1:1 07-13-2012 1904■ 01 GOIDCOASTCADILLAC 7326952025 EFTA00283884 ALL INFORMATION MUST BE COMPLETED IN INK OR BY TYPEWRITER NAME OF PURCHASER NES LLC 4 STREET 8 NO I '14/.'4Ai ::: CITY & STATE MAKE OF •VEHICLE CADILLAC TRUCK YEAR 2912 MODEL ESCALA BODY TYPE ESV AND V.I.N. NO. COLOR BLK GROSS WEIGHT 5870 DATE OF ISSUE 02/13/1012 IF TRANSFER-PLATE NO. MARKER EXPIRES 03/04/2012 ISSUING DEA..FR (STAMP ALL COPIES) GOLD COAST AUTOMOTIVE LLC 2123 HIGHWAY 35 NORTH OAKHURST NJ 07755 NAME OF INSURANCE COMPANY POLICY NO. 0004559306 8418 (R3/08) ANY ALTIRATIONS VOID THIS DOCUMENT TEMPORARY NO 2859761K 2859761K III Iii 0 l" S O 0 c gi -C w >• (.1) CC "2 >O g; Z ). 0 xi" +" 4 41( 2 &- 1 C 0 2 a) Z This is a tern X Sign epresentatve Print Authorlzede, epresfrabo) Signature of Purchaser r federal district. 0 O. 2 t 0 S u - LO < w WX0.-CC4C)--OZ DY1110V)1SVOD0109, SLOE 569E EFTA00283885 EFTA00283886