HomeMy WebLinkAbout2655 ' , , EASY PAYMENT OROER BLANK ~ ~
" ~ ~ ~.M~ 17'4986
'B~NY1lNlP ~ S~Of{~ R~~Mick a~ C~. i6~r~ ae~ h M w~ y1N~~ e'~f~~! ~
II. OMN II~OII fMf! M11HMM+ MIM N~1~t~+ AMN~ III Vf~1~0/.
RETAIt INSTALMENT - CONDITIONAL SALES tONTRACT
SEARS. RtiE6UCK and CO. _ - Do?~- 19
ea~n.. ur swre ~seeeee rr..?e., citr .wa suee~
1 hereby order the following merchandise:
~
7 ~
_ ~ -~6
.
. -
C. TAX
~•~~~rs, Rocbuck an Co.~y d y - ~ ~ ~ O~ " ~
tasu ue ~
Is~ ri~~~~~ ~ ~ and on thc samr date [o~ successi~e months. I will pa~
y paYment may vary ~li htl ) until the balance o~ my Easy Pa ^
? munlhl (last R r r~ ~`00~~ •¦u=j,~
n~ ~rrnuM (or merch~ndise hrreby ordenYl has bn•n paid. Un~il wc6 payme~t has lxcn tnade. I ~
~i~a~: You sball rctain tide lo and riRht oE pow:. ion of siid merc6anJix- I will not sell, remore, 8~~~~ i"`='i ~
,~r ~ nrumircr it; 1 shal) Le respoa~iLle (or all loss of or Jama~e ~o said mcrchanJise; anJ, if 1 should de- -
(:,~~ii in any ~yment or paYments. you ma~. at Your op~ion, take back ~he merchaaJise or afGrm the t0t eD~ 6 ~ O
creGt Pnce
~nJ hoid'me liable (or the unpaid balance on my account. ~
~ NonCE To dUYER: t. Do not sign Nus ognement beforo rou reod it or if it conlans m1? c«~;~
; blank space. You an aMiH~d 1~o an ~nacf copr of fhis agreen~ant. 3. You Iw~re 1he - _
~ right to po~l in ddvant~ 1he fvll a~no~n~t dw and onder cerMOin ton~tions fo obloin O in~~saie a.~,.¦~
M Es~
~ pcrtial refund of t added ior cr~dt priu. -
o!~ eala~ce a,ui..
j CU570MER'S S16NATURE
~ Ntrl~I~Ite ¦RUU~
' .3~0 S S'T?
~ ~n~ness .
` T , E~2c[ .
~ G7~_ ~ONE ~ ~TAT ~ F1RST K~' .
rAYMENT Mi°
C U 5T0 MER'$ W~FE'S
.YAME IPRINt1 NAME •
~ FIRST IHITIAL LAST ~ FIRST AMROYAI oATE
F!OW lONfi AT
~ rRciENT woowESS~ ~ ~+vrN p RFI~T Q lOARD Q rHONE Ii0 MARR~ED Q SIN6lE ?
FORMER AODRESS lIF LESS TMAN HOW
~ 2 VRS- AT rRESENT ADDRE59 1AN01 A6E OE?ENDE?~ -
~ Er+oLOYEw ADDRES3
TIME CARD OR MO.
~ :i0'~v LONOT~CVrAT10N7 sADGE N0.7 EAQNINOS { WKLY. 8
:ORMFI! EMPIOYEP /IF LE54 THAN
1 YR. W1TH PRESENT EM?l.OYER)
CHECKINO ?
1:~ME AND ADORESS OF OANI~C~ SAYINGS ?
IOAN ? rREV10U3 SEA115 ACCOUNT
~ E XTLA~N OTHER INCOME, IF ANY EP ~ SRC ~
~ n~we wno wooaESS CREDIT REFERENCES NAME ANO ADORESS
O?EH OrEN DAT~ _
~ - ArrRO%. AMOUNT-_
CLOSED ~ CIOSED
• ~ WMATSTOREt__ -
r O?E!~ ~E~ ACCOUNT NO.
~ cws¢o c~oscn EP SRC
DATE .
O?ENEO
NIGH
F!;! tN TMESE SPACES ON ?URCNASES OF fURNACES. NEATING PIANTS. IIUMBING EQUIPMENI. INSTALlEO CARPETINC_ EIECTRIC fIXTURES, CREDiT
ROOFIN6 Ot ?AINT. ON iXESE PURCMASES NE RESERYE ~NE R{GNT 10 fILE i1ECMANICS l1EN.
~ t~w,.rr.r«tsr.Wa.seK~~srw~ uar ~ ?wcsorr~k.
.y., cr.~.ee..wr«w~rM~r~N~r..1 - ---------~'.wat ow
DATE CIOSED
~1~=~ . - A/int
'~k~L.+t~IWt . IWItueW!!~r MONTlILY
~ McrtiYM MW d Mfs~ - - _ ?AYMEMTS - - `
~a s- - JiMut Mtr t~e--- -
MO. rMT3.
~ cttt ?N 7RESE S?ACES IF PURCMASER IS iARMER: oE~.~woucxr
~ NOW
Su~ w YN Krw M Nne'' _ i rAI D
t ~urau,~x~..s-a d~OK~~ PACE~~
~ = . `
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