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r <br />RECEIVED <br />+. AUG 1 4 20-m 1A • + <br />KITTITAS cow TY SH!::RIF TiR E'CE!JVED <br />ACCOUNT!~ G · . <br />• I <br />NATIONAL VEHICLE sERv1cE coNTRACT JuN o 1 201~ I m, LI NCOLN <br />APPLICATION, TERMS & CONDITIONS TTTASCOJNTVSHERIFF .. <br />(All vehlcles up to and lncludlng Transit and F-650) Kl I ACCOUNTING PROTBCT <br />REGISTRATI ON INFO MAT ON i <br />Vo le o I Ion · mb-or Slgnalu11i""Di1lo Wemmr.y Sia rt. Dalo' <br />1 F M 6 K 8 A R 9 B 4 6 06/06/2018 04/03/2018 •cPO <br />llonge. Current Hours• lf'P Tonn : •o •Incomplete <br />(Cab/Chassis) <br />Surcharge& 1 . f 0 Limo/Livery Wrap <br />0 12 Months/12,000 MUes O 56 monlhs/36,000 mlles (Ford and Competitive Make or 46 monlhs/60,000 miles (Unao!ri ~hk:les) <br />J O Tll'bocharger/Supercharger Q SnoWplow [8] Commerclal Use O Specialty • Emerge!lC}' (Flril, Ambul~rn:e} <br />~ Specially -Emergency (Are, Ambulance, Pollce pursuit units• except Ford Ponce Interceptor), Limo, Livery, ShutUo, Toy., TrllCK) <br />•component Wrap <br />(Non-CPO) <br />l>LAN COVERAGE . lxJ New Pla n nlhed Plan ' I <br />! <br />Plan Name A Ooduo.llble Plan Term <br />. <br />Plan Expiration • (Eotl lett of an 3) Purchase Salaa Tax Total Purchaae Price <br />Months Mlloeoe Hours• l;l11te Mlh111011 Hours• Price ! with Sales Tax <br />Premium CARE' $0 80 l 100000 r 04/03/2023 1 100000 I $27,95,00: $231,99 $ 3026,99 <br />Options 18) First Day Rental Delete [8] Enhanced Rental O Key Services Delele (New Plane only) D lnterlor/EKterior Ughllng Delete (New Plans only) <br />D Key Services Opt-In (Used Plans only) D Interior/Exterior Lighting Opt-In (Used Plans oniy) ! D POL (Lincoln Only) <br />PlanNameB D1iducllble Plan Tenn Plan Expiration • (Earliest of all 3) Purcha s~ S11i1111 .TH Tolal Purchase Price <br />Months MIieage • Hours• Date MIieage Hours• Price i with Sales Tax -I I I I s I $ $ <br />Options D First Day Rental Delete D Enhanced Rental . ·•Key Services Delete (New Plans on!y) 01nte_rlor/E><terlor Lighting Delete (New Plana only) <br />0 lnlerlor/Exterlor LlghUng Opt-In (Used Plans only) ! D Key Services Opt-In (Used Plans only) 0 POL (Lincoln Only) <br />•supar Duly and lnoomplale Vehlol e PJon ·coveragos requIro current ho urs and oxp1rat1onl <br />hours lor all vohlolo:s with en hour meter, • Total s21.e5.oo l <br />. I <br />$231.99 $ 3026,99 <br />DISCLOSURE INFORMATIO N: , : <br />THE PURCHASE OF THIS AGREEMENT 18 NOT REQl:JIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCIN13 !FOR A MOTOR VEHICLE, YOU MAY <br />PURCHASE THE SERVICE CONTRACT BY CASH OR UNS.ECURED CREDIT. CARD, IF YOU EI..ECT TO Pl:JijOHAS.E THIS AGREEMENT, IT GIVES YOU <br />SPECIFIC LEGAL RIGHTS, WHICH MAY VARY FROM STATE TO STATE. I acknowledge receipt of a oompJete oqpy of this Appllcallon and Tenns and <br />Conditions (the "Agreement") at signing and agree to eD the terms and conditions, I agree to maintain the coveml :Vehlctci In accordance with the menuracturer's <br />stated periodic maintenance recommendaUons as a condlllon of receMng coverage under this Agreemen~ except ss olha~ae provided by law, <br />Mlaelolp_pl Resldonts Oflly: BY, ~nln.11 ~al~ I agree to Iha W1111h. Jngton R08ld'enta-On!Y: By lolllullng 11)111. box, 11ckn ~\'IG I hllVD revlawed <br />binding erbltretlon [1111gU11gG In lhe,Mlslllsslppf Sec1,an. wilh Dealilr the aeollon of !!II• Sqrvf~ (;onlriicUIUe~, Wh_st Thia Ao~monl-Covura <br />and Vthl.et ls Not Co\lered, Your Re9P.011elUllltl1111 for , care of the Vehlcle1 lmplled <br />Warre.nly of MerchsnUObll!ty and Yovr:and our· Right& to Cencal AQreemen~ <br />_ er ome <br />Columbia Ford, Inc. <br />Addreas 1 <br />700-7th Avenue <br />Clly <br />Longview <br />ZlpCods <br />98832 <br />1 o o <br />Zlp ·Code <br />8~926 <br />Addr8"2 <br />state <br />WA <br />Telephone No <br />Addrlllil <br />307 W UMPTANUM RD <br />E-!Address <br />j Slg natu re Dale <br />I 08/06/2018 <br />I ~ervlce Conlreat Llenholder Name <br />L <br />ESP 8240-NatApp/Provs W/Key(July 17) (Previous Editions May Not Be Used) <br />7 <br />.J