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<br />J <br /> <br />UUcOJ:OOo- <br /> <br />~ <br />. <br />-== , <br />-- <br />Peoples Gas <br /> <br />General Sales Agreement <br /> <br />~ <br /> <br />City Z.LIJ h \/(<>/7 j.i'~.:)-I Zip <br />I / <br />City St. <br />Tax ~ty Date <br />Federal Taxpayer ID# Ace!. # District 0 County Required <br /> <br /> <br />r~"'Y"'I. <br />- I <br /> <br />~~~~mer P A 1) /l (LrI(.A'L4 P /- Z L d- <br />~~~~~:s '7,;:). _I::::;" (Itl /~I / A I L' d - <br /> <br />Buyer Namel r:~ /7" ~, <br />Mailing Address ." /-r /Jl ~ <br /> <br />Home PH <br /> <br />Work PH <br /> <br />Zip <br /> <br />~ <br />') <br /> <br />~;'t~:~~l~~~:'i:i~r~~if;~[!f.t'~'ir3iftJErfl.W~Hl~t~,:,,~)1:~J,:~::~~J~;fdf~ffflt_rl~~i[~ftlii~i{ Merchandise Charges <br /> <br />Installation Charges <br /> <br />Sd4.0(J <br /> <br />I <br /> <br />Warranty Charges <br /> <br />Sales Tax <br />Total Cash I <br />Price GL# <br /> <br />PSA# <br />IS Date <br /> <br />Allowance Total <br />o Cash 0 CC <br />Prepayment 0 Check <br />Balance ~OD 0 CIS -, I ./. 0'" <br />Due TI Other "" ~ &; I U <br />,(, ", ", 'n': "- <br />.... .. <br /> <br />..... ' , , ,',. ':;;'<., : ',. .': " <br />.-... -.. '. ' <br />.. ,,;" , :, " <br />Other"":"",,., <br />',;,.,' ",O~'" ~'....." ..."".,q;, <br /> <br />~B~~: ,,::':' <br /> <br />~L.P~ . IJfl <br /> <br />, <br /> <br />TOTAL <br /> <br />AGREEMENT TYPE <br />o DeliYJrY Only <br />lIlJ)eIIVeryllnstall <br /> <br />Remarks <br /> <br />o Customer Pick Up <br />o Install Only <br /> <br />INVENTORY STATUS <br />o Div. Whs. 0 Transfer <br />o Cent. Whs. 0 On Order <br /> <br />Total Balance Due <br /> <br />Amount To Bill <br /> <br />nr.. A P 1--:::' t. <br />e h-1 )-{'.l^ A <br /> <br />" <br /> <br />TJ -P 9;1 t"f A I;). 0 -;I-~ lk" JlJ VIA <br />J-':~ .:t1t..llW ~ {\1~UJ-' <br /> <br />r <br /> <br />Amount To Collect <br />'-}'!;;:; ~ J .ITJ::, L. A L}.L.o ~ ~ <br />1/ 011 '- <br />'-I <br /> <br />The manufacturer of the above described goods provides a limited warranty. Consequently. Peoples Sales & Service itself makes no warranties to buyer, <br />express or implied, and hereby expressly disclaims any warranty of merchantability or fitness for a particular purpose. <br /> <br />I have read all of the terms and conditions on the reverse side and agree to them. <br /> <br />BUYER/OWNER <br /> <br />DATE <br /> <br />AUTHORIZED BY <br /> <br />DATE <br /> <br />CUSTOMER COPY <br /> <br />PGSS <br />1194 <br />