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8F Consent 2014 1117
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8F Consent 2014 1117
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Last modified
11/20/2014 11:14:38 AM
Creation date
11/13/2014 10:50:44 AM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Staff Report
Document Date (6)
11/17/2014
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PERM
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_CC Agenda 2014 1117 CS+RG
(Reference)
Path:
\City Clerk\City Council\Agenda Packets\2014\Packet 2014 1117
Reso 2014-126
(Reference)
Path:
\City Clerk\City Council\Resolutions\2014
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STATE OF CALIFORNIA <br />12789120146 CERTIFICATE OF TITLE <br />y <br />P <br />MOTORCYCLE PERM EXEMPT <br />YR <br />VEHICLE In NUMBER MODEL MAKE PLATE NUMBER <br />1CUM1132721-1-000204 90 CUSHM 28K15 <br />UNLADEN REGISTRATION <br />BODY TYPE MODEL AX WEIGHT FUEL TRANSFER DATE FEES PAp EXPIRATION DATE <br />MC O NONE 12/31/99 <br />6 <br />YR 1ST <br />SOLO CLASS 'Yfl MO EOUIPMT/TRUST NUMBER ISSUE DATE <br />89 CD UL 344 12/14/89 <br />MOTORCYCLE ENGINE NUMBER ODOMETER DATE • ODOMETER READING <br />62644.5 <br />REGISTERED OWNER(S) <br />CY SAN LEANDRO <br />835 E 14TH ST <br />$ <br />SAN LEANDRO CA 94577 <br />I� <br />, <br />FEDERAL LAW REQUIRES that you state the mileage upon transfer of ownership. Failure to complete or making <br />m <br />a false statementmay result in fines and/or imprisonment. ,. <br />I I which is the actual mileage of the vehicle unless one of the following statements Is checked. <br />Odometer reading is:I I <br />," <br />WARNING - Mileage ❑ is not the actual mileage. ❑ Exceeds the odometer mechanical limits. <br />4 <br />t <br />I certify under penalty of perjury under the laws of the State of California, that thesignature(s).below releases <br />interest in the vehicle and certifies to the truth and accuracy of the mileage information entered above. <br />la. X <br />DATE SIGNATURE OF REGISTERED OWNER <br />1b. X <br />DATE SIGNATURE OF REGISTERED OWNER <br />t <br />IMPORTANT READ CARE -FULLY <br />Y . <br />Any change of Lienholder (holder of security interest) must be reported. to the Department of Motor Vehicles within <br />10 days. <br />LIENHOLDER(S) V <br />2, Aa <br />Signature indicates loan paid Off and releases. interest <br />' <br />in vehicle. <br />Release Date <br />i <br />ET0205614 <br />013360 <br />., <br />REG, 1730 (NEW .10/68). <br />. Q' <br />.... . <br />1 ® ® - ® <br />e A <br />
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