HomeMy WebLinkAboutMANUFACTURER CERTIFICATE•
MANUFACTURFR'S
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STATEMMt OR CERTIFICATE OF ORIGII-;�
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TO A MANUFACTURED HOME
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.DATE INVOICF NUMBER
10/20/2017 64324
MANUFA0TUREA'8 IDENTIFICATION NUMBER YEAS BODY WIDTH' (FT)
JAC FL 35207 B 2018 13@411
TYPE OF -MOBILE HOME LENGTH WITH NITCW LENGTH WITHOUT HITCH
DOUBLE 52'0" 4810"
SQUARE FEET OATS OF MAUUFACTNR< SERIES OR MODEL WEIGHT
64:0 October 2017 IMPERIAL LTD
I, the undersigned authorized representative of the company, firm or corporation named below, hereby certify
that the new mobile home described above is the property of the said company, firm or corporation and is
transferred on the above date and under the Invoice Number Indicated to the following dealer,
NAME OF DEALER: Central Mobile Homes, Inn.
930 W Hlckpochlee Ave
LaBelle, FL 33935
It Is further certified that this was the first translar of such new mobile home in ordinary trade and commerce.
JACOBSEN MANUFACTURING, INC.
MH 1-000s83111
DY:
0008020
OO O O (SIGNATURE F AUTHO IMO REPRESENTATIVE) (AGENT)
600 PAC RD COURT
SAFETY MARQOR. FL 34829
CITY-STATE
11/21/2017 01:08 17277257730
VJACOBSEN HOME
JACOBSEN MANUFACTURING, INC.
DATE INVOICE NUMBER
1012012017 64324
MANUFACTURER'S 106NTIFICATION NUMBER YEAR DOOYWIDTA jMl
JAC FL 35207 A 2018 13'4"
TYPE OF MOBILE HOME LENGTH WITH WITCH LENGTH WITHOUT HITCH
DOUBLE 52'0" ' 4810"
90UARE FEET DATE OF MANUFACTURE SERIES OR MODEL 1VE10Hi
640 October 2017 IMPERIAL LTD
I, the undersigned authorized representative of the company, firm or corporation named below, hereby certify
that the new mobile home described above is the property of Me said company, firm or corporation and is
transferred on the above date and under the Invoice Number Indlcatad to the following dealer.
NAME Or DEALER, Central Mobile Homes, Inc.
930 W Hfckpachee Ave
Laaelle, FL 33935
I
It IE further certified that this was the first transfer of such new mobile home in ordinary trade and commerce.
JACOBSEN MANUFACTURING, INC.
MH 1000593/1
BY;
0008019
(BIGNATU f, OF AUTHO [ZED REFRESENTATIvF.) (AGENT)
Ron PAC RD COURT
SAFETY., HARBOR. FIL 3409S
CITY-STATE
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