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L
<br />RECEIVED
<br />' , u, · 1 1, ,n i 1
<br />• C ,.. -:,I RECEIVED
<br />.. MAINTENANCE PLAN APPLICATION 1 K·1n1TAS coumY SHERIFF • l ~ I m LIN OLK TERMS & CONDITIONS • A CCOUNTUJ~ JUN Q 7 ?018 . fJI a
<br />NEW AND USED VEHICLES 1
<br />• KITTITAS COUN1'i'l' SHERIFF PROTBCT
<br />ReGISTRATION INFORMATION ACC Oli~T.ING
<br />18] Gau/Hybrid
<br />8 gnaturo Dato Warranty Start Osle
<br />I 1 7 7 9 5 06/06/2018
<br />Internet Sala O Dleael
<br />03/16/2018 I
<br />IPP Tenn Current MIieage I • I , t-D~_v_ea--::::::;18]~X_N_0 ______ ___. ______ ...._ ___ ..,.._ _________ -l D Eleotrlc
<br />Surchar11asQ 12 Monu,,12,000 MIies (PMP Ohfy • Nol opplfosble rorCPO) · I
<br />10 I
<br />O ae montha/36,000 miles. (Ford and Competitive Mako or•B inonlh/60,000 mBoa (Unooln vahlclas) ·(PMP only. Not D CPO
<br />appllQable ror CPO) · : O D Snow Plow (PMP Only• Not appllcahle for PMP E, PMP L1 PMP Bl or PMP CPO) Incomplete
<br />~ Specialty-e~~rgo!l!l)' (fir~. o.rnbulimce, P.OIIC1) (except Ford Pollc11 lnletceptor)), lfmo, llvery, ahutlle, tow; 0 Medium Duty
<br />lruck11, • (~a.,,nybrld, Olesel end Uncoln Premium Maintenance P!e.n.s Only) .
<br />PRf:MIUM MAINTENANCE Pl.ANS : Gas/Hybrid, Electric, Dlesel, Uncoln, Black Label, Incomplete (Cab/Chassis), Medium Duty, CPO -(Standard $0 OeductlbJe) · , I
<br />LIMITl:D, BASIC AND ENGINE MAgTENANCE PLANS: C31;1s/Hybrld and Olesel-(standard $0 E>eductlble)
<br />For Premium Maintenance Plans PMP) cove·rage BEGINS at the N~w Vehlole limited Warranty Start Date and Zero MIies.
<br />Coverage ENDS at THE EARLlf:R F the Number of Years Pl.lrchased 1 the Number of Miles Puronased Qr UP.OJJ compleUon of.
<br />the Maximum Number of Service_ Intervals Purchased from the New Vehicle Limited Warranty Start Daje or Zero MIies.
<br />For' LIMITED BASIC AND ENGINE M!llntenance Plana coverage BEGINS at the Signature Date and Current MIieage ,
<br />Coverage ENbs at THE EARLIER OF the Nvtnber of Years Purchased the Number ofMIJes Purchased or upon comp letion of
<br />the Ma)(lmum N_umb~r of Setvlce lntelVals Purchased from the Signature Date or Current Mileage'.
<br />PLAN COVERAGE \ !
<br />Plan Name Plan Term Plan E>cplt'll!Qn (Earlier 01) Purohaau j Salee Tax Total Purchase
<br />Month1 MIieage Oete Mlloage Price Price with Sal11a Tax
<br />Premium Maintenance 72 1100000 03/18/2024 1100000 $ 288Q,00 I $ 222.44 $ 2902.44 I
<br />Premium Maintenance D First Day Rental (Nol appf/cab/o on Blaak Lab(,/ 2016 Model Maintenance [I] Fu~lheflc OI i (Naf ap1)11C1Jbla on fully Plan Options Yeara and Prior, lncomp/ele or Medium Duty PlanB) Plan Options El . 11/o, OPO, BMP ll11d eMPJ .
<br />' 0 Pick Up and Delivery Option (Lincoln only-excluding Fleet .
<br />:, vehicles) I
<br />Service Intervals O s,ooo• [&15,000 • 1,soo 010,000+ Sorvlc1o vial~
<br />"Not available on PMP Plana. + only servtce lnlarval avalleble ror PMP Electrlc 20 l
<br />DISCLOSURE INFORMATION . : j
<br />· NOTE: TRE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER .TO PURCHASE, OR OBTAIN
<br />FINAN~G FOR A MOTOR VEHICLE, . i .
<br />Va~i-Pe° agg99prrn~PJt°fh: 9Cff1/!:l:,rnc~y-li1 °JJ~'iM:tniin:nmtl:Pnft:n~Cf~f1Pc,~s;1':l,~e~n~ c},ggf!jl~?~1nWit'!Nf:Jhvi',l:7J/'!!, ~aco anoe wifh t ,~ manulaoturers sta ~d parto'?llo me.tnYenanoe raoommenaaWms as If ~na;t on o1'reoalv/ng coverage unda,: this atntananca 1sn except as olhal"Msa prov/dad by law. , 1
<br />· INTENANCE PLAN/PURCHASER !
<br />Slgnelw d wll 81gnalure) Slgnoturo Date
<br />Columbia Ford, Inc.
<br />Ad~fess 1
<br />700-71h Avenue
<br />City
<br />Longview
<br />Zip Code
<br />98632
<br />Employee Stara Id
<br />Zip Code
<br />98926
<br />Addreu2
<br />Stale
<br />WA
<br />Toleph~ne No
<br />FPLP 8324 • MNTC (Oct 17) (Previous EdlUona May Not be Used)
<br />06/06/2018
<br />Addre88
<br />307 W UMPTANUM RD
<br />E-men Address Melnlenance Plan L enholdor Name
<br />FOR OFFICE USE ONLY
<br />_J
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