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MOTOR VEHICLE Selt PURCHASE OROCR Oe Stock Ke. f 3D . Seurce_- AND FEDERAL Salesman _ DISCLOSURE a 7 1 STATEMENT Sa TAF PE But. Phone 1 vo ie beg ave Rene a Porchaser pa ree ee Res. Phone —s tity f/f 2P______ Ent my ofdez for the automobile, accessories and insurance listed below under the teross and conditions set forth below and on the reverse sive: Address HEW Fj USED (Y) COLOR TRIM Year} Cyl. } Mate a if ee Odome ‘ bY vim F> 67 THIS CAR —— UNLESS WRITTEN GUARANTEE 1S GIVEN AT ThE OF SALE The entire tisk ac to the quality and performance of this vehicle is wilh the Buyer. Hf the vehicle proves defective, the fiuyer and not the menutacturer, dis- tributor or Seticr, assemes ihe entice cost of necessary servicing or repair. Buyer hereby _ackngiedges Jyha a Late! stating “This car sold AS-IS" was aitached ! Ne: p REMARKS: nts Ar License Na 77) RADED IN R.O.S. Ne Wo. 73 (sh, ee A MOTOR, on TET LIT Bs Del. Date FILL OUT THIS SECTION IF USED CAR IS TON YEAR MAKE MODERN Tab No. 1.0, No. Dice mse MO. ere ODOMETER READING BALANCE OWED TO_{7t a ADDRESS a — ACCESSORIES MOTOR VEHICLE & ACCESSORIES | $ bs SALES TAX | $ vt a > CASH PRICE {| $ “ye DOWHPAYMENT: Tradesn {A) $ i tess Pay Of (8) $ TRADE-EK {A fess B} (0) $___. REC. Lash Downpayment Previously Paid ¢0)$ : ric. #._____Cash Doaapasment Paid Kerewith — 2, REC. st. Ossersed Cash Downpayment — (F)$ CASH DOWHPAYMERT (0, E & Fh (as TOFAL DOWNPAYMENT (Tota! of € & G) UNPAIG BALANCE ON CASH PRICE TOTAL, GROSS HISURANCE PREMEUM DEPARTMENT OF ROTOR VEHICLES UNPAID BALANCE AMOUNT FINANCED bicense b Cart. of Title $ Reg: TOTAL D . _— : err set cig Ros tr eS tea eo * P St OM et Ry! ; Sy actos: foe ee! a ae RTE acter