This document is a Mercedes-Benz Premier Prepaid Maintenance Application for coverage, signed by the purchaser Darren K Indyke PLLC. The agreement is for a Premier40K NPPMS- 4YR term with a total purchase price of $1,986.97. The document includes purchaser and dealer information, and is subject to approval by Mercedes-Benz USA LLC.
documents/EFTA00311381.pdf
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