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er -P a -5 9ts O r ■C Kawasaki * SUZUKI KW. 0Husqvarria aprilia MVR K 94101055 Tel: 305.557-1311 • Sales Fax: 305.556-8776 Toll Free: 1.888.565-2555 E-Mail: infoepalmettomotorsports.com Parts Fax: 305426-2574 6400 W. 20th Avenue • Hialeah. Florida 33016 www.palmettomotorsports.com o 7 NAME k tlA rti PAC A J X LtTk RTC A) rryt_t4 7- oss CITY, STATE ' l/i t-( vrf1 . PH Ea ZIP 009 D L.t EMAIL J YEAR 2 0 i 3 MAKE skid_ I MODEL KAcTco Fbr STOCKS I.D. NUMBER MILEAGE N IA COLOR KEYS VEHICLE OISCLOUSURE: VEHICLE IS REPRESENTED TO BE If NEW O USED Q SOLD AS IS O DEMO O TRAILER Q WATERCRAFT Q OTHEI) TRADE-IN-INFORMATION BASE PRICE OF UNIT Il 7 9 9 c OWE COLOR: OF VEHICLE FREIGHT (FROM FACTORY) YEAR MODEL PAYOFF UNCRATING & ASSY. ID. NUMBER DEALER PREP (Pal.) OEM MILEAGE 12 24 16 48 EXT. WARRANTY '4.. • is PLEASE NOTE PARAGRAPH a ON THE REVERSE ASSUVES THAT Al: SILLS OF EVERY NATURE ARE PAID rN FULL ON tilt_ TRACE FS i )(CERT THOSE SPECIE DCAT -..Y NOTED HEREON DEALER INSTALLED EQUIPMENT 89 9 elf Ace.ti- ot::-/ viz iii U-AiS c‘) 270 00 SPECIAL INSTRUCTIONS ETR FEE (Electronic Temp Registratirw) - B6 - 9 43 - TILT Et‘) bFnerJ KAFICI" Of 1 4- aqq. Cif LESS ALLOWANCE OR TRADE-IN ginoll cAecrc I rti FLORIDA LAW - WASTE TIRE AND LEAD ACID BATTERY FEE WAREHOUSE FEE -30--se- AOmiNiSTRATIVE SERVICES 'DEALER SERVICES (PER ADDENDUM( 4 -99 - P- 50 . SUBTOTAL AMOUNT TAXABLE / 2, 9 6/ vr C ) f4 i T S vi s G4 Le pLus, SALES TAX ()Y ap i t i `irecL c i),e)til it x q PLUS. NEW LICENSE 'ESTIMATE• TITLE & REGISTRATION FEE • TAIL / Q A PLUS. USED VEHICLE BALANCE. TRADE-IN PAYOFF OWE O iSUBJECT TO VERIFICATION) CASH BALANCE DUE iz / 76.4-> 9J- INITIAL PARTIAL PAYMENT - DEPOSIT ADDITIONAL PARTIAL PAYMENT CASH ON DELIVERY LIEN HOLDER - ADDRESS. ' FL. DOC. STAMPS CITY STATE: Zip Code AMOUNT FINANCED AYABLE IN INSTALLMENTS OF S TOTAL This Is NOT an invoice. This ban order only, and does not evidence that payment has been made by purchases named herein. I asset that I veld forfeit this deposit (partial payment) if I decide not to complete this purchase. READ CONDITIONS ON REVERSE SIDE A - FOR OFF ROAD TRANSFERRER IS RESPONSIBLE FOR MILEAGE RECORDER ON THIS FORM I. CASH, CERTIFIED OR CASHIER ' S CHECK +Hay eindoistand Ma this is an ea the root vehede. and ems e`+ riot be used on public nods and highways of the Stasi &Florida UPON DELIVERY ON LOCAL BANK ONLY. $ 00 NOT SIGN THIS FORM IN BLANK I HAVE READ THE MATTER PRINTED ON THE BACK HEREOF AND AGREE TO IT AS A PART OF THIS ORDER THE SAME AS IF IT WERE PORTED ABOVE MY SIGNATURE MID IT COMPRISES THE ENTIRE AGREEMENT B - STREET LEGAL fully understand that a cumin motorcycle drives lame required by Hee been anyone Sin a met legal motorcycle. An automobile driver's NoT4,0“ is net accestable. I have ben mein matt of the mototcyoN saMT and VS reglss eft incenycle vasty. ten •rilkemese an Toll Fos Rumbas II 4004/T Accepee4 by (2) PURCHASER'S SIGNATURE •Onir Ma Sys. &MOM IN aatw. Mew EFTA00622137