9310 SW Millen Dr �jC-C�7d� 07l1D7Ri U 1:! 107ci
P-
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Tigard High School Area Parking Permit Application
Permit Period: September 2016—June 2018
1. Applicant name: _ bAN-)" N1C,"-\:�,' e�(
Address: OhX 60 m MQ_v�
Tigard, OR 97224 Phone #
2. For proof of residency, attach a copy of a utility bill, real estate title or rental contract
including name & address.
3. Attach a copy of the vehicle registration for each parking permit requested.
Each household will receive 1 guest-parking permit. If you would like more than 1 guest-
parking permit, how many would you like?
I agree to use any parking permit(s) assigned to my vehicle(s) only on the specific vehicle it is
assigned by the City of Tigard Police Department, for the purpose, it was issued. Any
parking permit(s) remain the property of the City of Tigard and may be revoked if improper
use is demonstrated. I agree to assign guest parking permit(s) to people only while visiting my
home and surrender any rights if I move. Violation of any of these understandings may result
in cancellation of the parking permit(s). After cancellation, any vehicle(s) found parked in the
permit area bearing said parking permit(s) shall be cited.
Signature Date
Mail this application with proof of residency and vehicle registration(s) to:
Tigard Police Department
THS Area Parking Permits
13125 SW Hall Blvd. - -- -
Tigard, OR 97223
OCT 05 2016
Prepared onJune 3,2016 Page 1 of 6
Nationwide Your Policy Declarations
is on your side Personal Auto Policy
Policy Period:Feb 18,2016-Aug 18,2016
Policy Number: PPNM0018240008-8
Policyholder(Named Insured): Account Number: 7200013113
Troy Vanriper
D'Ann Vanriper
9310 Sw Millen Dr
Tigard,OR 97224-5572 Keep these Declarations for your records.
General Policy Information
Issued:June 3,2016
These Declarations are a part of the policy named above and identified by the policy number above.They supersede any
o Declarations issued earlier.Your policy provides the coverages and limits shown in the schedule of coverages.They apply
M to each insured vehicle as indicated.Your policy complies with the motorist's financial responsibility laws of your state
`r
, only for vehicles for which Property Damage and Bodily Injury Liability coverages are provided.
00
o Policy Period:February 18,2016-August 18,2016 but only if the required premium for this period has been paid and
rn only for six month renewal periods if renewal premiums have been paid as required.This policy is initially effective at(1)
o the time the application for insurance is completed,or(2) 12:01 a.m.on the first day of the policy period,whichever is
o later.Each renewal period begins and ends at 12:01 a.m.Standard time at the address of the named insured stated
herein.This policy term expires at 12:01 a.m.at the address of the named insured stated herein.
Your carrier is Nationwide Insurance Company Of America,NAIC#25453.
How You Saved on this Policy with Nationwide
• Multi-Policy Customer • Multi-Car Discount • Air Bag Discount
• Accident/Violation Free Discount • New Vehicle Discount
Thank you for being a long-term customer.
Insured Drivers
Name Date of Birth Marital Status License Number
Troy Vanriper 03/06/66 Married/Domestic Partner XXXXX1388
D'ann Vanriper 11/05/67 Married/Domestic Partner XXXXX6778
Clay P.Vanriper 07/17/95 Single XXX0944
Lauren Vanriper 08/23/98 Single XXX1917
Changes Made to Your Policy
• Added Driver-Vanriper,Lauren
• Added-06 Niss And Removed-99 Bmw
• Rating Adjustment For Driver Assignment Changed-04 Hond
• Change IN Non-Driving Children
Effective date for all changes June 02,2016
16243(12-08) Continued on the next page
OREGON
PASSENGER REGISTRATION 591
PLATE NUMBER TITLE NUMBER i PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
OI WC12427 1414066035 082415 APR 19, 2018 GASOLINE
YEAR I MAKE STYLE I MODEL I VEHICLE IDENTIFICATION NUMBER WEIGHTILENGTH
2014 CADI [4D CTS 1G6AX5SX9E0164977
TITLE BRANDS - NONE - ODOMETER READIN704/19/14 METER DATE
OWNER/ 31
LESSEE ODOMETER MESSAGE
VANRIPER, TROY MATTHEW
VANRIPER, RONNA DANN 4462WLQ
9310 SW MILLEN DR COUNTY OF COUNTY OF
TIGARD OR 97224 RESIDENCE USE
NEW WASHINGTON
ADDRESS
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE IFUELTYPE EQUIPMENT NO.
�� 873JBB 1609717328 040616 FEB 13 , 18 GASOLINE
YEAR MAKE I STYLE MODEL VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
2006 NISS CP 1350 JN1AZ34E46M380093
TITLE BRANDS - NONE - ODOMETER READING ODOMETER DATE
OWNER/ 57, 089 02/13/16
LESSEE ODOMETER MESSAGE
VANRIPER, TROY MATTHEW
VANRIPER, RONNA DANN
9310 SW MILLEN DR
TIGARD OR 97224 COUNTY OF COUNTY OF
RESIDENCE USE
NEW WASHINGTON
ADDRESS
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
873JBB 1 1609717328 0406161 FEB 13, 181 GASOLINE
YEAR MAKE STYLE I MODEL VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
20061 NISS I CP 350 JNlAZ34E46M380093
TITLE BRANDS - NONE ODOMETER READING DOWEfr-R DATE
087
9
OWNER/ 57 089 02/13/16
LESSEE ODOMETER MESLzA_=
VANT TPER. TROY MATTHEW
-----IPER.
RONNA DANN
^210 SW MILLEN DR
TIGARD OR 9 7 2 COUNTY OF
NEW WASH-T-
AD-Rl
v
rYl(�.•fit - k:
rilSIGNATURE AND COUNTERSIGNATURE OF SECURITY INTEREST HOLDER OR LESSOR RELEASING ALL INTEREST DATE
$' -,SIGNATURE AND COUNTERSIGNATURE OF SECURITY INTEREST HOLDER OR LESSOR RELEASING ALL INTEREST DATE
...:rx
SEE
APPLICATION INSTRUCTIONS.
' •E ERSE OF TITLE FOR
,i 1Jlir �� �` j11i1t � j�� � � !q:(jl)lilr,,�, i�'f!??tt1 �1 JJ• irlJ.t1;1,tl IiSJi�;1 44 . � �l:lt(f' �-�i'' �tiy 3
735-410(5-08) 126BRZ KMHDN56D15U148082 1621748058 C
1568 307 08 Vl T1 03 S7 Ml P5 EO MO 34
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE IFUELTYPE I EQUIPMENT NO-
�� 126BRZ 1621748058 080416 MAR 13 , 17 GASOLINE
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER
2005 HYUN 4D ELN KMHDN56D15U148082
TITLE BRANDS - NONE - ODOMETER READING jO0C%'.EiEFID iE
OWNER/ 126, 849 06/15/16
LESSEE VANRIPER, TROY MATTHEW ODOMETER MESSAGE
VANRIPER, RONNA DANN
VANRIPER, LAUREN DENALI
9310 SW MILLEN DR
TIGARD OR 97224 COUNTY OF COLNTYOF
RESIDENCE USE
NEW WASHINGTON
ADDRESS
PASSENGER REGISTRATION CARD � �W
PLATE NUMBER TITLE NUMBER FUEL TYPE FARM 1D NO. NEW EXPIRATION DATE
7b7DBP 0708800519 GASOLINE MAR 15, 2013
YEAR MAKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER HVUT DATE
2004 HOND VA DY 5FNRL18614BO77920
EQUIPMENT NO. IGHT/LENGTH TITLE BRANDS 1 /yS$6.00
- NONE - 2 -,$86.00
144.00
ODOMETER READING ODOMETER DATE ODOMETER MESSAGE 3 $134. 00
4 $144. 00
a
I
*VANRIPER, TROY MATTHEW i
VANRIPER, RONNA DANN op � .
9310 SW MILLEN DR COUNTY OF RESIDENCE COUNTY OF USE
TIGARD OR 97224-5572 WASHINGTON
NEW ADDRESS(HOUSE NUMBER,STREET,CITY,STATE.ZIP CODh VWSUTR945
NEW PLATE NUMBER NEW STICKER NUMBER
.:
3p297177
. YEAR rMKE STYLE MODEL VEHICLE IDENTIFICATION NUMBER EQUIPMENT NO.
2005 HYUN 4D ELN KMFiDN56D15U148082
; ) OWNERtLESSEE ODOMETER READING JODOMETER DATE
126, 849 06/15/16
ODOMETER MESSAGE
}� 2
VANRIPER,` TROY MATTHEW Is
VANRI PER, RONNA DANN The title'Brand"printed below Indicates the History,
® condition,or circumstances of the vehicle for which
VANR I PER, LAUREN DENALI this title has been issued.Please see back of title for
9310 SW MILLEN DR more information.
\ TIGARD OR 97224 z'
I — NONE
� r
USE THIS SECTION WHEN THE ONLY CHANGE IS TO REMOVE A SECURITY INTEREST. FOR ANY OTHER CHANGES,SEE INSTRUCTIONS ON REVERSE. °
if there is no change in owners as shown above,AND all security sIGPtATllt?E(DOES NOT RELEASE INTER7" DA-TE
interest holders have released interest,one registered owner must
Is and�ate here,if not completing a s8paftliTioti tdf Tif18. _. _ __
P Irl addition,it your address has changed,cross out the old address TO rel6as
e'interest tt1 the vehicle,complete
t and write the new address and county of residence on the front of
the rt?ASS otilil@tit on bSC{C Of the title.
the title. Mail the tits and the fee to:DMV,1905 Lana Ave NE,Salem OR 97314.
v SECURITY INTEREST HOLDERILESSOR
}^ IGNATURE AND COUNTERSIGNATURE OF SECURITY INTEREST HOLDER OR LESSOR RELEASING ALL INTEREST DATE
ky&
IGNATUREAND COUNTERSIGNATURE OF SECURITY INTEREST HOLDER OR LESSOR RELEASING ALL INTEREST DATE
SEE REVERSE OF TITLE FOR APPLICATION INSTRUCTIONS.
" It
'°. 041
)i�� �i
735-410(5-08) 126BRZ KMHDN56D15U148082 1621748058 C
1568 307 08 V1 T1 03 S7 M1 P5 EO MO 34
OREGON
PASSENGER REGISTRATION
PLATE NUMBER TITLE NUMBER PROCESS DATE EXPIRATION DATE FUEL TYPE EQUIPMENT NO.
12613RZ 1621748058 080416 MAR 13, 17 GASOLINE
YEAR MAKE STYLE I MODEL I VEHICLE IDENTIFICATION NUMBER WEIGHT/LENGTH
2005 HYUN I 4D ELN KMHDN56D15U148082
TITLE BRANDS - NONE - ODOMETER READING DOMETER DATE
OWNER/ 126, 349 06/15/16
LESSEE VANRIPER, TROY MATTHEW ODOMETER MESSAGE
VANRIPER, RONNA DANN
VANRIPER, LAUREN DENALI
9310 SW MILLEN DR
T I GARD OR 97224 COUNTY OF COUNTY OF
RESIDENCE USE
NEW WASHINGTON
ADDRESS
RON TONKIN CHEVROLET o l�
tl
813216 122 NE 122ND AVE
198483 PORTLAND, OR 97230
FOR THE Love f CAR$ 813216
TO 'MOTOR VEHICLE PURCHASE AGREEMENT DADEYS 09/15/2016
PURCHASER'S NAME o RES 503/547-5450 STOCK NO.
CLAY VANRIPER N eus IPC10399A
ADDRESS CITY STATE Zip
9310 SW MILLEN DR TIGARD I OR 1 97224
The undersigned(herein called Purchaser,whether one or more)hereby agrees to purchase from Dealer subject to the terms and conditions hereof,thefollowing described property.
NEW OR YEAR #CYL. MAKE BODYTYPE MODEL VEHICLE IDENTIFICATION NUMBER
USED USED 2011 HYUNDAI SD KMHCN4AC26U611881
COLOR MILEAGE LICENSE ACCENT SALES REPRESENTATIVE
GRAY 54246 792GEG JOSHUA VALENTI
DEPOSITS TAKEN ON VEHICLE ORDERS ARE NON-REFUNDABLE EARNEST MONIES
LOCALLY ADDED ACCESSORIES CARRYTHEIR OWN WARRANTIES SOLD AS IS AS EQUIPPED AT THE TIME
SEPARATE FROMTHOSE OF MANUFACTURER. OF SALE UNLESS NOTED OTHERWISE.
OTHER ACCESSORIES:
ALL SALES/LEASES FINAL OAC.
NO FREE WORK OR EQUIPMEN
PROMISED OR IMPLIED. 1. Cash Sale Price....................................................................... $ 6999.00
A.LicenselRegistration Fee................. $ II N/A
THE NEW VEHICLE MANUFACTURER IS NOT A PARTY TO THE /
B.TiUe Fee/CVR Fee.,1 EV ............ $ 77.001 35.00 L/,- Initial
FOLLOWING EXTENDED SERVICE CONTRACT WHICH YOU HAVE C.Title&Registration Processing Fee $ 11500 _Initial
PURCHASED: D. Service Contract Fee....................... $ 2998.00
PRINCIPAL E. AFr MKTIGAP $ 527.68
...................
IMPORTANTWARRANTY INFORMATION Total Charges(t+fAthrough 1E)................................................ S 10751.68
Unless Dealerfurniehes Purrhasarwith a separate written warranty or service Centred made by 2. Downpayment: $
Dealer on rte own behalf,DEALER HEREBY DISCLAIMS ALL WARRANTIES,EXPRESS OR
IMPLIED,INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS A. Cash Downpayment......................... $ NIA
FOR A PARTICULAR PURPOSE ON ALL GOODS AND SERVICES SOLD BY DEALER.ALL
USED VEHICLES ARE SOLD AS IS.Any warranty on any new vehicle or used vehicle still
subject to a Manufacturer's warranty is that made by the Manufacturer only.All warranties,if
any,by Manufacturers and suppliers are theirs,not Dealer's,and only the Manufacturers and
suppliers shall be liable for performance under such warranties. $ N/A
PURCHASER SHALL NOT BE ENTITLEDTO RECOVER FROM S.Trade In:Value $ NIA
D LER ANY DAMAGES FOR LOSS TO PROPERTY OR PERSONS OR DAMAGES FOR
LASS OF USE,LOSS OF TIME,LOSS OF PROFITS,LOSS OF INCOME,OR ANY OTHER Loss
CONSEQUENTIAL OR INCIDENTAL DAMAGES. owing$ N/A Net $ N/A
SPECIAL CONDITIONS Total Down(A+B+C)._...................... $ N/A
Purchaser agrees to obtain physical damage and liability Insurance on the Vehicle.Deltvery of 3. Unpaid balance of cash
the Vehicle to Purchaser Is subject to credit approval by a financial institution of Dealer's choice
(Lender).If Purchaser's credit is not by Le T.Purchaser will immediately return the sale price(1 minus 2).........I..........
..
Vehicie to Dealer.
To be paid
PURCHASERX_
DESCRIPTION OF FIROTTRADE-IN DESCRIPTION OF BECONDTRADE-IN
(DESCRIBED SECONOTRADE-IN AT RIGHT) (DESCRIBED FIRSTTRADE-IN AT LEFT)
YEAR MAKE I BODYTYPE MODELYEAR MAKE I 13ODYTYPE I MODEL
VEHICLE VEt1{CLE
IDENTW-MT10N NO. IDENTIFICATION NO.
UlVeherobycert�ythatthe trade-In vehicle(s)described above andtothe right has not sustained anydamage PURCHASERASSUMESRESPONSIBIUTYFOR ANYDIFFERENCESINPAYOFFINEXCESS OF N/A
{n excess cell$51X),INe further=that this will provide to Dealer good,clear and unbranded title to trade-in ON VEHICLES BEING TRADED IN AND AGREESTO PAY THE DIFFERENCE IN CASH ON DEhWND.
vehick(s)described above and to the right Purchaser agrees to pay any lost title replacement fees.
PURCHASER X PURCHASER X
1,__--.__._. (Seller) (, -
(Seiler)
cele nm the odaneler of the veNde ante thud the odomerer of trio Vehicle (NO TENTHS MILES
dwcabedabove(FrgIrrade),rwwmade NO TENTHS MILES desc�ibodabovo(seoandDade)no.mads
Oregon law and administrative rules permit the Dealer to act as a DMV agent and to complete
and process the ownership and registration Corms required by DMV.This Is not a government PURCHASER X
fee or a fee required by law.In the event of a cash sale,Purchaser has the option to complete
the DMV paperwork on their own by declining the dealer-provided service and processing lee, CO-PURCHASER X
except aryTrip Permit fees.
ACCEPTS X f i (INITIAL) DECLINES X (INITIAL) MANAGER X
USED VEHICLE SALES ONLY.The Information you see on the window form for this vehicle
is part of this contract.Information on the window form overrides a contrary provisions in the The front and back of this'order comprise the entire agreement
Contract of Sale.Purchaser acicnowledg recti pt df"BUYERS GUIDE." pertaining to this purchase and no other agreement of any kind,
PURCHASER X verbal understanding or promise whatsoever except written
VICWfROTECTIONWAIVER conditional sales contract will be recognized. I have read the
Purchaserardarwwledges that Dealer has offered to sell to Purchaser extended service protection
but that Purchaser has elected not to purchase that protection,Instead,Purchaserwill purchase matter printed on the back h t an#Afgree1IO it as apart of this order,
Vehicle AS IS.Except for the Manufacturer's warranty,if any,Purchaser will assume the entire
cost of all necessary servicing or repair,AND PURCHASER WAIVES ALL RIGHTS TO THE
EXTENDED SERVICE PROTECTION OFFERED,IF ANY. PURCHASER X
PURCHASER X CO-PURCHASER X