unit Division of Motor Vehicles Neil Kirkman Building, Room A1268, MS# 73 Tallahassee, FL 32399-062.4 Office Numbe Fax Number Contact Person: Detective Fax Number: Office Number: 1) Vehicle Description: UNKNOWN Year. Make: Title: VIN/HULL #: FL Temporary Tag: J31QWL Name Check: DOB: Comments: REQUEST: CERTIFIED BODY FILE ON ABOVE VEHICLES. THANK YOU IN ADVANCE FOR YOUR EFFORTS AND TIMELY RESPONSEI Police Dept. OCT, 1 3 2105 345 Smith County Road • Pain Beach. Flixitla 33480-4443 • • yew" pahnboachpoice corn SDNY_GM_02764912 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251754 EFTA01334222 EFTA01334223 55L I SZ00- V1.43 LT PUB `ST 'OT '6 '8 `L SHdV89V8Vd >J3C180 3ALLD3108d 011D3fons £i649LZ0 lA19 ANUS State of Florida DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES TALLAHASSEE, FLORIDA 32399-0500 FRED O. DICKINSON Executive Director October 14, 2005 CERTIFICATION I, Carl A. Ford, Director, Division of Motor Vehicles of the State of Florida hereby certify that I am the Custodian of Motor Vehicle Records of this Department and that a search has been made pertaining to: 2004 DODG., PK VIN # 1D7HA16D64J291609 TITLE # 91612403 Attached hereto are copies of the records of the aforesaid vehicle, which are the exact copies of the motor vehicle records as shown on file in this office. This file consists of 11 pages. Tallahassee, Florida I, Carl A. Ford, Director, Division of Motor Vehicles of the State of Florida hereby certify that this is a true and correct copy of the Motor Vehicle record on this file in this office. ad./ar-a? I, Carl A. Ford, Director Division of Motor Vehicles Dept. Of Highway Safety and and Motor Vehicles DIVISIONS/FLORIDA HIGHWAY PATROL • DRIVER LICENSES • MOTOR VEHICLES • ADMINISTRATIVE SERVICES 2900 Apedadlee Parkaay, Neil Kirkman Ftuilding, Tallahassee, Florida 31399-0500 hitp://aww.hsmv.statelLus MTRFQ050 FLORIDA DEPARTMENT OF HIGHWAY SAFETY PAGE: 1 COUNTY/AGENCY: 68/05 MOTOR VEHICLE INQUIRY REPORT RUN DATE:10/13/2005 RUN TIME:154748 VEHICLE INF VEHICLE ID NUM: 1D7HA16D643291609 VEHICLE TYPE: AU NET WEIGHT: 549 YEAR MAKE: 2004 ODOMETER MILES: 20 GVW: VEHICLE MAKE: DODG ODOMETER STATUS: A VEHICLE USE: BODY: PK ODOMETER TYPE: M FUEL TYPE: i INHOUSE MAKE: ODOMETER DATE: 10/03/2004 MAJOR COLOR: ED MINOR COLOR: TITLE INFO TITLE NUMBER: 91612403 PENDING:N CANCEL DATE: ISSUE DATE: 04/07/2005 CANCEL STATE: FL SALVAGE TYPE: EFS STATUS: TITLE STATUS: LIEN MAINTENANCE ONLY ELT STATUS: E BRAND INFO BRAND CODE: NO BRANDS ON FILE BRAND DATE: OWNER INFO FEID/DL NUMBER: OWNER NUMBER: 1 BIRTH DATE/SEX: H RES COUNTY: 8 OWNER NAME: PIERCE. CHRISTOPHER PAUL OWNER ADOR: OR FEID/DL NUMBER: OWNER NUMBER: 2 BIRTH DATE/SEX: RES COUNTY: 8 OWNER NAME: PIERCE, DARLENE M OWNER ADOR: LEGAL OWNERSHIP: EGISTRATION I IFO LICENSE PLATE: 3330WL DECAL NUMBER: 13758280 PLATE CODE: RGR DECAL YEAR: 2005 ISSUE DATE: 10/26/2004 ISSUE DATE: 10/26/2004 ARF CREDIT: 2.00 EXPIRE DATE: 10/14/2005 REG USE: PK UNIT NUM/FLEET: CLASS CODE: 031 LOCATION CODE: COMMENTS: EGISTRANT IN 0 FEID/DL NUMBER: REGISTRANT NUM: 1 REGIS. DOB/SEX: RES COUNTY: 8 REGISTRANT NAME: PIERCE, CHRISTOPHER PAUL REGISTRANT ADDR: FEID/DL NUMBER: REGISTRANT NUM: 2 REGIS. DOB/SEX: RES COUNTY: 8 REGISTRANT NAME: PIERCE, DARLENE M REGISTRANT ADDR: LIEN HOLDER I IFO FEID/DL NUMBER: 591030268 LIEN NUMBER: 1 LIEN DOB/SEX: RES COUNTY: 19 LIEN DATE: 03/11/2005 ELT FLAG: T LIEN HLDR NAME: KENNEDY SPACE CENTER FEDE L CREDIT UNION LIEN HLDR ADDR: 300 S. PLUMOSA STREET MERRITT ISLAND, FL 32952 SDNY_GM_02764914 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251756 EFTA01334224 LUCIM•Alt Ur Int:. ANWOR RtairauION Sul, REPORT 16 1 () ER 669816 - -tirar , op uwa fence eargc gem., . WAN BM a run annsou lam"""zagunn = ir.-- WEL MASER s OEOL " a QM re= UMILIIV a . i ll Rm. .n )7 CY I C - -I I Ar I I 14902qattgalFfraai a 'IR Q aS 7777E Wank 191612403 L HILL MERYL I RRCOUISCRI 1D7)1A1.6O64.32916O91 NEL La fr:XXXII an DOXX3 liMePK 0 Cat 4549 FL/WORE I IC MONAD%R,DOOR ME il . Waal10.W.Mina ham . KURETARYCORROJT05: PIERCE OR DARLENE li PIERCE CHRISITY -11ER PALL • • GREGG VDOEU MAI GRAPOIOW alai Pa REG. AGLCY 1.2 . 10.O(1 /.(X 0. (X 28..25 0 0 0 0.0(1 l_1194 .N T LE Oak Acitalarad SUM Pia RIC FL. 18, 2 11)O11 162./w1 XX "SID .4 :O °Dan° NIL FS 1$783/2004 ACTUAL DATE a DIN Rep OR ft / OE 0me SEX AND DATE a BIRTH ODOMETER LIEN INFORMATION DECLARATION ELT 03/11/2005 591030268 - 00 CERTIFICATION Rata Mt UIN.Ciatit IR NOLO& INITINCia KENNEDY SPACE CENTER EE:DERAL. cnr::o rr t,xu USE AooRFINICY4 afloat 14, FRUFFiI E_ OTE .:AX.) S. FELAILISA SI Rte. PAR SELkil4FeaATRAIV AND / FL- S i.e95.2 Nut a SI IUL LORNA MAIER. OR OMER MMUS OalfR ADORISS: CIV STAR V? CCOE OMER tiara Pa SALES TAX AND USE REPORT CENSURER OR PLES TM EXEMPTION I TRANSFER OF TITLE 6 Pine" FROM PURCHASER HOLDS VAUO ROUTE TOTAL PURCHASE PRICE, INCLUDING ANY FLORIDA SALES OR ❑ EXEMPTION CERTIFICATE UNPAID BALANCE DUE SELLER RAW OR OTHERS S USE TAX FOR THE REASCNIST CHECKED gi VEHICLENESSEL WILL BE USED NOICATE SALES OR USE TM DUE AS PROvIDED BY 0.. 00 m EXCLUSIVELY FOR RENTAL CHAPTER 212. FLORIDA STATUTES $ 0 fX) .OTHER I ❑ SELLING PRIX VERIFIED APPLICANT CERTIFICATION UPON TIN PUBLIC HIGHWAYS/WATERWAYS Of THIS STATE. 0 VWE HEREBY CERTIFY THAT THE VEHICLE/VESSEL TO BE TITLED WILL NOT BE OPERATED El I CERTIFY THAT THE CERTIFICATE OF TITLE 6 LOST OR DESTROYED. THE LIEN INSTRUMENT N`40 IS NOW IN MY POSSESSION. 0 I CERTIFY THAT THIS MOTOR VEHICLE/VESSEL WAS REPOSSESSED UPON DEFAULT OF THE ABOVE DESCRIBED VEHICLENESSEL. AND MAKE APPLICATION FOR TIME IF UEN IS BEING REGORGED, WE HEREBY CERTIFY THAT WE LAWFULLY OWN iNSTRuMENT IFIVCCANO THE VEHICLE VESSEL DESCRIBED ABOVE MID HELD BY NOTICE IS HEREBY ONES THAT WERE IS AN OOSTING WRITTEN LEN LIENHOLDER SHOWN ABOVE. LANE FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL CLNMS. DOCUMENT ARO THAT THE FACTS STATED IN RARE TRUE UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING Spans d AppkanVCoOmm Signs* M ApplamV0Anef ORLY COPY lismva.100 (In 0702. S. SDNY_GM_02764915 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251757 EFTA01334225 I LORCA STRI1J44 ODER YECOON 319 21/3211 OFF‘tAl. CI-RI/ICA! 194, . 4,14ELOVINERISI RAMO ARON. ORS sAusiAciom suOus 4sotstiejo incia is to 34A4% D oR '401011 NEM= OR VESSEL Sct us' 160640201600 SECONDARY IMO MURRY ARANO • 'it, • _ ACILWAR OR ON USE • 0/03/2004 ACTUAL TIER RELEASE OVINE1t' v RARE OCIILE,DE OR CHRISTOPHER PAUL PIERCE DARLENE II PIERCE 4 .4t2; Aq luElmotrkR r 10/03/2004 29160 9 SERVICES AMC.4.10, I u T FINANCIAL CHRISTOPHER PO BOX 181b13 PIERCE ARLINGTON TX 760951., • WbegstniMbr illititkaadaSji Attisip441,.. ..?A moToxv.yemezw - tv. DIV:SION OF MO I OR VER R.mm • ,• c.••••••,„• •••:45 Nj Asrl it ;,.4 cuirvy_ CT ai AR:iattl sW 10t 1 Re wwwleil R OF 1 ao.t.Y cwwwwwo vs* Oa ...WV *A ovwoolly you sisu APRA le /*Mal Ao4 olelo low 000 Dm Intisoaworn ODOMEIER C /11FICATON • cowASH PlAy&Srdrs or awisplitjerillio .1 ref ov1400 • 140 .110••••14 way fowl, 0 Dios *new tirz1/4 ptf.o odowelolyA•40. nI . I 44 bow my kora/Ay a8 ."., fig .Mw l• ItAwby monily kWh. acol._•_i •wchTh __ stivr ow, senor] bow of my Inowlody. CAUTION ' laVal of sikao• - 76, W howls. owlew 00 NOT CHECK RAI a1 p/lp s * 44prt y ohm Oft oho Do volldo downloWI )5. IF AC A.ZIR Om A want. - (11 4/ 11 la 1,4 SDNY_GM_02764916 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251758 EFTA01334226 11 ,,,,,, • • - , • • ^ e • • ,,,,, ^ , I , • , I .I i 1-,TTJ ,• OS ..to 'Minn 11 I/IR....iris...4w • ‘, mit men 41 Vv.l it..x 11 '11. -4-11 1•••••••aa`kata b.natnfit kasattimkallinrs. • . • - Cs-Pssr.s.sr Nru 4, , . • -, , ••• • ri oZT Ii/a1C Makes \W. has Mn issollirtnil xis _ seta. lar•tsr ✓ets anti/4 ili1s Ole u/1con, thorn** M.Glrv.wJbnN • 1"- a "11,11Y`H ,4,?1"'et ," "..4" LEIDIalao aptr rt ."' " b ars:. tra'brnit 4,:Lodz Imint "hi ssnti".a • • a. 1.0” a.. tr., "fiats ; 7_,C) ▪ „ovi „rry, • of 'hit. DC' tn. " CY • z-e,V Li#4.44-ei t bk I 1 ' to .1, ,.• s A • ▪ [dint NI oeskes want OS lath ma I•tatillball Oa Wald. iinallas• amass Owl Dna illoafsalesna Kam sau... /14 0s4niinitat. .EEITELI31:-J1 sledy.,4f, *awl. wait Isigfrove otto,.‘w ft * ni..thribsility.thwitiunethiticalabi. Pan. I-4' Plops. a ry 1 wf•PAPItst • UTTIDtoY 1111110.5111111711111 )5 .Alt AFTER DATwr N.casL . • Maas SPIN rsiwln 11 OIRQ1.1111111111.-nt It NOT st maw stilML or sail at,' sew ass lea. Wen Malt. tam .,e claim al sad lasolneiln.lifafl I ea. wailacalaa Mr •••••••riats it OS al embirse•• Irosiag/Ilanatearis./•••.I. as pa wpm. • sai 'may ,tma tun. ' bad lin. issue. %AA. /14 2 tket4,. 1111.1# Kt , poLipPA'Alr ❑ ii: bi--LC': ff " Unfit TO at Ilan (LUCK IL Y,anon11 IC ill / • O c_ was set berths chili atialCafigalluglieslade• Anil. • O4. ; . &an • ...dp...tat...a 'elm am" a oarenim 0.614os likaa (tea.. (1 11.avarsgesly tasks...an maul hat IlesetteLtaik/If. liONOTCSISICK 01 lin.. ila sem stmlloa•Islis at•cateadt MANI 11. 11‘ IT iSC FULL /11111,1171.1011 Of Pk do' elakka . 47 . 7..1Y"f" -t.dete,;,9 Ant,, king,/ LT mimic 11 ACORISS nut t„Noipck worms G,rr!..,90, .k f.;;'ijeci .-f. (siQ-44 SDNY_GM_02764917 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251759 EFTA01334227 STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DMSION OF MOTOR VEHICLES NMI Kirkman Building - Tallahassee, FL 32399-0610 APPLICATION FOR NOTICE OF LIEN / REASSIGNMENT OF LIEN OR NOTICE TO FIRST LIENHOLDER OF SUBSEQUENT LIEN SECTIONS 1 AND 2 SHOULD BE COMPLETED IF ADDING AN ORIGINAL LIEN. ❑ MOTOR VEHICLE SECTIONS 1 AND 3 SHOULD BE COMPLETED IF REASSIGNING A LIEN. 0 MOBILE HOME SECTIONS 1,2 AND 4 SHOULD BE COMPLETED IF ADDING A SUBSEQUENT LIEN. D VESSEL MOTOR VEHICSFaMER TM DIE3__R c iaTION &NIB-CATION NUMBER DSTRATION NUMBER -FL 1D7HA16064J291609 —IGIARrJOA DODGE 2004 RAM 1500 COLOR TYPE USE RTIFICATE OF TTTLE NUMBE EV OUS ISSUE DATE UCtNOE PIA rE NUMBER information GATE OF LIEN FERN/SUFFIX*/ ORMIMETA UhNHULULR NAME 11MAR2005 59-1030268-00 Kennedy Space Center FCU LIENHOLDER ADDRESS CITY STATE LIP 300 S. Plumose Street Merritt Island Fl 32952 El Electronic title and lien parlicimint (Electronic title only). If the henholder authorizes the department to send title to the owner, — S gnak tiin s Representative check box and countersign. (DOES NOT APPLY TO VESSELS) One of the following boxes mutt he checked. Ej executed A security agreement, retain tile contract conditional bill of sale. chattel mortgage or other similar instrument was poor to the filing of this notice of lion. ij This notice of ben is being filed before a security agreement, retain title contract, conditional be of sale, chattel mortgage or other similar instrument is being executed. UNDER PENALTIES OF PURJURY, I DECLARE THAT I HAVE READ THE FOREGOING Dale 11MAR2005 DOCUMENT AND TH TH CTS STATED INIT ARE TRUE. " SC wisediC Street Address (Owner) ate Ip gY Slate 3 APPLICATION FOR REASSIGNMENT OF LIEN The undersigned herby represents that they are the assignee of that certain D fire( or D second lien dated the day of (Month/Year) covering the motir vehicle, mobile home or vessel described in section one of this form and request that the Florida Certificate of Title, which was issued on (MontleDay/Year) be reOissued to show such lien as now being held by the undersigned applicant and represents that on this date there is a balance as principal still due and unpaid. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. By Name of Assignee (New Lienholder) Signature of len o e s Representative Title Addres., City State Lp UNDER PENALTIES OF PERJURY, DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. By Name of Assgnor (Lienholder currently shown on Tale) Signature of Lienhokier's Representative Title HSMV 82139 (Rev. 03/02) S MID/Avenv,hsmy Maltsus SDNY_GM_02764918 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0025 1760 EFTA01334228 SIMI OF FLORIDA AMICATION FOR WHICUMSSit CFIM/ICATt Or TIM MICPColt REGISTRATION (i) %VIM AM, suet R I 8 170 l C88 0 TI 392277081 I -5 1{) RI -599,77076- 4- WIDOW DAMS ERUCT WRAC Mt RESEW COLMY LIMIV ..WHET ONE OF ER[ pcgc NFAOSCR ROM% S ALMI CCittna ERIEIMO el Mil Ea t 11)-ittaCal rum ril/LICIOd wiv WHITE 'WSW comnallEen L i2zi MAKE ERVIVACTIRER L A102.4.0IJ PEAL HAMRA PROPULSCN R6 DOM YEMA.VSE WW1rem LATER Mat* COLOR toOMER Magi ;EWA ;UZI 1c0aFt0 C.Fmratay I . 2nI CHRISTOPHER PAUL PIERCE OR DARLENE M PIERCE 1 CREDO VE.ClE MET MS wFmcciry i 1Yii REG FEE =Pe AWCY I Wt. FEE r MEE FEE i CAME Tow r L6 7S I I 20 agl i lag„ssi Ackn oyale, ORIG SEX TITLE STATE PR/V. RIG INnis DATE ACQVIRIP Al USED 000mt!IR /VESSEL AWEUFACTURER 10/03/2004 XX 20 MILES 10/03/2004 ACTUAL LIEN INFORMATION OA pF UPI OW • OR DEM •ATID RAND wTEOF mu ODOMETER 10/03/2004 IYAIOF FIRST UPRIGEMR. OF HOUK DOV NDMI 152435888-01. DECLARATION CERTIFICATION AMERICREDIT FINANCIAL SERVIC ES MOMS PO 808E 182679 NTHIC1E USE On ST.O1 Ct.' NNAX PRIVATE . 0.4*/1831 1(14, TX 76096 wvAX3 1M - SELLER INFORMATION Takt Of Sala flORIDA OLATHE (At UTI-ERPROTousOWTEIR i DAYTONA DODGE AIXX ss. 1450 N TOM% FARMS RD I ory STATE AT( O1 DAYTONA BEACH, FL 32124 MDR DOW NO. VF011489 SALES TAX AND USE REPORT TRANSFER OF TITLE CO11SIWER CR SALES TAX EXDAPTOI 0 IS EXEMPT FROM PURCHASER HOLDS VALID FLORIDA SALES OR ❑ INDKAIE TOTAL PuRCHASE PRIC.I, INCLUDIN EXEMPTION CERTIFICATE G ANY USE TM FOR THE uNPAJOBAuLNCE DUE SELLER, TANK Olt OTHERS REASON(S) CHECKED 5 G. 00 r- } VEHICLENESSEL WILL BE USED LJ EXCLUSIVELY FOR RENTAL INDICATE SALES CR USE TM DUE AS FROyirED II? CHAPTER 272, FLORIDA STATUTES S ❑ OTHER II SELLING TRICE *MED APPLICANT CERTIFICATION . , 0 LANE HEREBY CERTIFY THAT THE VEHICLE/VESSEL ' n TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC CERTIFY THAT HIGHWAYSPNATERWAYS OF THIS STATE. 0 iCERTIFICATEOF TITLE LOST OR DESTROYED. I CERTIFY THAT THIS MOTOR VEHICLUVESSEL WAS REPOSSESSED UPON DEFAULT Of THE LIEN INSTRUMENT AND IS NOW IN MY POSSESS • !AVE HEREBY CERTIFY THAT InNE LAWFULL ION. Y OWN THE ABOVE DESCRIBED VEHECLENESSEL. NOTICE IS HERESY GIVEN THAT THERE IS AND PANT APPLICATION FOR Tat E. IF LIEN AN OUSTING WRITTEN LEN INSTRUMENT IS BFINS RECORDED uENHOLOER SHOW/ ABOVE. IME FURTHER INVOLVING THE VEIRCLENESSEL DESCRIB AGREE TO DEFEND THE TITLE AGAINST ALL ED ABOVE AND HELD BY CLAIMS. UNDER PENALTIES OF PERJURY, I DECLARE THAT i HAVE READ THE FOREGOING DOCUMEN T AND THAT THE FACTS STATED IN IT ARE TRUE. 57oI (Ply 1,7 Signaltre of AppliCanIAZranor P1W COPY P}ature or Aowentrco.oa SDNY_G M 02764919 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00251761 EFTA01334229 STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES Neil Kirkman Building • TallahasSee. 323990 500 MOTOR-VEHICLE DEALER-TITLE REASSIGNMEN T SUPPLEMENT (Instructions on Reverse S4e) For use by licented MOTOR VEHICLE DEALER S, AUCTION DEALERSte4THEIR BUYERS ONLY This reassignment is supplement to: El. ri Title No State of Issue' XX Ei Manufacturer's Cerlificate of Origin Pr+, •A .HS fi VEHICLE DESCRIPTION . .coeri“ Witte Identilicallon Nuentoksek nt • W ( Year Make 1 DTHAI6D64J291609. Model 2004 DODGE TRUCK RAM 1500 1500 r REASSIGNMENT INFORMATION r ( Name of Selling Dealer (Print) )) Dealer License Number ( DAYTONA DODGE State of License )) VF11489 F Streol Address •9 City C TOMOKA FARMS ROAD IBIaM Zip Code 8 DAYTONA BEACH c Sales Tax Collected FL 32124 Sales Tax Reg. No. (Sales Tax Information is 9 not required en dealer to dealer trinsaalOns) ( 3 1684.54 FL )) r Buyer's Name(s) 9 ( CHRISTOPHER PIERCE OR DARLENE N PIERCE Date of Sale )) ( Buyer's Address 10/03/04 •,) CRy ) r Auction Name (If applicable) Auction License Number State 04 License Date of Auction c N/A ) N/A N/A 10/03/04 ( Street Address City N/A Stale Bp Code (' N/A I N/A N/A ii HO • ODOMETER DISCLOSURE STATEMENT tr WARNING: FEDERAL AND STATE LAW REQUIRE THAT YOU STATE THE ODOMETER OF OWNERSHIP. FAILURE TO COMPLETE OR MILEAGE IN CONNECTION WITH TRANSFER PROVIDING A FALSE STATEMENT MAY RESULT IN FINES AND/OR IMPRISONMENT. I STATE THAT Tip OR VEHICLE'S El ❑5 DIGIT OR El a DIGIT ODOMETER NOW READS • MILES, DATE READ Iv bn ._ II In deo TENTHS/ °4 AND TO THE BEST OF MY KNOWLEDGE THAT IT REFLECT VEHICLE DESCRIBED IN THIS DOCuMENT, S THE ACTUAL MASAO OF THE ITAILESGONE OF TttEiGLLOWING I$ COCKED; CAUTION; CO 1.01040t HEREBY CEAlicy THAT TO THE BEST OF My KNOWLED Mita/A AMOUNT OF //ILEAC( et.ExCEN GE. INC ODZIME TER READING it IS ACTUM LECISIMOINACAI tans 2 I HEREBY OF Rimy THAT THE 00 METER WARNING • ODOMETER OaCREPAIICY READING ISSIDIND ACJOAI. MIT/AGE, SELLER AFFIRMS, UNDER PENALTY OF PERJUR Y. THAT THE ABOVE FACTS ARE TRUE AND CORRECT TO THE BEST OF HIS/H Dealer's Agent Printed Name (Scamp DAYTON ignieum owledgos eceip ocean Of Statemen Buyer's Printed Name (1) F L . Full Middle or Maden. est Buy Led Name (2) Flea. Fun Middle or Maiden. Last PIERCE CHRIST FUER PI CR DARLENE M Streef NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS REASSIGNMENT AND ALL RE FILE: • ORIGINAL: WITH TITLE OR MANUFA -ASSIGNMENTS THAT FOLLOW. CTURER'S CERTIFICATE OF ORIGIN HSMV 82994 (REV. 01/03) S COPY: DEALER RECORD SDNY_GM_02764920 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251762 EFTA01334230 • 1451 0,1440;4 my -saarelisliag CERTIFICATE OF ORIGIN FOR A VEHICLE DAIM LERCH RYSLER DaimlerChrysler Motors Company LLC ,GOLF tea DATE 07-07-04 4DR1129613877 v[HiCaCCOWICMIGGHO. 107HA16064J291809 "(E 00DGE BODY TYPE SIIIMINO WEIGHT 1500 REG. CAB PICKUP 4549 II P. (SAE) Grime HO. CYLS SERIES OR MODEL 49.1 1/2 TON 6350# B RAM DRI H61 IIUMIIllI I I II III I I III IIII named below, hereby cer- I, the undersigned authorized representative of the company. firm or corporation tify that the new vehicle described above is the properly of the said company, firm or corporation and is transferred on the above date and under the Invorce Number indicated to the fdlowing astributor or dealer. NAME or OtSTIHOUTHI,DEALER. ETC DEALER NUMBER 42243/42243 DAYTONA DODGE CHRYSLER 1450 NORTH TOMOKA FARMS ROAD DAYTONA BEACH FL 32114 It is further codified that this was the first transfer of such new vehicle in ordinary trade and commerce. MAIL To: DAYTONA DODGE CHRYSLER DAIMLERCHRYSLER MOTORS COMPANY LLC 1450 NORTH TOMOKA FARMS ROAD DAYTONA BEACH FL 32114 MICOLAWA WrAIfTHLRIZEOPEPRESEHLOWE) (AGENT) AUBURN HILLS MICHIGAN 13425016 OTY.STME 'CERTIFIED FOR SALE IN ALL 50 STATES' SDNY_GM_02764921 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251763 EFTA01334231 Eat vainbria Why C•flUS 0 re dui c.4 no hom lb..' all mN it ely*. blarrula, an) •• Ri• 0 main/ ••• boa WV*, near a tier nu a Om nit , a not insist is aim Po bride h au /OA YAWL PECSNM Mica Senna are Ara N. not tam talh NAME I Maya 'UHL YEm40 E01'9•0 in Mat Dunn, aanbi N hi.. . ea.' ...nen c PJISINSOOIS) 11W41 MI EDF FAC Ma a the milkier. E Of THE CEDWIC ATE TO i LaDatIS ',I t ii , any is It. bni el tory Wa illman am we wom ,..„ 5 DE MO, in • en mina * inn Onstfi iin No Tonto 6 OGiArloanat unfits at . 010 *I Sep nly num µm nub ant nil Rs solem Caul./ a lati et In* ..., ecmci S.bienb n 144 A tabu WU. ed NM ...OM b an cby 0 , mat OE • Mt IMO tfai rr - er- RaRancr CC PUISOLASEEN —" Fatik is ACOPESS a 3: law* b the WOO mg linan sdge Dna* olinivise 0 t wens la DEALER n ri No lint. BY • LIU a N m Rini an natn nab aim nya 'i.e an NW an amido Uffonori Uvula f COMM &ba b a -' bel _Oro lb and me, b In < —.y/CI OfX a art xswafERFI AinC. _ 'bury Pa* AVOWS g I on, lo OM INNI al ma 6; tronsecRi Or n • ann DEALERMoriflinnigr eararirBm oy N•SCI • No train Rale Bap M' Pmsn lot In Ina ar4 Won* sin Ohm •• nolonmes on ona Sybio**0 ara Ma a Ca."1 4 bout IF* —tin n b al* L al..---20-- HAW Of V3 aIDiAMlAfan CO USTRIOUTOR-DEAL MA:no-SOW ilLER,RTEI- T - WAr "a"IF‘tec EFI AO:AM i OMb I 0 be PS 2 4 mF hwa nal Pie otiaeow ASSIGNMENT WIR endow N OE ER No. orratopeo IER 4 COOP, a:ratb no Tents eMFca Sub 0 , BY ORM n /14 •••••tlion an OI Ian au bur NO comma say• OM ON ~nen Fa Ikbonted ad new bol —On atom Ho a al I, aka. W Ro tiSe ONIWOMIO WA-- an Ess io ion U,S N CU V w inniMi tan It Inn Ind tannin inbta• w, lMrEZREEr Lur reitanioni, Me WS GCOMESER DSG i V abroMmu "M i man in 0. MN l. 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CHECKED, THE FOL LOAING CERTIFICAT rows( APO OTTER IONS ARE MADE II CIRTIF1C411014 THE APPLICAM: O O ICERtWY Rat THE VENUE IDENIF TE CfcR1V1CATEOF TITLE IS LOST CRDES TROYED 1 IED Wit AOT BE OPE RATED ON THE STR ❑ DIE VESSEL DENTU EETS ANDHICRWAYS Df RE° Wit NOT& OPE MS Stan, RATED ON THE WA O °net (DRAM TERS Of Tin STATE. 12 1 1WEPINSICALLY APPLICAM1MTESI tlEACTED THE ODOM TIENT ETE R ND WEIN EfMAIM UNDER PENAL TER SOME TODEF END THE TITLE KA , I DECLARE TH M, AL (1km) Yvonam bra AT I EADTHE FOREGO n II ING DOCUMENT ea Ml<d Ica adOsor AND TIRE FACTS ST mi A 1 t2 1 RAE Of APIRICAR The underi9.6 TEECOMIU11 personls). Mee So 4: 40% EM , 01 20 County.FIcOSE OW Signature(*) of Su 0 inhtle DOM a NE al EN rviving IpOuse, co- N day 01 ownaw and,4y hei 0 IMMO Dvitho UNDER PENALTI ro. Mo re Ifmo one fern HS ul a ON ) and In SUrhin ES OF PERJURY,I MV 82010 maybe he Wray buoeljel DECLARE THAT NA usEd lot scidllronal ies: I VE READ THE FG Fralises ) PrMI oblADRe REGOWG DOCUME ma aSpam Co-sner NT AND THAT TH ee Nee(et E FACTS STATED IN IT AR E TRUE. Sicrialum 01Spcom,Co Cmner tr Di el termEdam re *caeca AMam vothi Pons to vsm w d at ',Akan b pee al1 cies reatratecla =tie hoer* ea nes AUw.Mca1tOt. dra AICMWewdP 1no se Mon.MO o mo ma co cramim bTR adobe mommkos n, 2 a skeina Rolm vsta:lit. Nam tmA4.01-4ed up ho tun Twine tlinb nd irtlebleCir ROW tam ven ,1•F seta Mit ea d De issob as 610 puNEN mivE tot MRWl eating MN ma IENDEMENN AlDim '44.16 x *Mk .awn vt1elm Mn Ian of AppM m eMs) PEW of Type) WOENTS OF FL °RO OLLECTO*101FI A MAD All. VCS CE OR THE FLORIDIML OWNERS. RESOWG INSLOMA A TAX COL LECTO al INJOC4T(RfV. 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