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_=.G�1�I�� QDACI[A r`CDTICI('ATC (1C • TITI C -• �'1i/i1;1� <br />Vehicle Number Year <br />VP9347BAIN 2002 <br />G V WtR <br />2ND -Lien <br />Sequent <br />Liens Filed? <br />`Issue Date <br />6/26/2018 <br />Capacity <br />52 X 26 <br />Owner Name(s) And Address <br />SARAH MELNICK <br />255 S BUFFALO RD <br />DONIPHAN, NE 68832 -9799 <br />';Model <br />NR41 Q <br />Previous Title NunoerIState <br />02109080021 NE <br />Tii Jype <br />ORIGINAL <br />1st Relea By <br />Date: <br />Date: <br />Federal and State law requires that the seller state the mileage in connection with the transter of ownership. Failure to complete or providing a false statement may result in fines and/or <br />imprisonment. (RETAIN COPY FOR 5 YEARS.) <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 vehicte <br />described therem to # he'followingnatdpurchasers. <br />I certify to Me-best of=my knowted ge tiiwodometer reading iS the actual mileage of the vehicte unless one of the following statements -is <br />NO ❑ 1. The mileage stated is in excess of its reeshani al Itreits <br />nnn..er�e ec. n�,.�� TENTHS ❑ 2. The odometer reading is not the actual mileage. - WARNING — ODOMETER DISCREPANCY. <br />CAUTION <br />READ CAREFULLY <br />BEFORE YOU <br />CHECK A BLOCK <br />ALL OWNERS WHOSE NAMES APPEAR <br />ON THE FACE OF THIS TITLE MUST SIGN. <br />SIGNATURE OF SELLER <br />SIGNA URE OF SELLER <br />PRINTED NAME OF SELLER (ONLY ONE PRINTED NAME REQUIRED) <br />DATE OF SALE - <br />County <br />HALL <br />Witness My Hand And Official Seat Tl <br />Date Shown Above <br />at4'• viii /4f i �1/ 1 <br />1 j j tell". • V <br />•' VOID IF ALTERED OR DUPLICATE ISSUED <br />A . i. 4. 4311j ���1 Qi��1����1�1 ,1.1��� •:��r.. plr •:vv.�:�:.... <br />PRINTED NAME OF PURCNASER(S) <br />I AM AWARE OF THE ODOMETER STATEMENTS <br />MADE BY THE SELLER(S) <br />SIGNATURE OF PURCHASER <br />SIGNATUREOF PURCHASER <br />VTITLEI VIR4 08012017 <br />