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` " . ~ ~ 3 (~orm No. 5153
PURCHASE ORDER / ,
- ~ Dated - ~ ~ K14~~r
; ` , ! ' '''l , ~ ; t~-r~ i C_ ~ci .~'i' a~ls•~- .-;..~,C-~' ~ t~_ ~ ~ ~ Selier
To: _ ~----=--f-~_-- -
~ ~ i IDealer-Name and Addrei~) , ~
From: r, i /c. i ~j,~.,... ti-- d_.~ t~rC I~..t.c'-'~•?...~- ~~.-G~. , Purchaser
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(ihn~l~a.. and Addr...)
I hereby order trom you, subjatt to aH temx, conditions and agreements oontalned herein, incl~ding thote apQoaring on N~e rsverss tide hsreof, the
eq~~~pme~t described below. This order {s sub~ed to your oDllity to obtain 6aid equiprnent from tha rrwrwfatt~rer tlme fw ddivsry and prlor to any
prica cl~ange by tfie manutacturor.
TftiS orm mdy B US@C~ in: oTr. ~ESaurr~ot~--~roau, SIZ6 AND fEltA
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=~L c' S~ ~ 7 c.~ h~".. DOCUMENTA~-"~.S~fAMP 7AX
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Sples Tax ~ z 5
Delivery to be made at __on or about 19____.Delivered Cdsh Price (1) I~_~-3 ~_i-_'~-
I agree to receive the above equipment on delivery and settle for the purchase price as foflows:
Cash with Order $~?s~ G ~ _ Cash on Delivery ~ Total Cash (21 7~
Trade-In Equipment,(Describe, Including serial numbers):
/ ~ G ~i~h ~ ~ G o ~ ~ C /li,,;.~ L,~r::. - C ~ c i,Ltit`c.,~ -
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I hereby~argain, sell, grant and convey ~nto you, your (3) Trade-In Allowance
successors and assigns, the above described Trade-In (4) Tntol Cdsh nnd Trade-1n (3 2I ~ '/",t'~ c ~
Equipment and hereby represent the same to be free (5) Balonce (1 - 4) z"'
from encumbrance. (6) Property tnsurence Premium $
;7) Officia) Fees ~ ~ c C c
I, the ur,derigned Purchaser, acknowledge that ~ have been advesed as Te ~8~ prinei a! Balance (5 b~' 7) $ ~ ~ ~
both tl~e cash price and ihe time price of ihe equipment covered by this p
Finance or Credit r 1 1 b /
Furcl:as ~ Grder, ihat I realize the fime price is greater iha? the cash price, ~9) Time Price Differential .p
that i have elected te pay the time price and upun deliverv to me of the ~Servlc~ Cria~e ~
said equipment agree to execute ihe 6elow Conditional Sales Controct. I r y~~
further a~ree that thts Purchase Order, including the worranty provisiens en [10) TlME BALANCE (8 -4- 9) ~ ~ j-
the reverse side, which are e:pressly mada n part hereof, constit~tes the (1 1) Total Time Price (10 -t' 4)
entire agreement between us, receipt of e copy oF whlch is hereby ock-
nowledged. If rhi, Purch~se Urder ond the below Conditional Sales Cuntract bear th me te, my ex ' n of the said centrad shall be deemed to con-.
stitute exec~tion of this Purchase Order, in the same manner and with tfie same for d t nat~re were ffixed hereto.
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Acce '~y' 194J. for Sell Purchaser
~ gy _ _ _ Purchaser
~ CONDlYIONAL SALES CQN~RACT
Buye: acknowledges rece~pf of the equipment described in the above
qPu`rchase Or~er and, for value received, promises_ to pay th9 5etler named Thereint__
or his crder, the amo~nt tFerein shown as the 71ME BALANCE fn eqval monthly installments of S_~_.1_-~; beginning -'-~_v__1~r19 ~
and on the same day of each sutceseive month thereaNer, excepf durfng the months of , nnd , the t1na1
installment, due on 19~ being for the nmount rcmaining unpafd; and /w as indicated in the following schedufe af poyments:
S--_ on _ i 9~ S- on 19~ E------ - ~ 9-
E - cn 19- S ~ on _.._v. ~ 9--- ~ - ~ 9----
~ - - on 14_~ S on ~ 9- ~ 19_ ~
oll with IMetest from rnatvrlty untll paid at 1fie hlghest le~a! contract rcrie, and, lf lowf~t, wEth rcaaonoble atta!ney's fees in the event this contraC is
placed In the handa of an aTtorney for coltaction.
Tltle to the equipment dest?ibed abave, together with all rapairs, replocements of nnd accesaions to soid aq~ipment, shall remoin in the Saslle~ of ihie
contract, with Intarest is fvlly patd In mah.
TERMS AND COND)iION$ QN 1HE REVERSE SIDE HERFC~ GOI~STITU7E A PART OF THIS COND~TIONAL SALES CONTRAC7.
8uyer resides in -f 1<<-~t ~ _Co~nry, State of ~`i~.~-~-~E+'- . This Cantract d~ated dnd Signed
Tne equipment will be kept in Co~nty, State of ~'<<'~-< <L n- / `1 19
. Notice to the ~uyer: Do not sign this contwd b~Fore y~t! read i? or if it contains any blank spaces.
You ar~ entitled ta an exast copy of the cantract ~rou sign.
3. Under tiw law, rou hc~ve 4fi~ right to pay ofF in advance the ful! amount dve and to obtain a partia! r~funs! ef
fhe flna~nce chorge.
'1'he Buyer here~by acknowledges rec~ept ot th~ tim~ of delivery of tkis instrumeret of a tvll, trv and tomplete
co y the~eofrl
t,~ 4 C, $ellsr ~ ,
~y . Ma~~~ng i4ddibsa , -
Wi v r's tvre~ % . ~ ' ~
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QC~L~ ^~_f~.-L r-'~--- Mailing Addreu • l pn/~iC.~
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