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R.) ., "........,. 'LORIO.
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RETAIL INST~~LLMENT CON,!RA~'" ~b~i 20 PACE 79'
Oat. d:~~4~H.H~-
"7 /),
-/'~(I ~ <4
Place of Business
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Seller hereby sells and Buyer hereby purchases the following goods on the terms and conditions set forth In this contract:
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Seller
Model
Article
Serial No.
Sell1ng Price
(1) Cash Sale Price (Including TaXes) , . . . .'. . . . .. $LL1.L~/~
(2) Down Payment: ..JI d I {'" . ~.
~~~ i~:~e:in'Ali~w'a~'~e" . . . , . . . . ,~: ~'! ((}
(Description of Goods) __
..,.....,.......,......,$ $ -
(3) Item I minus Item 2 . . , . . . . , . . . . . . $ _ C~.1J:.'
(4) Insurance Pr~miums (Loss, damage or destruction
of goods) . . , . . . . . . . . . . , , , . . . . . , , . . . , . $~-===-_
(5) Credit Life" Accident InSUrance '.......... ~$-9(..~:~"
(6) Omdal Fees.......,.. .,.,.,.....".,' .. ~
(7) Principal Balance (Sum o! Items 3, 4. 5 "6) , , . .
(8) Finance Char,e .,.,.... . . . . .--: , . . . . . . , . $~q---R
(9) Time Balance (Sum of 7 &I 8). . . , . , . . . . . . . " $11 ~. ~ 'Ie
(10) Time Sale Price (Sum of Items 1,4, 5,6 6.8). . .. $
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Cate to Install
Buyer agrees to pay said Time Balance in3 (..
'..
consecutive monthly installments beginning on the_~ .{-
dayof,~ I '1 ~,
~ 'J L-C
of $_~1' ..::! ~
, except the final Installment which shall be $ .
, and on the same day of each month thereafter, each installment to be in th~ amount
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This contract when accepted by the Seller is'subject to the terms and conditions set forth on the reverse side hereof.
Executed in quadruplicate this_
day of
, and constituting the entire contract
between the parties.
NOTICE TO BUYER
. I. 1)0 Sot Silln lhiM ('onlrat'l I...for.. ,..u I't'ad it or if il ('..ntllin" any blank ..parf'8.
th.. (.tUltrart lOll Milln. 3, l'rulrr lh.. law, "Oli hav(' lh.. riMht t.. pa, ..ff in ath-anr..
partial r..fund of th.. finan('c ..har~(".
2. Y..II ar.. rnlitlcod to an "Kart rop,' ..r
Ih.. filII amounl <Ill.. anti t.. obtain u
By
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ICIAL TI
TillS IS A RETAIL INSTALLMENT CONTRACI'.
TilE RI<:CEIPT BY TilE BUYEIt OF AN EXECUTEU
COpy OF WHICII IS IIEREUY ACKNOWLEU(a:U.
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By
(P4IlITNII:... o.--O!l'"".,c'i"A"L"?ii"':'i-; 'II"" CO;"'..A.....)
Accepted By
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. -IE ON RKV.UlSIE aIDE
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