GUN BILL OF SALE

STATE OF FLORIDA PAULINA AVALOS YURI M ACOSTA

DATE : 2/15/2012
COUNTY OF MIAMI DADE

("SELLER") and ("BUYER") agree as follows:

For the payment of the sum of $ GIFT by BUYER and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, SELLER does hereby sell, transfer, and convey to BUYER and his heirs, executors, administrators, and assigns the following described firearm: ( If information does not apply put N/A ) Model: Make: RAVEN PHOENIX ARMS

Serial Number: 3223657 Caliber: 25-AUTO

SELLER and BUYER declare under penalty of perjury that to the best of their knowledge all disclosures to each other in connection with the above transaction, and all other information on this Bill Of Sale, is true and correct. Seller Name(s): PAULINA AVALOS Sellers Drivers License Number: Sell er Signature(s): Seller Street Address (es): City: HIALEAH 2/15/2012 5430 W 26 AVE State: FL Zip Code: 33016

Date Signed:

Buyer Name(s): YURI M ACOSTA Buy ers Drivers License Number: Buyer Signature(s): Buyer Street Address(es) City: HIALEAH 2/15/2012 5428 W 26 AVE State: FL Zip Code: 33016 A223-973-79-405-0

Date Signed:

This Section for Notary:

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