Notary State of County of Subscr ibed and sworn before me this day of by Signature of notar y or license agent Pr inted name of notary or agent number Dealers Report of Sale Date of sale Date of del PDF document

Notary State of  County of Subscr ibed and sworn before me this day of by Signature of notar y or license agent Pr inted name of notary or agent number Dealers Report of Sale Date of sale Date of del PDF document

2014-11-27 270K 270 0 0

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The vessel is clear of encumbrances except as shown Any required sales tax has been collected Dealer s authorized signature Title Pr inted name Filing fee Excise tax License Application SalesUse tax Other Total fees and tax Subagent fee Do not inclu ID: 17763

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