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201708109 <br />NEBRASKA CERTIFICATE OF TITLE ;� <br />40.- 4100 <br />s +: <br />. + 1f <br />t1 M <br />s�� • <br />• a:- <br />.. <br />— 4 » • <br />• <br />Owner Name(s) And Address <br />WILFRED E JOLKOWSKK AND/OR. <br />ROMAINE A JOLKOWSKI 1 t1ROS <br />563E 18TH ST <br />GRAND ISLAND, NE 68801 -2401 <br />ft .44 <br />.•: <br />. <br />== <br />s — � <br />10. 401 <br />�1�Y <br />=k •a <br />+�\ <br />\ � <br />�v <br />—ii <br />i —i• <br />':w <br />►. •M. <br />i <br />■ <br />■—■_ <br />+M <br />• <br />1•. <br />0 <br />:.,,. <br />�.M; <br />4.- - 1.. <br />Oitigek <br />O+ - + <br />a .411 <br />+ i'y <br />4 -1M ■ <br />41• el <br />ofto <br />.... <br />► +1M <br />Okeilt <br />731• <br />'14 i i41 j jt+ ��1r1 4: i � ' 1�I� 'i� � hh l�lj lj 11 1 :�.- :! • <br />SELLER MUST COMPLETE <br />ALL OWNERS WHOSE NAMES APPEAR <br />ON THE FACE OF THIS TITLE MUST SIGN. <br />P • INTED NAME OF SELLER • NLY ONE PRINTED NAME REQUIRED) <br />DATE OF SALE <br />17317080008 <br />Vehicle Identification Number <br />CE10233331 <br />Purchase Date <br />1/20/1987 <br />Subsequent <br />Liens Filed <br />Year <br />1975 <br />Color <br />Body Style <br />MOBILE HOME <br />_ Model- _ <br />CE6 4G3 <br />Previous Title Number/State <br />0008G041555 NE <br />Make <br />TRINITY <br />Previous ter(sJ y ate <br />STEPHEN J & MARLENE K HUGHES <br />GRAND ISLAND, NE <br />1 st Release Ei11`: <br />Title: <br />mi nty <br />2nd Release By: <br />Title: <br />Lounty: <br />LIEN RELEASES <br />bate: <br />at <br />PURCHASER'S INFORMATION <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 <br />imprisonment. (RETAIN COPY FOR 5YEARS.) <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 seid Certlficate.of Title and the vehicle <br />described therein to the following named purchasers. <br />certlfy to the best Of In y_ knowledge the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked. <br />❑ 1. The mileage stated is in excess of its mechanical Wmits. <br />2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY. <br />ODOMETER READING <br />NO <br />TENTHS <br />CAUTION <br />READ CAREFUL I Y <br />BEFORE YOU <br />CHECK A BLOCK <br />PRINTED NAME OF PURCHASER(S) <br />I AM AWARE OF THE ODOMETER STATEMENTS <br />MADE BY THE SELLER(S) <br />SIGNATURE OF PURCHASER <br />INVENTORY CONTROL NUMBER <br />F 3481529 <br />County Official <br />PEGGY L PESEK <br />County <br />HALL <br />Witness My Hand And Official Seal The D <br />defe-.2.a./eJ <br />BY. BB <br />F02709529 $ 10.00 <br />(County Official's Seat) <br />Title Number <br />17317080008 <br />f4 <br />= rte <br />�"i +i <br />IM ► - 4- <br />i► -.4 <br />► - 1 <br />WO tit <br />M�11 <br />w► <br />\ t.. <br />. <br />OID IF ALTERED OR DUPLICATE ISSUED v %.jj��S� fi ll i4 „�1$ ii %yj�$ <br />*A 4 4 •4# 4 $ 4 0 <br />, , . : . �IIjh� .�. 44 43�1�1�1. 1 .�. � �.�.Q��1�1— • <br />REV. 07/2013 <br />Vd'ITLE1 V1R4 08012017 <br />