HomeMy WebLinkAbout2530
, ~ ' ){~i'L7 ....'2... .
~.R; .r..' 'f:O -~~'7,,7;r~1l',
eJ.l , ~1. ~ ft\C[ 421; '{a..3'~" . " ...,..., OIL
Cf>TNDlTf~ALTSY EACO RAC, '_rt ...., ,..".b,~.. . ,... '",.", Tr.
, , " . ~: ~ l ".~ _ ...lY~,~L~ ~~J~ ,..: ...~_:, S T. t ~(l[ C~'U~TY~ ~'A ' ..... , " -.('- .196,
CVIIO",., I ~h"h mean. 011 pvrcho..". 10lntly and t:v~'o'ly) 'ho' lodoy pu,d,o>.d fro", ~i,:~,-~'n -;~;,;. ;~'.' bo'til; ii,;d.nl\~'m: ond p,o.lIion, on Ih;{~~Ock
ho"",f, ace. plod ,n ,I. p'.'enl eond,'.on ond loeeived d.liv.,y of the followinQ ....OTOR VlHIClE (......Inoft.r coII.d "car' ):
-NE"\V OR': ~E~~ ~t~~ ~~;-lnNO C~l .SERJ~~ NAME aOOY TYPE & MODEL. NO. SUIAl NO ----:OTOR NO.- -'-l~~~'~S; N . --
USED 11AlIO No. ,I applocot>le) (If Iruck, 10fI. COpaclty)
r----------- -.. u__ rh---- t ,------...----- -----____
lew ! 196) G.K.C. I 6 IY50U ~ f'lat 1221~
DUPLICATE ORJGINA~. & I': "
, . l J .
. M SISSIPPt
(II P,ic. 01 co, (.1 thi. w.,. 0 co.h ..,Iel, including 10Ilo...i"ilU"o eguip_I-('~f")
Ll Radio lJ H.or., 0 Ai, Cond [J O,'."D,ive [J Avl~motic T,on..
[J Po...., Ilrok.. 0 Po...., Sea" 0 Power Windo.... 0
(21 Do...n pay",.,,': Coil>
T,ode,;n: YfKJr and Make..
.... $
o Po....r SIHring
,.92~._
'51 02&)90
CUSTOMER
Nome
Nv "'',., ,
and
S'r...'
C'I'y,
P. 0, lono
and SIal.
J. D. M1t.c"'U
I '__'n._ .nn ---- ---,------------
I l'i02 Da,y Shore Dr! w
r ~-.--.-.--------I
1Ft. Piaree. ncrida I
SfllU
~
Numbe,
and
Str..'
City,
P, 0, lo,,..
and 5101.
Joe .-or.r1. IIotor.
--~---,._._-._---_._-------,-----
Bro&4w.7 Dri"
------~.........---------~-------
Ia t.tleeburg. JI1.ea..
$ ~~.OO
,
'~
llocIy Type & MoO.I No, ,
A 10woflCe I Gro" $ ...
T 0101 down poymen'
(3) Unpaid bolonc. (it.m (I) miou. it.m (2))
(~l Amounl included, if OIly, lor follo....ing ""16tf9tlC. covl!"<I8'Io !)f\ tn. COt..
." ....." s.nol No...
.QwifloQ $-:,""'~":'
...N.t $
. '~'1' ,00
,.:.:: : , ' '_9J.
:""'.',. I~
"':"i",-~
.',J
No CO"'"'\'l18o iMlvded uc.pl as c'-:ked belo...:
" for mm ol~.... rnon.... from dot.e,,~ , ,
lliC fi,. and Ilrood form Theft . $ lOO.oo Deductibl. ColHlion
o (ompreh.".iv. II Combined Addiriofwll eo""DQe ., , '
INSURANCE COVERAGES 0 To...ing ond lobor Co." 0 on- lruuronc. (d.ncribe, o'oting diff.r.nl'.,m, if ony, below)
- , .
HEREIN DO NOT INSURE ----------.---.__n.;-___
AGAINST LIABILITY FOR (5) Amounl incl,,~, if any. lor credil ~fe in_aile. coverage, lor lerm 01 this con'rad. $
(6) Official fee, ' $
BODILY INJURY OR
(7) Principal bolon~ [.um 01 il."u (3), (~), (5) and (6)).,
PROPERTY DAMAGE (8) FinonceCt>or~
CAUSED TO OTHERS. (9) T,m. bolonce,\~ [sum of 'h:m. (7) ~~ (8)J
...h'ch Cv"o~r og'..' 10 pay in 24 ",onthly it\s~n's of $ :399. ~ each and Dno final in.'almenl 01 $ None
of each Sv(ceUIV& month commencing *7 2 . 19 6.3
r
L_
Fi
" ,
. .. ~ 1
__n __ ,_-----.J
NOTICE
;0
191.~_
3.50
S,.105 .81
1,175.89
9 .I)BL 76
$
$
, 011 payable Ihe like dol.
under Unequal or Irr~gu'or Poyments shown hereon.
$o,d 10' ...,11 h~ ~~~t at 1702 Bay Shore Drive ~ Ft. n~,
(Number, Sir..., and City)
Cuslom.r, havinll b..n quol.d both a tlm. p,;c. and a I....r cenh prlc., hol
.1.<I..d 10 buy Ih. cor I", '''' time pri<., which h the Ivm of th. tI.... boloMI nxl
'otal down poym.nl Ihown h.rein, TltI. to 'h. cor Is r.talned by 51111, vntfl IOId
lim. bolanc. one! 011 oth.r obl:llolians 01 Customer h_under are fvIly pole, ...
mOtl1ty to "'" hold.r h..--f (m...nlnll S.lI.r '" lis 01U.'" If thll contract II _~),
wh... tit!. sholl PO" to Cusfo....r.
The car .hall be 01 Cu,'omer'. ,isk ond Cv"omer .hall procure and mainlain lor rt..
term here-of insuronce against 011 phYlkof domoge ri,'u ot (vitamer's expense in s\.oCh
, or .f no dote '1 specified, one month ofte, dote of thll contract, or os indicated
r .-..-... _J
.....-.....,....
st. Lucie .. ...Slal. 01 H:r1oriM.'H
DESIGNATION Of INSURED
for any cr.dit life in.vrance obtai".d in connection her.with, Custom., deli9na'.. os 111. ~aon lo blJ cavored "" lndividur..l who.. si9notvr. first appears below
os or an behalf 01 Cuslom.r. (Such .igner lor corporation mv,t be on officer; fa< partn.,ship,o ponn.r.) No wch Iruurancw is 10 blJ obto~d if ouch dflignee is 65 yea.. of ag.
or o"er.
form ond lor such amounts os holder may require, lhe proceed. thereol 10 be poyabl.
g. inl.r.sl~ .I>on appeor. Ho:der may, os credilor of Cuslcmer, Jl<Ircha.e .uch iOluronc.
.He-ctiv. from !tI. beginning 01 the I.rm h.r.ol and olso at =y Ii",. and from lime fo
time thenofter, olthough n<>thinll her.1n conloined .holl impase 0 duly vpon holdel 'a
10 do. Cuslome, will ,.Imbvrs. holder for lhe actual cosl 01 svch insurance '0 the ..'
I.nl thai the so_ is nollnduded in Ihe h",e bolance, th. amounl of .uch reimbur$O-
",.nl 101l_th.r with i"t...., Ih...oft 01 the hillh.., lawful Canlrod rote 10 be paid in
(Conllnv" on otf.et side)
NOTICE TO THE BUYER: 1. Do not sign thil contract before you read It or If it contains any blank Ipacltl. 2. You are entl~Jed to
an exact copy of the contract you lign. CUltomer acknowlecfv., receipt of a copy of thil contract which
, I "'I. ~ <1 t) wal c;1m letely-fin.d'ln .~r ~ :~"m.r'l execution hereof.
Wilness ' .J: 'N " L..V.A..X.rV ~ '.' ~1}f ,~~ I Purchaser
1 . Q; '" r>or. to I>. iiioured v..,o.r abov. o.~igf\Otion, if opp~coble) <lnd
Witness , . , . '; Co-Jl<Ircl,a..r
Acc~pted: The foregoing contract is hereby auigned under the htf'ml of the anlgnment on the reverie.
JOG Morris Kot-ar.
.y~ i ~';~o.ol~
l 'I'\t I\\J
t1iFi"i - 3 1 OC 8 -61 A clomobile
IItiiI..U (Oro. !v~"1l WitM~. m...1 ex...ut-e affIdovll Oft ,...._.)
DUPLICATE ORIGINAl
15igf\Oture
01
Ooaler
, I
rt.~~
,;)0_
~~!l1......
---
-~~~:.