Bill of Sale - Sullivan, Leslie_5/1/2012r?�A
MAKE
PRIZEFIGHTER
TITLE TYPE
NORMAL
STATE OF INDIANA
CERTZFICATE OF TITLE FOR A VEHICLE
MODEL NAME YEAR VIN
UNKNOWN 1966 T2919
FORMER TITLE/STATE PURCHASE DATE BODY TYPE
92119196010/IN 10/14/11 MH
OWNER(S) NAME
LESLIE SULLIVAN
705 W BROADWAY
PRINCETON IN 47670
MAILING ADDRESS
LESLIE SULLIVAN
705 W BROADWAY
PRINCETON IN 47670
ADDITIONAL OWNER(5)
FIRST LIENHOLDER
LIEN RELEASED BY:
X
PRINTED NAME: POSITION:
DATE:
�=:���
�•9MV��
USAGE TAX PAID ISSUE DATE
50.00 11/OS/11
ODOMETER/BRAND
EXEMPT/EXEMPT
SECOND LIENHOLDER
LIEN RELEASED BY:
PRINTED NAME:
DATE:
THIRD LIENMOLDER
LIEN RELEASED 8Y:
X
PRINTED NAME:
DATE:
BRAND(5)
POSITION:
�S�I-�fi[�]:P
The Commfssioner of the 6ureau of Motor Vehides, Wrsuant ro c�e laws of [he 5[ate of tntliana, certifes [hat the vehitle/wate¢2R has Deen Guty titleE and Ne
owner of :he descibeA vehicle/waterQaft is subjec[ [o Me liens se[ forth.
INDIANA BUREAU OF MOTOR VEHICLES _
R. Scott Waddeli, Commissioner
F0387759 TITLENUMBER
i�ai92is0000sa