HomeMy Public PortalAbout1999.09.10 Manufactures Statement of Origin Golf Club CarCLUB CAR,. INC. .
P.O. -Box 204658
Augusta, Georgia 30917-4658
Telephone706/863-3000
FAX:706/860-7231 ,
MANUFACTURER'S
STATEMENT OF: ORION
,Control,Io 19.8.3 2
The undersigned;. Club Car,„Ific:,, a',Delaware.corporetion, herebY certifies'. that the new`Ohiele described beloW the
property of said, corporation,; was transferred on SEPT' .. 09 1 g.. 9 9 , Invoice No. " 7 2 2 0 0 7
to CITY OF MCCALL GOLF COURSE
whose address is 8 2 3 " REEDY LANE'" PO BOX 9 8 6 '
'MCCALL
ID 83`638'
„
(Street,
Trade Name CLUB CAR
City,
State,
Zip Code)
Year 2000 Series/,Model XRT 272 PEDAL START
Body Type "GOLF CAR'` Serial No.
QG0003863191 '
The: corporation further certifies that this was the first:transfer,of such;vehicle in.ordinary trade and commerce..
CLUB CAR, INC.
BY.�_ ,� _
' As its dulyauthorized representative .._
aoco
a G7 66.0 6 /9/
WARNING: This vehicle is not a motor vehicle as defined in the National Traffic and Motor Vehicle Safety Act; is not ,
designed or manufactured for use on, roads, streets or .Iiighways,and: is not appropriate for such ,use;. and is not.
meant to be licensed as'a road vehicle. '
(Over)
Miller 623309-U Rev. 3/97
This Manufacturer's Statement of Origin Is valid only If presented with. colored background.
7300/921001
ASSIGNMENT OF OWNERSHIP
UPON ASSIGNING OWNERSHIP OF THIS VEHICLE TO A NEW OWNER, PLEASE SEND A
COMPLETE COPY OF THIS DOCUMENT TO:
CLUB CAR, INC.
P.O. Box 204658
Augusta, Georgia 30917-4658
ATTN: VEHICLE REGISTRATION
FIRST ASSIGNMENT:
For value received, I (we) hereby sell, assign and transfer ownership of the vehicle described on the reverse side hereof,
free and clear of all liens and encumbrances, to:
Buyer's Name
Address
Seller's Signature
Date
SECOND ASSIGNMENT:
Notary Public
(Notary Seal)
For value received, I (we) hereby sell, assign and transfer ownership of the vehicle described on the reverse side hereof,
free and clear of all liens and encumbrances, to:
Buyer's Name
Address
Seller's Signature
Date
THIRD ASSIGNMENT:
Notary Public
(Notary Seal)
For value received, I (we) hereby sell, assign and transfer ownership of the vehicle described on the reverse side hereof,
free and clear of all liens and encumbrances, to:
Buyer's Name
Address
Seller's Signature
Date
Notary Public
(Notary Seal)