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` - `y: ~ c~ ~ DOCUMENTA~
:~~STAM{~ TAX , , ~
k 1 • `~p` ~ J ~ _ DEC-~'65r:~,` r E . ~ ~ ~ ` ~
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ti a s ~ - - _ r,
~ CONTRACT NO._
CAR -21 - ~ S N ~ COMPYROLLER ~ ~ ~ o==
(~8.190139 ~`f~a`~'_____--~------
('ONDI'TIONAL SAI.ES tY1N'1'KAI:I'
- day of..../~Q ?C!j'lb~f. , 19.~~,
COtiI)IT10~'aI. ~~I.F.S AGI;EE:4IENT, made this..._...1~'. ~
b~~ and l,et~~een Ht1MBLE OIL & RFFINING COMPANY, a Delaware cor oration, having an of~'ice at
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. ._....._..-.--._~~~!f~t'1--G!.I..T.1E.,;._/.V.1.Ff.!!.__~ft~.P.~.~.~_A.......---, hereinafter called Seller, and
(NAh1E) - -_y.~..~M.~~.._ft_..,~~!.3:.t.~.~:..1.~`.---~ - -
whose residence is'-.-..---.---,~~~--Ho..Q_t. N-.---Y~......__s~t .R.~.~.1'f..--t".Q.R_~-....t.'r,~iP~:~.__,..-_F.l.Q.~i..,P.1l---------,-,-----
a~d whose Post Oftire address is-.-_.?.~'. d..'S!..._..,rd~t~..._ .F.C. ~:R_t`!~... =~J'~,R~.~.~r--.--f.~4.RT._.}..'i.f~P<.t,~...Ffd,Q1.,0.~
hereinafter called F3uver, `~'ITNF:SSETH : ,
Seller hereby agrees to sell and deliver to Buyer at._.. _.F.Q,r~r _Pi.~'_!~Ce_....~'s,sa.._..~e.iP.r!c~Nf.e.R_..__.._
- - - .....---~.3.~?..y..._..3':e~rh: ..~4!' t--------f."Q_~f'r'._.1.`'!_~.!Y~'.~.-s - .i. L°-!Y'c~?''g`--~ - ~
Street City ~tate
and But~er agrees to purchase and to pa~• therefor upon the te~ms and conditions herein the following described
~oods, n~ne of which has been delivered prior to the signing of this Agreement:
- - - . _ - - ~
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.Ji/~R[ ~ I e /~a t ~I? t.
Cct.c Ci /~t. Di~~P.?tiK N N1~Q G~.:r e~ y/ A 5 A (303 ~o ~7Y?,) 3.~5_,-l~~L S~f~vOt J~ 3s,
1- rirrore !'~s.f /.~;~is~rrt i~y,r~.~ao C/97y-i~o1 -~0. ,~a~ix " _
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ire y...r~ ~1d~.~~ .A~lac~S.;vr_ ~ .2 O {~~,S.3S~~ o) .5'O. ~ yA.sit,e.Eite 6.~N ~5,
A1~.r~ z~e.v f..re,sr,~w A- i~ A~~/,s 1~'~e~I,Ls r t/iry
/-~~.v.vei.Cvb~ D~s.Prn~.~~i[ H.~~~~ 3!~. ~ L_'~fA1i4[~e AA/iOofP 13d.
1 -~~11 C~~.s~rrc Prixrrrz lud~ /)~r~r.'.r 75+~ ML _ /.?3. ~ `t-0
,P . ~ta. NRrrt/s (e (3~__
~',SQ v~ w l~yll,vi ~ _ W~rr.i~A. Z' 2 5'D.
SP.t? M~csre~t_F~C_ oo~
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The additional terms of the Contract are:
1. The cash price (including sales taY of of the goods sold ~_._._11,.~.~~_.13_......__
2. The charge for deliver~, installation, etc. is ~'ni\E `~?~~XXXXXXXXXXX
3. The total ca~h price contracted for $---.-./1.~S---l_-5--------
4. (Deduct) 'f'he amount of I3u~~er's dow•n pa}~ment is in cash $____..__L.l.~_-_~.2..__.__._
Unpaid balance of cash price payable to Seller is ~.__~0..2.~_..3..3.--------
6. Add cost of insurance to Buyer. NO\E SUI'I'LIEI) _xxxxxxxxxxxrxx
7. Add cost of orTicial fees for recording
The principal balance owed (sum of I±ems fi and 7) $.....10.._e~.~.r_.~',.~..._..__
9. The finance char~e is $.---.-----..`~~-=--a-~---~----
10. The time balance o«•in~ b~- Bu~•er to Seller is f._~..3...r~..9._.____
Cross (a) It is agreed that said time balance (I'em 10} shall be pa~•able by ~3u~•er to Seller in..._......a?,S.
Out consecutive monthlr• installments of `$......~.~,_2~_._._..each, be~;inning 30 days from date of in~~oice,
Either and one final installment of $__....,31.,2.~......_ .
(a) or (b) lt is agreed that the time balance (Item 10) shall be payable b~~ Bu}~er to Seller in....__....____.___...._.__
munthly installments at the rate of_ __cent (--c) per gallon of gasoline or motor fuel
delivered to the abo~~e premises t~y Seller pro~•iciecl that in an~~ ealendar month the installment pay-
ment tu Seller calculated at cent c) per gallon so deli~~ered shall be not less than
....................Dollars on the_._'-'.._d~~~- uf each montli aftei• tiie current menth except
tllat t}ie final installment w~ill t~e an~~ unpaid balance less than the minirrium monthl}• installment
abo~•e mentioned. The payment at the rate of. cent r) per gal?on her~in provided
shall be made b~• huver to 5eller at the time gasoline is paid for by the ~3u}•er to the Sc lier. Should
pa}•ment at the i•ate of._..__._~"- _.cent (>ei• gali<~n not equal the minimum monthly install-
ment t};e ~tiffereii~e tietween the amou~:t s~ paici ti;~d the minimum niunthly instr~llment aboti•e pro-
_ ~•ided for each and e~•er~• calendar month sliall be paid on the date abo~•e ment:oneci. Buyer has the
right to anticipate the pa~•ment of an~• or all future installments.
'I'HIS COI~'TRACT ~1ll THE STIYliLATIO\~S A~D COti'llITIONS Oti THE REVERSE SIDE
THEPEOF CONSTITITTE THE E~TIRE AGRE~ME~TT BETVVEE~' THE PARTIES HERE-
T0, A:~Y VER~3:~I, PROi1IISE OP `~'RITItiG TO THE CnNTRARY :`:OTWITHSTAtiI)I:~G.
TFiIS AG~~EE~IF.:tiT IS 10T ~'ALIll ~tiD BI\llI'~G U:V'TIL ACCEF''TED BY THE SELLER AT ITS
AP.EA OFFICE.
IN WITNESS ~VHEREOF, the parties hereto have caused this agree~i~ent to be duly executed the
,~ay ancl year first above ~~ritten.
~~OT'ICE 70 BUYEr~:
1. D~ not sign this before you read it ar if it contains any blank soaces,
2. Under the Florida Law regulating installment sales, you have the right to pcy in advance the
full amount due and under certain co~nditions to obtain a partial refund of the time price
differenfiial .
i
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~;'I'I:ti' ~SS : ' NDITIO'~`~L S~L 'S CUN ACT
_ ~
- i _.~~~L _.~t.~.'- - - 12't_.l~_..1~_
- - - - - - - -
Salesman ( F;uyer
~ UMBLE OIL & REFIiv'ING CODfiPANY
Seller
BY-------_ -
"I"HE B[~Y'F,K Hi~:li~:B~' ACKti()~'LEDGF:S IiECF~'T H'NOI~i SIe:LLER OF A THUE, COMPLE~'S
AtiU EXA,(T (:(~l'Y" (l~' 'I'fi[S ACKi~:F:~V1~:1~1'~' THIS...1...~..........._l)AY OF..~ r~c~~,~,~iP_._._..........., 19~-------.
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