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~:li 57 L'I.: 458 (SH' rn'au side 101 Ita/('.3 In t;.,hu.-h 10 we Ih!J lorm)
1-':-r' ,. , . . CONDITIONAL SALE CONTRACT
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Odfl,lna\ fur Filinfl, or Ilt't'(,,,lin~
This form !J wb;cd 10 staiB legal requlrenk1r.tI.
Contl'oct ;'/1 -~)L'L'
Purchaser's NlllUC--_Ro.r:t Pil~rce A.l'DlatUl..'.e ('nrporatlon
Address ~-~w-av- D.P.l~' . -- -~--
(If C"OfpJouh..:>n. C1\"~ h.. .Il.u:. ~f J~="'I{'IP:( pfac-c of lHi...;lIl-U in It.tr; if iodlVll-!ual
Of partnenhip. live rt'lvleoce'S)
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CitY---JL.t-.-h~~---~;-- County of St.
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To --PI euued--::;1Tee-t rlll~rH: r.O'l!Itlft.tH.--
(~a1ii. ~~~)
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- 1:1), ~"':;(JU "II 66~tt~~l'ol ~l...~wuukoe, W iOOOHsin
\Ve, the purchaser whose name and address are given above, hereby purchase from you the ~uipment or property (herein.
after referred to as "equipment") described below or on the' attached schedule:
3U': - l':o,l'.'l 3nC2?O c~/linders -.:itri V,ilv~ ~p.
l.;u lS9~ Incl.
~)0 Hodel 6B!U10 c::/l:i.nd81'S ',~:tli Vulve Cap.
1)) Incl.
Ser~ally Numbered:
1300
,:e1'1.a1J.::; NUlilbel'cd:
150 to
1. Cash Selling Price
$__-l2al~2 . :)0
-0-
4. Cost of Insurance and Other Benefits $
{Show. below types of Coverage, becefiu ~
2. Cash Down Payment $ 1 t~ c )1 . 311 and cost
Allowance for Trade-in $--------
\ ~e~;d~elIy describe good.! accepted _} __-- .__ _ _ ~~_~- =--=
, 5. Official Fees $------pt-;-jD
tl. Principal Balan{'e (3 + 4 + 5) $--1-157:>. (,6
7, Finance Charge or Time Prico Differential $~--2S93. gll
Total of Cash Down Payment and Trade-in $----h.~&- 8. TIME PRICE BALANCE (6 t 7) $-- 1 II Jj 09 . 00
3. Difference Between Items 1 and 2 $-tt,-,8:1'6- 9. Total Time Sale Price (8 + 2) $- -~753. 911
10. We agree to ~y the TIME P~E BALANCE (Item 8) in,6(t--.successive .nonthly payments, each of $~l.lb '
commeJCing the _L-day of ;I~i. 1<...........-...</./ . 19~,and on the same date of each month thereafter until fully paid,
the final payment to be the balance then unpaid.
We agrcc to pay interest monthly on unpaid balances at the rate of __ % p;lI' annum before maturity, and after maturity either interest on unpa::l
balances or on each instalment. not exceeding the highest lawful contract rate, or delinquency and collection charge5 on any inst'llment which is
not paid within ten days after it is due, at the highest lawful rat., (whichever is ~ IJvidcd by state lnw), If any note is given herewith, it .hall
evidence indebte:lness only and not pa)'ment.
Title to said equipment and any replacements ..00 additions shall remain in you and your assigns. irrespective of any retaking and redeli'o'ery to usI
until said indebtedness u fully paid in money, when oWDt..Cship shall pas5 to w. Said equipment shall remain chattels and personal property at al
times anJ will be installed in the following premises:
, CowIty 01 . State of
(Sir.... Addr_ . City)
but r.h&Il DOt become put of the realty or freehold. We a.iTeCl to ke!lp MJd equipmeot tnmred apiDIt loa or dama,e by fire. wind, theft and
acddllDl, in an ~ complLDy or COIDpaDlm l&tiIfactocy to you, in an ILIDOWll DOt Ie. than the unpaid portiOQ of the purchase price. ruch
iwurance to be payable to you AI your ~er_ IDlIY .ap~, .nd the polici.. t.b<<efor to be delivered to and retained by you until the pucchue
price is paid In full U we bi1 at any time to provide said insw'anOe, )'0',1 may have the equipment m.ured and the COlt of rocb I.n.surance
shall be paid for by ~ We ~ agree to pay promptly wbro due all tax... ....-menta. license f_ and other public chargel levied or
assessed a.:Kl to ..wfy all liena api.nst ~d equipment.. If we breach any proviJioo of this agreemcmt or remove. d.iJpoee of CI' eocwnber said
equipmetlt or attempt 10 to do, the entire IIDpaid balance of the afocesaid poymeot1 &ball become 1."IlIDed..lately due and payable without notice
or demand and we a&rt'O to IUlTcnds- poI-SOUioo of said equipment t1D demand; you and your aal.gna may without notice or legal process enter
any pcanilea when aaid equipment r..uy be and take poaeuion thereof ret.aininl all paymeota made AI partial compensation for our we ot
said equipmeot, which may be tOld with or without notice .t private ;ie or at public MIe at which tale :iOU or your uaigna m&y purcha.se; there
shall be aedited upou the lUJ)Ol1D1 unpaid the proceeds of rocb aa.le leu the ~ of retaking, r~hini. holding and retelling the equipment
and rea~nable attorney's fees (15 % if not prohibited by law). and we aree to pay t}-.e balance as liquidated damages for the breach of this
contract, ax:y surplus, however, tn be paid to ill. Waiver or ronGonation 0 any brC2::h or rlefault shall not constitute a wa;ver of any otner :-r
subsequer.t breach or default. \Ve will settle all claims against you, the seller, directly with you, you herl'by agreeing to remain rC'Sponsible therefor,
and we will not set u~ any such claim egainst )'our assigns.
For the sole purpose of resolving any problem of conflict of laws with .respect to filing or recording hereof. it i.s here?y dcclart>d and agreed that
this instrument shall be deemed to be CJtec~ted, complct~ a,~d effective. lor such purpose when the property IS received at the aJdr~ ot which
it is to be located, and that ques~ions of filing or recording shall accordmgly be de/ermined by the law of such place.
No oral or implied agreement, guaranty, representation, or warranty shall bind you or your assigns,
Any provisions (If tbis agreement which are prohibited by the laws of an)' state shall. as to such state, be ineffective to the eJ[lcllt of the prohibition
without invalidating tbe remaining provisions of tlili contract.
NOTICE TO THE BUYER
1. Do not si~n this contract hefore you r~ad it or if it contains any blanle: spaces.
2, You are entitled to an exact copy of the contract you sign.
3, Under the law, you have the right to payoff in advance the full amount due and to obtain a partial refund of the
finance charge,
We WAive &l1 exempt!ons and hereby acknowledge receipt of a true copy of this contract.
{NOTE: TIFE OR PRINT NAMES Of' AJ'L'}
...,.. SIGNERS BELOW THEIR SIGNATURES
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