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,NEBRASKA CERTIFICATE OF TITLE 'W04 <br />Vehicle Identification Number <br />79A26712LR <br />Previous Document <br />Affidavit <br />ID 0 0 IIIIJllODIll RI 101 IlI Hill 110 fi <br />rase Date Issue Hate= <br />Feb -2023 13-Feb402 <br />FAITH R FIALA <br />214 CAMPBELL AVE <br />OONIPHAN NE 68832-0 <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 resist in fines and/or <br />•�• <br />The undersingnt. ed, being the owner of the vehiciRETAIN COPY FOR 5 le described within the Certificate of Title, hereby sells and assigns alt right, title and interest in and tosaid Certificate-14Title and the vehicle ,« ice: <br />►. k described therein Lathe= -named purchasers. - - - - _ ',01► <br />—i f row wed met <br />. I certify to the best of m krmwiedga the odometer reading is the actual mileage of the vehicle unless one of the following statements is checkoff lv>�! <br />.'►��M _ - _►moi <br />ON CAUTION 0 1. The mileage stated is in excess of its et Vis. ►rim <br />•-i;' rNO READ CAREFULLY' '. ` - p,� <br />•r;•i TENTHS BEFORFYou 0 2. The odometer reading is not the actual mileage, WARNING – ODOMETER DISCREPANCY. ;«►� <br />• <br />�i!� ODOMETER READING - CHECK A BLOCK w.4.. <br />$4 <br />-Ei PRINTED NAME OF PURCHASEROI_ . • ' <br />• »; ALL OWNERS WHOSE NAMES APPEAR <br />,411%.0..•,i'; ON THE FACE OF THIS TITLE MUST SIGN. <br />.....*•'' », SIGNATURE OF SELLER ADDRESS ' . <br />►moi»( •-. <br />►—s+ '= ►mss <br />— • <br />i—moi, t�<. <br />►•moi SIGNATURE OF SELLER _- ' CITY = STATE - 2R+ _ '!'.r! <br />SIGNATURE OF SELLEFf I AM AWARE OF THE ODOMETER STATEMENTS <br />MADE BY THE SELLER(S) <br />1-'w PRINTED NAME OF SELLER (ONLY ONE PRINTED NAME REQUIRED)/ SIGNATURE OF PURCHASER «% <br />•0012.. DATE OF SALE :: SIGNATURE=# P I _ _ _ .... <br />• <br />►iii' INVENTORYCONTROLNUMBER " '��� <br />•» Copra),Tide <br />, <br />to., - -N 00033 -1 ti w �' <br />r.-•� HALL <br />G 7 Q 3 31_•11 <br />W1tit&Maad 4nd Official Seal The IShawt>a`"n`N'"�_. <br />•.�• .M County Official-= ...' <br />fi� <br />,........ cal 1/:t) ,;:t.c. <br />r{�;»�w�. <br />—1 <br />ALAINA VERP ANK $ I,Q ftHilint IV; r .•� <br />:11,�:�.lit t A-illO� VAtfil t'%%.�:414 VOID IF ALTERED OR DUPI: ATE ISSUED Niiiiij�lkii�y filtif,0): i,06,:� 61414144,41 ���k. <br />:.....79147311,:.:11WVIT:044yjh...a T4144.1/64/446.4. aa•004•Aj�j•.....a.�`wre,.:.-..:.'c.1:r..., ,•iwt:•. own". --.....14ill6'... a.a.•114.••♦ -',4.446'- a.4�6�1�1.1.1. <br />REV. 07/2013 <br />