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<br />iJ ~ FOR USE IN THE STATE OF NEBRASKA
<br />I t;;; ~ DEED OF TRUSTAND"INSTIlLMENT SAlES CONTRACT
<br />II~ f'>\IPD\J9S.lNC...., ~" PACESmER PRODUCTS, INC"A IIEBRASIIA CQRPORATION
<br />.':1';~"" 83"'-'t1;(Ll.d.'19 (TIIf:snumHllITllR)
<br />. .0IIAM&;,JlIIiIIlWll(Aj.127: "2lI5ODIERS'AVE;. SU~F
<br />!""UI!J'FIOl'0IJT""-!ll!l\VlCli CAIk_...,., GRAND ISLAND, NEBRASKA 6Il101
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<br />'SA.Ll!:' CONTRACT NO' '
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<br />54346
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<br />'Sol<f 1<f ~fj 7; 11./lJJt, 1i1Ji!~ f)~r m If/IJ Date Of. This Contract J/~'!18'
<br />li....~ J .." ...J,.t':'- 0 r) _J~ .1 I> I. . . "fit'-'",> . ii...' J
<br />T ,J..;g.. L ~I6,;J'Jf, (AlfJ.t'C',ty W'rAND ']': ~State JfJe.Jfy, Zip W,.O Telephone No' ...:f'It-~~""'hi
<br />to thejiuyerand:Cq,Buyer .lifany) signing Ibis. CQIll!>lCLTheJW~, 'yillIc"'!dyour. we and
<br />.fiJl>uIcial. inslilJJtion if it buys .ll1is.~on"'"'t. ;If. it . does. I.. will.'. malremy,paymtlllll\1todb,;Under
<br />~'tnO ,"lpId :you llf!'refcrrc>! to bum as me"Be""fici!ll1': and astlle...." rUriderslju1d that
<br />if ". . . bdOw:.tiuit ..... . .... ..... . ble'fonllpl'OniiS!is made.nlHor pilyitigllie obligationlsJ may'sue.ioneor
<br />any.:...'Fhi<. .......con.traet. i:O.....mypu_Of~. . '. '.priid.rem:OfTlje,.p_CorporaUOil,YOU'liavequote<!me;aCasIr. .... ...... 0lllI. Silld'rice,
<br />~'l'f:::C::i~t~~~~,:..~:c~~"1:~"'T~.~'ZeO~i~t fanh below, theprodUClS and services ~::t>do~, Iall""'lOpay
<br />~."","""li~i~f~~~~r=S~~~~o;mbelOW. together with int=tthereon at the annualpon:ent3ge.~ which IS discloted
<br />i,'J" 'r>,f..j'(, k~ 'I,.,'!I I.,^, ''(C.
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<br />rhv*('~-t~/5'-f;;P-fV;'-f-'e../~t..I "< (1,f\'" )<'..tL';.Y ,:,; /J. ,'1"'....,,,/ ..1119,..1' p,.~
<br />fl'ICI'IlItaitit1ExterTnm WID Be'PaiJlfedISClIlIled' UnIessSpeclfied in Tbis Centract,) . ..
<br />LEGAL DESCRIPTION: The aIJove.described good! and servICeS are to be Installed and placed upon the "Address" designated above, and the legal description
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<br />for such "Address" IS: r;~r~ 5J{~t~t~~~~ ;c:rf ~~~J~~~ 114.
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<br />SUMMARY OF SA!:~~,,~lL"'Caslr price $:1:]fS.II/1+ taL'-<;',:J, ,.,1+ additional warranty/service coveT ~ ~ $ a,S'S'. tJO
<br />Total cash price $ ..J..n -. . iI. ., Cash downpaymc~t $ '. qc,: :,.: " Unpaid balance of $ ~ 2'S. lJIf'
<br />ITEMIZATION OF 11fE AMOUNT FINANCED OF $ ',f ,;. :-,j , :
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<br />$ ~ '7 fl:;:;. '1,') Amount credited to this contract (Same amount as the "Unpaid Balance.")
<br />$ 'jiJ, n ;^. Amount paid on net balance from prior contr""t with us,
<br />Amount(s) paid to others 00' my behalf: $ /i "1
<br />$ I S^3;ts;' tomslQOce companyfor Credit Life insurance S' C ","
<br />$ ~ 0 I 0/ -;, to insurance compatIy foc Accident aI>d Health insurance S a rJ, (It)
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<br />10 insurance company for Property Damage insurance
<br />to public officials for filinglrecotding fees
<br />to (Specify)
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<br /> ANNUAL.. FINANCE Amount T olal of Total Sale' PricG
<br /> PERCENTAGE CHARGE Financed Payments The lOlal _ of my purehase
<br /> RA1l5 ' The.doIIar llD10UDt the The amount of credit The llDlOUll' I will on credit. including my
<br /> 1'1""''''510( my credit_ . CRditwill cost me, provldcd to me or on have paid after I downpayment of
<br /> a ~y rate. my behalf have ~ all payments 00, 00
<br /> as scheduled. S
<br />, Ir.Co 0/0 $ I 'S.J.O~ $ 3155.. 7K ! i./t07, 10 $ WO?' tltl
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