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r <br />L <br />RECEIVED i <br />! <br />I 7 <br />+ <br />COUNTY SI-I EF~\Fr I <br />KITTITAS 1r• RECEl!,VEO AC COUt \T \f --' , <br />,,.• + <br />NATIONAL VEHICLE SERVICE CONTRACT <br />APPLICATION, TERMS & CONDITIONS <br />JUN o 11201s~ I m ••H•o•• <br />(All vehloln -up to and Including Transit and F-550) <br />REGISTRATION INFORMATION <br />Slgnaf\lro to <br />9 8 4 6 08/0812018 <br />Internet Sale Current Hours• <br />[J Yes {81 No <br />KITTITAS COUNTY SHERIFF PROTECT ACCOUNTING <br />WaTl'anty Slart D~ <br />04/10/2018 <br />IPP Term , <br />• D •Incomplete <br />(Cab/Chassis) <br />Surohar911s: · l OLranolLlveryWrap <br />012 Months/12,00D MIies O 38 months/36,000 mlles (Ford and Compefll\ve Make or 48 monlha/60,000 mlles (Llncol~.vohldes) <br />0 Turbocharger/Supercharger D Snowplow 1B] Commerclal Use D Bpeclalty • Emergency (Fin,. ~mbu!Jnce) D Component Wriip <br />Specialty -Emergency (Fire, AmblAance, Police pursuit units -except Ford Pollce Interceptor), Limo, Llveiy; ShytUe, T~ Truck) (Non•OPO) <br />Plan Name A Deduatlble Plan Term Plan 'Expiration• (Earll&Bt of all 3} Purcli11e Sales Tax Total PurchaH Price <br />• Months MIieage Houni• Date MIieage Houni• Price i with Salas Tax <br />PramlumCARE $0 80 I 100000 'I 04/10/20231100000 I $2786,00 j $231.88 $ 3028.99 <br />Options (8] First Day Renlal Delele (gJ Enhanced Renlal O Key Services Delele (New Plans only) Qlnt"'1or~erlor lighting Delete (New Plans only) <br />0 Key Services Opt-In (Uaed Plans only) 0 lnterlo~/Exterlor lighting Opt-In (Used Plans on~) I O POL (Lincoln Only) <br />Plan NameB Doducllblo Plan Term· <br />Months MIieage Hour11• <br />I l <br />Plan Expiration • (Earliest of all 3) <br />MIieage Hours• <br />I I <br />Purcha~e <br />Price: <br />' I $ <br />Salea Tax Total Purchase Price <br />with Salas Tax <br />$ <br />Options D First Day Rental Delete O Enhanced Renta~ 0 Key Services Delete (New Plana only) O1nta~or/Exterlor Ughtlng Delete (New Plans only) <br />I <br />0 Key Services Opt-In (Uaed Plens only} D Interior/Exterior IJghtlng Opt-In (Used Plans only) ! 0 POL (Uncoln Only) <br />~S upar ouw and rn.complote Vthlclo r111n coveragos roqlllre ourront houra and expiration I Total $ 27911 oo· j 1231 99 $ 3028 98 houra for all ve!,lclo1 with an hour meter. I ' • • <br />DISCLOSURE INFORMATION: , <br />THE PURCHASE OF THIS AGREEMENT IS NOT Rl;QUIREO IN ORDER TO PURCHAS~ OR OBTAIN FINANCING 1FOR A MOTOR V!l-tlCU:, YOU MAY <br />PURCHABI! THE SBRVICI! CONTRACT BY CASH OR UNSECURED OREDFr OARD, IF YOU ELECT TO PURCHASI! THIS AGREEMENT, IT GIWB YOU <br />SPECIFIC LE.GAL RIGHTS, WHICH MAY VARY FROM STATE TO ·STATE, I acknowledge receipt ot a coml)lale oqpy of lhls A)'Jl:llf~Uon and Termt and <br />Conilltlona (lhe tt~reermint~:) at elgnlno and egree lo all the terms and conditions. I agr~ to ~ntaln Iha coveredivehtcl~ In BctOfdanoo with tho mahufllel\Jrer'i • <br />ataled perlodlo malittenanoe recommendeUona aa a condlllon of rece!vl119 OOY81age under lhla A,gresmen~ except es oiherjllse ptO'ilded by law, <br />~lsslnlp&l Res!donb Only; By ilgnl~ bol~ I agree to the Washlri~lon Resldonte Qr,ly: By lnlUeUng this boX, I ackno\-lJ,ed~haV!J revlawed <br />ndlng si 1/ellon language In Iha .M esls ppl S on. ~ with !:)ea .er Iha salltloo or lhls Service Contract IIUed, Whal la reement Coveis C\ end 1/vhal fs Not covaIed, Your~ee~~lbllllles for Care of th·e eh]ole, lmpllod <br />'Warl'a.nly or r,ierchlltiUUbllllY and clif.an O~r RJghta to Cancel AQreemanl <br />8lgn11turo (not valld wllhoutSlonaturo) · ; · <br />SERVICB'C1'1it.i;J;~.llM4:fOLOER / PURCHASER t <br />Signature (l<M'ldl!~wllh4 'J\ ? \Sl gnall.JI)) <br />8h}1e <br />I Signature Date <br />08/08/2016 <br />~~TAS c~uJn-\..j./ Addre5S <br />307 W UMPTANUM RD <br />City I State ZJpOOde E-mall Addr88li l satv1ce conll8ct Llenho!der Name <br />eLLeNSBl,JB8"> ,WA 88928 <br />DEALERSHIP INFORMATION I <br />Dealer "r~ ~~ , ...... <br />-- <br />~ --•~ltlrJllarne <br />Columbia Fold, lnQ. <br />Addraas 1 Address 2 <br />700-71h Avenue <br />CIIY Slate <br />Longview WA <br />ZJ:p Code Telephone No <br />98832 f:'rae sta·ra Id <br />o o I 2 ! 4 I 7 I 7 I !I I 1 I 4 I <br />P&ACode <br />lo I e I 8 I o I 2 I <br />ESP 8240-Nat App/Provs W/Key(July 17) (Previous Editions May Not Be Used) <br />_J