EFTA00622137.pdf

o 7 NAME k tlA rti PAC A J X er -P a -5 9ts O r oss ■C Kawasaki * SUZUKI KW. aprilia 0Husqvarria LtTk RTC A) rryt_t4 7- CITY, STATE ZIP 009 MVR K 94101055 Tel: 305.557-1311 • Sales Fax: 305.556-8776 ' l/i t-( vrf1 . Toll Free: 1.888.565-2555 D L.t E-Mail: infoepalmettomotorsports.com Parts Fax: 305426-2574 PH Ea EMAIL 6400 W. 20th Avenue • Hialeah. Florida 33016 www.palmettomotorsports.com J YEAR 20 i 3 MAKE skid_ I MODEL STOCKS KAcTco Fbr I.D. NUMBER MILEAGE N IA COLOR KEYS VEHICLE OISCLOUSURE: VEHICLE IS REPRESENTED TO BE IfNEW 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 OF VEHICLE COLOR: FREIGHT (FROM FACTORY) YEAR MODEL PAYOFF UNCRATING & ASSY. ID. NUMBER DEALER PREP (Pal.) MILEAGE OEM• is '4.. 12 24 16 48 EXT. WARRANTY PLEASE NOTE PARAGRAPH a ON THE REVERSE ASSUVES THAT Al: SILLS OF EVERY NATURE ARE DEALER INSTALLED EQUIPMENT 89 9 elf PAID rN FULL ON tilt_ TRACE FS i )(CERT THOSE SPECIE DCAT .-.Y NOTED HEREON 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 FLORIDA LAW - WASTE TIRE ginoll cAecrc I rti AND LEAD ACID BATTERY FEE WAREHOUSE FEE -30--se- AOmiNiSTRATIVE SERVICES 'DEALER SERVICES (PER ADDENDUM( 4 -99 - P- 50 . 2, 9 6/ vr SUBTOTAL AMOUNT TAXABLE / ) pLus, T S C f4 i vi s G4 Le SALES TAX ()Y ap i t i PLUS. NEW LICENSE •'ESTIMATE• /Q `irecL TAIL ci),e)til it x q TITLE & REGISTRATION FEE 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. +Hay eindoistand Ma this is an ea the root vehede. and ems e`+ riot be used on public nods CASH, CERTIFIED OR CASHIER ' S CHECK and highways of the Stasi &Florida UPON DELIVERY ON LOCAL BANK ONLY. B - STREET LEGAL $ 00 NOT SIGN THIS FORM IN BLANK fully understand that a cumin motorcycle drives lame required by Hee been anyone Sin a I HAVE READ THE MATTER PRINTED ON THE BACK HEREOF AND AGREE TO IT AS A met legal motorcycle. An automobile driver's NoT4,0“ is net accestable. I have ben mein matt PART OF THIS ORDER THE SAME AS IF IT WERE PORTED ABOVE MY SIGNATURE of the mototcyoN saMT and VS reglss eft incenycle vasty. ten •rilkemese an Toll MID IT COMPRISES THE ENTIRE AGREEMENT Fos Rumbas II 4004/T Accepee4 by (2) PURCHASER'S SIGNATURE •Onir Ma Sys. &MOM IN aatw. Mew EFTA00622137