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• ~ Form No. 5183
Pll~tCHASE ~ORDER
/ 7,~,, Dated ~..C1~ ~ b 19~
Ya. h 0 a2/ ~ . LL~/~Ic-LL.~ C!t ~.,U~GS' ~ Z"~-~ , Seller
• ~ .t9~ 1 me Ond Addrw)
From: ~ ~ 14Gf~: ?T1S ~ /~~~~~.-e~ ~t~G' '~'R'G ~'~~~a„-.Purchaser
tPura,a..r~'~urr e m,d ,4ld...~)
I hereby order from you, subject to ail terms, cenditions and agreemesnis contoined hercin, including those appearirly on the reverse side hereof, ihe ,
equipment described below. This order is subiect to your nbility to obtain eald eqvipmenf from ihe monufacturer ln Nme for dellvery nnd prlor to any
price chenge by the manufacturer.
I This orrrr may be used in: ~Qrv. oestRirria+--M~e~, s~s~ rwa ~nn~~ R9 CAlH ~RiCE
~G I~SL'~ ~ /d ~r"t7~ .3~ / o L <7 ~
~ ~ r~ ~ c..4. d,uy ~ C..~ r wi h a~ J~cK/ A
~ DI:CJ,ti;~~' c;- C_ • -
- !`1 TA r_. ~ v F-( i
ti ~ _ V ± s'65/
; _ TF: h, A'~
c ~ ` ` -
c,~ (;k,,T,,. li `;~~-~i1'~`~ j _ - Total ~ J o
I , % _ ~
' Sates Tax ~ .,3 7
.r- f
Delivery to be made at~'J~ ~~G~' ~~on or about ~ T9 .Delivered Cash Price (1) I~1~~~~
I agree to reteive the above equipment on dPlivery nnd settte~or the }~urchdse prlce as foilows:
Cash with Qrder Cash on Delivery Tatal Cash (2)
3rade-In Equipment {Describe, intluding serial numbers): -
i hereby barg~in, sell, grant and convey unto you, your (3) Trade-In Allowance $
successors and assigns, the above ~ciescribecJ Trade-in (d) TotCl Cash clnd Trade-In (3 2) $ ..)J o~
Equiqment and hereby represent the same to be free (5) Balance (1 - 4J ~
from encumbrance. ' S •(6~ Prvperty Insurance Premium ~ ~6
E7) Offitia! Fees • $ ~
i, the undersigr.ed Purchnser, ackno~~!~dga that I have been od•:ised os ro~~~ prinei al Balonee ~J 6`~` ,7 ~"~._SL.._~~
both +~e c~sh price and tFn time price of the eqvipment covered by this P ~ ~
Pvrcna~:: Orde~, that I reaiize the time price ~s greate5 than the cash p~ice, (9~ Time Pri Differential ~finante or C~ed~r\ $ / 6~ G~
thaf I h~ve elecied to pay the time price and upon deliveiy to me of ihe ~n14 a'0~~~ ~
said e-qulpmer,? agreo to execvte the belo~v Conditiondl Sa!es Consrad. t ~~fej" Do~s ~ot Q ~^dude Cr~dii life nsvranee) ~i~ ~
furt~.~~ cg~e~ rhat this Frrchese Order, induding the warranr~ provisions on (10) T1ME BALANCE (8 -f 9) ~~r $ ~~dt.~~____
the r;;verse side, which are expressly made a part hereof, ,consti!utes the ( ~ 1; r "e Price ( ~ 0 4~ $~J ~
entire ogreement between us, receipt of a copy bf whicfi ii h~reby ack-
now!ed ;ed. If 'his Purchase Order and the belew Cor~dition~i Sales Ccntract ar the sam date, my execution o e s' nirad sha11 be deemed to con-
sti!~te execvtion ot this Purchase Order, in the ia monner and with !he sa e force fe as tho my ' t e hereto.
Acce l9 for r 'C Purchaser
gY " - - Purchaser
~ ~ CONDITIONAL SALES ~gT
Bu,. ~ ~ickro~.vledgef ~eCeipt of fhe equipment described in the abcve- ~r ~ 4e~C~~frpnb,~rV61ii 'rldVTivQd,~rom. i~i o poy the S~!)~r n d th_eLr4'I
cr i~!s ~rder, ?Fe ~mount therein shown os, the T~ME BA~NCE in equai mnnthly installments of bs~ ; beginning 19~~
and on the same day~o~ eachy.iccessiva t4i therecsfter; except du~ing th~± mor.ths af : and ihe flnnl
ins!c:~ment, d~e on _!L_~
~J 19~being for the amour,t .emain~ng vnpaid; pnd jor as indicatAd in the following schedule of peymenTS:
$ _ _ _ _ _ on 1 9-- _ S _ _ _ on ~ 9- - S on _ 19~
S _ on ~ 9-- 3 - - - 19-- S _ on ~ 9-
3---- on 19____. S_~_-_---__ on 19._..___ S------ on i 9_~_
otl with in!er~st from motvrity vhtil ~a'd at the Mghest legol ccnrr~cr rate, or,d, if lawfvl, with reascnable arromay's fe=s in the event this cantract is
pieced in the hor.ds of an altorney for collection. ~
Title ;o the equipment desui~ued ~bcve, togather with all repairs, rep'acernan's oF an~i accessions to said equiqment, sh~ll remain in tne Sel!er of rhis
contrort, with interesr is fully paid in wsh.
7ERN15 AND CONDI ~JS O 7WE RF~JERSE SIDE HEREOF CONSTiTUTE A PAR:' OG THIS CONDiTlONAL SA![S COtVTRl,CT.
Buyer ~esides in ~u'~!.-~~ County, State of __,~~~~+~~~!~_'d'~' Tnis Contract dated ~nd 53g/ried'~
ihe equipme~t will bs kopt Mn ~_~_;Cou~y. State of #=_2GZ~!,~~! " ~ 19G~-~+
1. Notic~ to th4 SuyQr: Do not sign this contracl bofm ycu read if o~ if it cvntains any bFonk spat~s,
2. You are entitted fn an exoN co~py o'f tt~e tontract yau sign. "
3. Under the law, you have the ~ight to pny off in advance the fvlf omnvnt dve cnd to olat~ain a partin) r~~und of
the financ~ charye. _
The Buye~ hereby acknowtedg~~ receipt. at the tirr?t-vf; elel ~ k in"'strvment of a fuli, trve and complePe
ce~py thereof ' . ~ .
-Lc,•ll~(~Yi[.l/ Se~ler ~i"r"'yV ~ guyer
gy ' ; A~drYss - z• ~ ~ ap~
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Wit . s Buyer's Signa re~ ~ a> t-0L~
aU?~~R ~ ,-~---8i~'°r
~ ~~'.i Mailfna ~IrB~ ~ !i~"'~iG~
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