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o i i ' 9/3 <br /> - �•v-- - 1 <br /> 0114 NeBRASKA CERTIFICATE OF TITLE 104.4 4.i�i*:.4 <br /> »s= -=- =-- --- -------- ----- _ -- - - - �LCaa_ 15127080062 ,:..-,►.• <br /> •Z�»; <br /> 1.40.0 iki"Ziii <br /> �" Vehicle Identification Number Year Make Body Style «eSk <br /> At t 0582544945AB 1977 CHAMPION MFGD HOME ss■ <br /> _��a; Model �:�"4 <br /> 410--41411 <br /> ►tai 1.0-1 <br /> 24X56 «-- <br /> »; Purchase Date Issue Date Previous Title Number/State' Title Type M.� <br /> ►s» 1/23/2015 1/23/2015 AFF ORIGINAL .':., <br /> �_», Color CORRECTED 05/07/2015 <br /> =�M GRY «== <br /> 041Al G V W R Capacity Odometer *« ' <br /> ififtlAti"' 24 X 56 Legends <br /> troirso Owner Name(s)And Address <br /> EXEMPT M. <br /> y1 CODY HANNON ,I <br /> 8110 S NINE BRIDGE RD r <br /> E: DONIPHAN, NE 68832 M <br /> 1 �`Mf ►' <br /> 4 Previous Owner( ) t« <br /> o» ! DONALD TERRY <br /> 1 <br /> GRAND ISLAND NE •• <br /> ►1.0 MW 16 <br /> t Y► <br /> 1ST Lien P <br /> ���s 1 <br /> st etease y: <br /> «••. <br /> '41.1•440,CI 414 i1W� <br /> :.:, die: 'ate: W, <br /> .:jai, i"; <br /> �: ` N ou ate: w'■ <br /> 1M, to <br /> *3#lair \\\� :ii <br /> 2ND Lien Fnd•etease:y: <br /> y <br /> \\ itle: 'ate: <br /> i` iii <br /> C�_ OU 1 <br /> 13-- Subsequent ate: =�\ <br /> Liens Filed <br /> �� SELLER MUST COMPLETE PURCHASER'S INFORMATION <br /> Nob- <br /> ,, Federal and State law requires that the seller state the mileage in connection with the transfer of ownership.Failure to complete or providing a false statement may result in fines and/or i�� t <br /> o11», imprisonment.(RETAIN COPY FOR 5 YEARS.) W14. <br /> ���» The undersigned,being the owner of the vehicle described within the Certificate of Title,hereby sells and assigns.all right,title and interest in and to said Certificate of Title and the vehicle ,��� <br /> ►�i� described therein to the following named purchasers. 'w <br /> i�:e, I certify to the best of my knowledge the odometer reading is the actual mileage of the vehicle unless one of following statements is checked: wY�� <br /> 414 Y Y 9 9 9 9 «1�� <br /> %»i CAUTION ❑ 1. The mileage stated is in excess of its mechanical limits. f <br /> • <br /> ►�1q NO READ CAREFULLY 9 • • <br /> �i�+ TENTHS UEEORE you 2. The odometer reading is not the mileage. WARNING-ODOMETER DISCREPANCY. '«.0.�: <br /> • <br /> ��� ODOMETER READING cHec A BLOCK 9 9 'A,.�e <br /> .1 -p; PRINTED NAME OF PURCHASER(S) `sus, <br /> ALL OWNERS WHOSE NAMES APPEAR e— <br /> ". ON THE FACE OF THIS TITLE MUST SIGN. <br /> ►��i SIGNATURE OF SELLER ADDRESS «iii <br /> AM►11. <br /> yid i, <br /> ►mow,, M•� <br /> _��i «►144 <br /> 7 SIGNATURE OF SELLER CITY STATE ZIP <br /> i y��� <br /> I..i. r.i' <br /> '�� SIGNATURE OF SELLER I AM AWARE OF THE ODOMETER STATEMENTS 2 <br /> ►�S»; MADE BY THE SELLER(S) <br /> 1,10.46`71'w' PRINTED NAME OF SELLER(ONLY ONE PRINTED NAME REOUIRED) SIGNATURE OF PURCHASER « <br /> ►Iii �r�i <br /> y11,y lijlj <br /> yy:::q; DATE OF SALE SIGNATURE OF PURCHASER <br /> *OW <br /> ,'INVENTORY CONTROL NUMBER oun y Title Number 3 <br /> HALL 15127080062 ;M.� <br /> * <br /> ' F 0 5725 5 8 Witness My Hand And Official Seal The Da G Above <br /> M'; County Official C:4 ' 'srr22'4-" ./S 1L /� <br /> s., PEGGY L PESEK c r� <br /> e <br /> • B i «. <br /> (County Official Official's Seal) AP"� <br /> CH ',«.—. <br /> =4a. F00572558 $ Rorproi <br /> r,��ilesitil tiri: ti/l�i ��•ttl'�iiii/li:'11.11 VOID IF ALTERED OR DUPLICATE ISSUED !N ititi iiii# 11Vi t i1,tli i"i w ''• <br /> v*--�i�4.4,4,40.0----44.4�4(t4,..��0--4.444�i�1�1�1����!•-4-4- ��4,40..--- --,..�..., r. .4701. -----:....:....-- "---.�4�41.10.4-�--��.�i4.....j���-1"!•4.4, ��.0-i-i---4-4.44.4.4.j4-ik <br /> REV.07/2013 <br /> VTITLEI V1R0 07082010 <br />