5/12/2014 Notice of Transfer and Release of Liability--Receipt

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Notice of Transfer and Release of Liability
Please print this receipt for your records.
Date 05/12/2014
Time 08:25:10
License Plate Number/CF
Number
6VUL665
VIN/Vessel Hull Id. 1HGEJ6671VL028567
Vehicle Make HOND
Year Model 1997
New Owner Information
Last Name WILLIAMS
First Name LARRY
Address 25968 DRACAEA AVE
Apt. Number
City MORENO VALLEY
State CA
Zip 92555
Sale Information
Odometer Reading 280686
Odometer Code Actual Mileage
Sale Date 05/10/2014
Selling Price 400
If This is a Gift No
Seller's Information
Last Name HARDIN
First Name CLARISA
Address 29413 BRAWIN STREET
Apt. Number
City MURRIETA
State CA
Zip 92589
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