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HomeMy WebLinkAbout2570 ~~~0 --•-------------~~!,Yw' ~ ~ EASY PAYMENT ORDER BIANK ' ~ ~ Tl~i. ..r.. 1. b NN .'p.wl ~1 M~ Ce~.itf id.. ~..~A.Mw1 j~- f//- 9.5' 3 I IALKK~ d S~M~. RNbrck ~ C~. TI~ w M w~ a~~Ms af~~M ~ . M. NhN iAM IA~N INwNMN+ MIM11 N~f~c11~/ INfN~ 10 we1N11~. _,,,~~{rh RETAII INST~UNENT - tONDITIONAL SAtFS CONTRACT ~ . se~s, Ro~sucu a+a co._.~~~~ -~~O _~9 68' Adies. ot Seo~e 18t+a.t l1~.1er. cie, .w~ sute~ 1 hereby order the following merc6andise: ~ ~ _ . . . _ . . • _ - Z ' ~x, r - { ~ . . . . ~ DOC. TAX O Scaro, Roebuck sad ~3 y' ~ Cas4 hit! Itc~innin~_ a G~. and un t6e samr Jate (or auceessire months. I~+ill pa~ _ g s~ mhlr I lau parme~~ mar ~ary ~li~h~ lr) un~i l ~ h r h a l ance on ,ms . E a sr Psr• ~0sit _ _ n~~•nt ~~•cauot fur a~etr.liaoJi~ hcn:br onlen.yl t~v bern paiJ. Until sueh . p~Yment fia's ` bee'a" tnade. I• C~ i~= . Q~ ~;;r~~c ilwt: 1'ou shal! n~tain tide taand riRht oi po:~<~on o( sxid mrrclwndise• I*rilt'not sr11. rctoore.. ~/•1 ~~r ~~n~umiKr it; 1 sliall be res~roo~ibl~ !or all IMS o( ur ~lamage tn aaiJ mereiwndise: anJ, i[ 1 should dt- ~ - - l;~nit in any ~~aYmcnt or papncnts. you rtw~. at ronr option, lake ba~k thc ~nerrhad~ise or s(Gtm tbe ~rsaitPriu d ~ ' salc and hoid me liable (or the unpaid b. ~ luoce on my a~.ruunt._- - - NOTICE TO 411Y~R: Do nof si~+ this o~naai~nt Mfor~ you nod it or if it eonMins e~ny c~~;~ r~~u vu"z ~ I~ blank sp~sN,. 2. Yov or~,a~hN.d ro a+ •xoa copr of this a9n~+naet. 3. You hav~ N» "1! - - ~ight to Pal? in od~?a~eil- t!N fuil du~ a+d vnd~r e~r~oin eone~tions to obtain a ~i ~k (o.~~ pc~tiot ro~und'of atnow~f p~G~~ _ - ON B~Nete u~uut CUSTOM[It'i SIOMATYRE ~ ~ / ~ ,d - Nr. a~. ~ ADDR[iS P S• t,. ' o ~,Rn~ / 3 c 9 an ` za+ r~ ~~rw~r ouE. cusror+eR~s ~ ~ '~y /~/~~w~Fes ^ HAME IrRINT1 ~taj{ NAM FiRST INITIAL LAST FIRST AKROVM~r ~ ---~ATE HOW LONG AT O p~0 O ~/J'V OG J MARR~ED~ fINGL.t O rRESEtiT AOORESt1 ~ " ~ - • ? ? FORMER AODREiS 11F IESf THAN HOW LON01 A6t OErEN f Y1lS. AT tREStNT ADORC:fi. . :~1~ ,G~•,~ G /01~ 0~~•~ ` EMILOY ' ADOR[fi SI~'~ MO• HOW LONai TQCCUlATIONt riMt GRO OR. . r~RNINOS { M~KLr. 8 FOI~MER EMrl.OYER lIF lEff TNM! ~'I~~• HOW t 1 YR. WITM rRESENT EMrLOYERI r ~ CHECKINO HAME AMO ADDRESS Of ~AN - ~ j ~?w~N¢s, 0 - ~ Q ~ . ;?REYIOUS SEAQS ACCOUNT exruun orMCw ~ncoMe. ~r nwr EP ~ SRC ? NAME AND ADDREff CREDIT REFEREN~ES . Nwwe wwo ~oo~css ~ p?Ew ' 1' . ~V._ OrEN ~A~ - / ArPROX.AMOYNT ~ ~ . `./~`/~y`,r, CIOSED . . , CtASER WMAT STOREt-- - ~ ~a'P..~,,, ~ . . . ~«o~~. ~ twstn ' C'~.osw EP SRC DAT[ ~ OrO~EO ' HIQN ~ flll IN TNESE NACES ON IU~CMASES Of fUR11ACE5, NEATI116 IlANiS ?LUM8ING E UINIENT, INSfALtEO GARPEiINC. EIECTRIC fIX(URfS, C1tEO1T •OOfINC OR tAl11T. ON TMfSE PURCNASES '~E ~fSERYE ?M IGM IO FI MECNANIC~ t1E11. I~c~lir N~Mrb l~ ~Ydi aMwir Y b M Wt~M/ 3 Q s ~•¢r ~ f (fIrM~W~tM~Nfi~MMeNM) ~ OATECWSEO ~ ANrns rMMM~ IIIIM - - - - MONTHLr ~ ~ ~ ~AYMEMf IK -1df+l Md - NO. ~MTa. FILL IN iNE3E SPACEY If MI~CNASER IS fARYER: ~~~T e~.e w ~w~u ~ Now . ftw~MN~i d~wr! _ ~AID F ]C6RR-J Rev.3-6S ~ - _ _ _ _ ~ _ -:,~y _._.R