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___'_________II_________—-
______________I_________—————
——_—_________————————————_'_—_———_-———_—___———————'————
MATERIALS USED COST
- I , ‘ ,i ”I .
’I‘D'}. 1" if KEN/T (”If -”: :‘ f7, 3" _ E ,3” » ‘ , if,“ .7”
“I 4.. .. ’4’ in ”,1 'j .-.
_. vfi/ _ )1“ f
IMP. HOURS
______________I__________———
3
Date 8“ c2/ *" 7O ‘
WLOYEE: a); . ' :3 y/
”Z 5 51! 5'31" HOUSE NO. {2;
(Form 69-18) 4

 JOB TICKET
___—__W
. JOB DESCRIPTION
____________________________________________________
____________________________‘___________________________
___—_W_“
W COST
Ilflé HOURS
(j) ..‘ F“ ,
Date LLL
EMP OYEE:
" ' j C; 5
“ /1»< ‘ a «v x; 4/ HOUSE N0..;_______;:_____
(Form 6948) .

 JOB TICKET
JOB DESCRIPTION
[374 ,m A ,2"
MATERIALS USED COST
TIME HOURS
Date d’CQN-‘QO _
EMPLOYEE:
42 ._ O 4 a” ,£/,= HOUSE N0. 5f é; é/
(Form 69—18) '

 JOB TICKET
%
JOB DESCRIPTION
—___—_-_—__________________________________________
____—-—___—________________________________________________
_—___—___________—__________________________________
W..—__.__—
W C—OSl
TIME HOURS
,/
-—_—__——__________________________________________________
Date ___—___—
EMPLOYEE: , - '
'L;;;;____;:__;s_;;;__;;__L HOUSE NO' '_‘—_‘TE'EE—‘____
(Form 69-18) I

 JOB TICKET
——-—__'—_—'—-—__—_=—————_—_
JOB DESCRIPTION
kx ) i! :L‘Cf S%’z £2 12?, .1 ‘- B flit/A ’ E‘fgz ,5»
Q 2 ééfi $24 ("$6 4a flééfilflo (3‘11
_::_—“___—
_::_—___
“W
MATERIALS USED COST
U / ,
- “ / O c? 1'3 5mm
I
02' /” OPIJ . / MAJ-12.1
lIM_E HOURS
/
_::_—_________
Date 3'82'20 .
EMP O E:
m HOUSE NO- :52 4
(Form 69-18) '

 T
JOB DESCRIPTION
5 x”; ‘ ,5 I '

Sigéd;1g§§ {at (£22! an: f, 21 &5Q “
___________________________
____________________________
W

MATERIALS USED COST
, ~ ,... _
I;
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4/ \ i
/» .24: [1.24% A M , .3 ./ , j.
r ‘61 .7 g I « ‘ ’1 I]
I TIME HOURS
___________________________
Date , p7/~ 0 .
EMPLOYEE.
(Form 6 -18) '

 JOB TICKET
IOB DESCRIPTION
f w” ,2, " aéfi“»5!f '"» M-WQLJ{¢3:UA#*3
I . .4 4 ?
é, ’ ,. v. -’ ... “1" :_ :“73 ”fl. ‘1‘) '- flog
MATERIALS USED COST
TIME HOURS
Date Jr”, ix) :f*“L/Irp
EMPLOYEE: . I _ , ’
, =_; w I ,x _ ; [g i , HOUSE NO.:T; ;? 6?
(Form 69-18)

 JOB TICKET
%
JOB DESCRIPTION
W
N
M_—
M

MATERIALS USED COST
11M_E HOURS
\—
Date § ._ :LX- 76
EMPLOYEE:
MW HOUSE NO. 5: f 4
(Form 69-18)

 JOB TICKET

W

JOB DESCRIPTION
A ‘ . 1 t) . ,,. ‘
A D P.“ " (1 - . r - r".

- 0 f/ ?L‘ t 5 / E ."i' A- {3'
___—______________————
W

W9. COST
/ .. A/r/R/vf’ 1527?. : -. ,
M HOURS
______________
. Date / Z—/ 6" é _
flPLOYEE: _
: f _ ' ,
We“ HOUSE N0. M
(Form 69-18)

 _AL—___—
JOB DESCRIPTION
’7‘ ‘ rm {1 A’ 6' ..
W 9921
TIME HOURS
Date M;—
EMPLOYEE: /“ '
£5? Zéi £@% HOUSE NO- _j—ZL—
(Form 69-18)

 JOB TICKET
%
JOB DESCRIPTION
‘- ,’ ,., 5:" f r flux:

Fifi-4‘ 4%? £3 2 fig 4' e/fw’é /
___—___—
.__—___________
___—___“—
M

MATERIALS USED COST
TIME HOURS
& J?
M
Date//Z?WZ$V(2§ ~_.__
EMP OYEE:
I ‘ .A _ 5’ ,~‘" ‘ f
1:5'1‘2411 .{r/ House No. 3%? _ _._
(Form 69-18)

 JOB TICKET
—————=_——.——_———————_*—_
. JOB DESCRIPTION ,
,:f fly, ‘ /] L , / I / //! mumwffl” I“ (I
m
M
MATERIALS USED COST
T—I’I‘E HOURS
5% A
“___—W
, / X” a
Date .3 v / g) - C:
EMPLOYEE: <7 . ,
M4 HOUSE N0. ...) 7 (g:
/
(Form 69—18) ‘

 .~ 1
___—Mb—
w /,
’7 7 " " , 7 ,, /
y/r/ - / /
___—___—
W COST
/— 2M ~ /,I/ “f r). 4 '
TIME HOURS
/ /
“___—___“
Date ML
EMPLOYEE:
w/JUig Iii» 6‘3; HOUSE MOM
(Form 69-18)

 ___________J_0_B_T_IC_K_E_T___________
____________________
W
,7 x/- (Alt; 7. ‘ 3 J (3 .13 ‘3
______________________
_______________________
W
W COST
1%. HOURS
/£ ,
_____________________
I ; f," (a
Date W
EMPLOYEE: I
W HOUSE N0, 3.2g.—
(Form 6948)

 JOB TICKET
W
JOB DESCRIPTION
ééggzZ;znaEé1QAET____j2gEE;aé;zf:4__‘éé:ézé:__é2¢:_____.
, ,« , . . , / V
« aa43:i;afl5‘aé2aa.a__é2=izLéZzZ;L_,A2ggagg:g___________________
______________________________________________________
._____________________________________________________________
_________________________________________________________
MATERIALS USED COST
Ilflé HOURS
___________________________________________________
-” ,J
Date 3 .._ Q j «é 2
EMPLOYEE:
I . 1, (fl
1% HOUSE NO. é Zé;
(Form 69-18)

 JOB TICKET
“FM“
JOB DESCRIPTION
M411 {4-1” ,..)” \I‘ ‘3 Z "'3
“R—
-\
a.“
“‘Wfifi
MATERIALS USED COST
/’ .’r ’3 'f'ziaw‘w , :3:.4- V. $1
, " . f1“, " ' ”4’": X, l.- 'f/ ,.H :7;
x: 37' ..; ,,I—r: x1; I. :3 . ,/
”_ME HOURS
M
v (I l; (C;
Date 3, v I) - '23 O
EMPLOYEE:
V: S “x HOUSE N0. “‘14. j}? 6
(Form 69-18)

 JOB TICKET
_____________________________
2 JOB DESCRIPTION
______________—_________————
___________________—__————-——
_________________________—_————
___———____——-———-—__;_————____————————————————_————
MATERIALS USED COST
—J—-» -
“‘..... AA\" I ’ ~uf/I “'“ - #A’lls... (>2 ‘ d)
v . I 5‘
D , é ' .
a w, A , ‘ A , x 75
' _ K— . ,., x 5» 1 I It /
I ‘ I 015....-. A V I (g 0
f. .. . M m . “'”.»
51" 2 7‘ - K r '17!”- ff} ' f} "E?“ :* 1; a I r" '50
I < ' ,_ ,' - ‘ '
' ‘5‘. ‘ t
[a ‘. .‘A ’2‘: if J, A I’ 1‘; _- Vii—{1}." 3 / é
I ~ ’ ’ ._'-—
TIME HOURS
, 0;
Date 3 A é E _
EMPLOYEE: ‘
fig 7 2 QC); 5% §& HOUSE N0. :33 E 5
(Form 69-18)

 JOB TICKET
JOB DESCRIPTION
W\ I 3;:/{”2 :7. IV, 2 /‘ £1 /"'{"‘\'7"' ‘.’ A ‘ II"!
V“ ”_‘ ’5/ I.I": ,I,!» I, ‘_I- ‘ ’12}, ,,,-r: ‘9' i, ‘ . ff! ’5» 41 70
{I l f} ’1‘ ‘.’ l Ia. :V.‘ f /o\ t‘ .'I ‘ ."".Ir’" 1“ .2 ‘t {NEW 2;
_l l . , ,‘ ‘~
«a . "t ."',-"‘I 2’76
:2} r= 273; J MATERIALS USED COST
/ ._.. [If x72 ‘:_'. .42/v; 74",1-3' 2:5; ""5 'o I; I;
;1' ,., fl, I ’ «. a. , <
/ .’.‘-7: y“ . Ext / ’7»: 2;; z; E //. L0
if
/ In» .7" II“ “"_‘ f 'i {"1" lA ,’ '.; I» [Iv 3 9
I A . '3' I" ’ : I 7’ J 3" (7597!: I 0 g
/ it: ’v‘ a. “2* ' 5' )I/ , 7.1.; VV , _' ,_. _éfi
:I:.-“‘. " .‘. {I ..’, V" A . ’ _l ‘_' t, , ,~'" I“
a; .1 L ;1‘ Vb
‘ ‘2” TIME HOURS ,L;
:« — . __I ‘7‘
, r 1" 7/ s «a 2 I, s ‘ .. fl
/4£. 7, _, " -" 5'3: "“359 "l 2 »‘./)2 l (7?. “
I ,‘ ,, ,2‘
(p n xi: _ , f“: »gj- ,, x H.313 ,3 (4
xx VfiNVRJVYrL .20
Date :5 2' 2.: 2 I
MELOYEE; , ' '
.~,-..A J {I} 1931,: .'ngIFfz “', 1 I » HOUSE NO. my: 2"!" ‘2'”?
(Form 69-18)

 JOB TICKET ‘
..lOB DESCRIPTION
:1 47 I’
___—_________—
___—____________
_—__—_________
____________________________
MATERIALS USED COST
" .! ‘-Z"! ’45—.
. / // .. _-. ,. V /
- f ,,4, 'f' A . , / é
- ‘52 ‘..‘“! A r 150?
' / ,_ ./
_ A}, Mc
,. ,
TIME ‘ HOURS
Date ;3 " é ‘— ;;:I I;
EMPLOYEE:
/ .
3,»ng ..’ é; / z Z: HOUSE NO. 2 52g
(Form 69—18)

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C C ,
JOB TICKET
/- ) 4.08 DESCRIPTION
/ ,/'1:”,/kr“/“/
/ , ,v/ a
, ’ ' r//' 7;» 27”“) «’7‘ ,, ////5//. / //,i,/a /;f;/'
,2 . , 4,1
"”“/'9 1,5,»: .7 / x)
M
M
. MATERIALS USED COST
77 , , / L
,_ «_7. ,5,: [/2 ,,,;
’4 [I - ‘ TT"\‘ ’24; I,
" “(,5,/,,'}, ,L/_/»’,/ / /’ii7[i
TIME HOURS
\ , I}
Mr
/ 1"»? "7 7 ‘/ 557’; ”2,,.
.»»»,Date a air ’ ~72/ ZZ' »- , 7
EMPLOYEE: V /~/ , ,3; , ‘
4' /.//{/< »’r vii/..'»;x'; / 3 HOUSE NO. , 5" f is
L// ,7 ”fawn—7
(Form 69-18) V F/
‘35: ‘_V.,;"‘;/jj_er-”‘fl T ’

 JOB TICKET ‘
ME
.103 DESCRIPTION 1
I . . \.
,2/22. 32. am a J {/44: fi 226
4% g» 44% “£2 [—1) {-7} ‘ 1 gm V/J
2 g , 2 {2 j V % /
1 l/ ’ /(/ ‘ I L ‘
[£4 /4/ 1'1 ’14-; ‘ ’Z/L/é/J
MATERIALS USED COST
4 7" 114.4 ‘7 . 4714/
TIME HOURS
'. g ‘
M
ima—
\/ . Date :3 " & 3 ’ 7
NFL EE: / a ' " " " '
4 / , ‘ _.g ‘2 HOUSE N0. 59¢
( 6 18) V/ /_———
Form 9- , .

 I
__———___—_——————-——J—(£—_T_l.'_C———'——_-——Ifi—————_—-
/,;7 W
,,f/l/ i i ‘
___*______._~.__——————————
. j _
MATERIALS USED E:
._TIME w
___,;___——————-——————‘_
, Ci _, .//
EMP; YEE’ng / / J ,
’ HOUSE N0. T‘-
(Form 69-18) \J I J, ,-

 JOB TICKET
%
,7 JOB DESCRIPTION
‘77/ - ‘ x L
/.L L. LA” L» L A L _ I ”..:-5‘ L!
r k: :2; 37772 .I7 ~ 17 77I {..7 £17} "(:9 V {I ‘ . L
___—m
MATERIALS USED COST
/ / . W???“
if?!» {L :"7 f; 1’7' .a‘ {LA/‘77 "3"" #7.? 77 in "’7 *«7 4’7L 7:“ f 1’77 L
1% HOURS
'
O
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1 r ’-‘<: .L. "1 fr}
EMPT; EE ,,./‘1 Date A? "7‘ 114—7:77?" M if”
fl _ ) Mi"! ’/ f- ‘ 7:?“ :) :1", 5;)“, ."7;
’ \‘7 -.~’-7' M46 1 - a.» ‘ HOUSE NO. M?» ,r {f
(Form 69-18) "“777 (777/7 L

 4’
JOB TICKET
__._—W
JOB DESCRIPTION
I ,I, ' > K , ‘
4 I; ~ 1 'V,?
- >
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“___—___—
___—___—————_————_____——_——_——_—=
MATERIALS USED COST
TIME HOURS
——______—______—__
Date a? ‘*' 4733’} E”; 2f?”
EMP YEE: ,.
f? ./) A" 3 '3 31.5?" :"A
:f: ,'j, , "732:"; ,/':;’ _,ryty'f HOUSE N0. :1 j 44:".
(Form 69-18) ”;;;/’2 . g1.

 I» 2
”___—.b—
,3) JOB DESCRIPTION
”___—___—
_________________________
MATERIALS USED COST
EYE HOURS
______________________
“7“ :‘ a 1 ,"T’ " m
‘ Da 1;: a :7:“ 51’” , , {/2}.—
EM PgoYEE : ,/ I ___—"_—
,nI r , T s
_‘ ” L/ ‘g/fi; HOUSE N0. we ‘
’ ,J'fl/ /~r _,.,,,‘_‘
(Form 69-18) " T” 7,,/y {I

 n. . ..’ ‘ '
JOB TICKET '
4‘44,
‘_. , JOB DESCRIPTION
.'., 3’ ( . " / / ,
ll .7, 6777 A4” 4 (.9
' a. 4 ¢4¢ 5 z: / 44a
,4 Z 4; Q4» 4424‘. 4a. .1”)
___________________
MATERIALS USED COST
TIME HOURS
l/ [9)
___—m
Date 5; ’ 0?; -’ 259—)
EMP (E: - C
< SEE, fig We? 9 HOUSE N0. <3 75
(Form 69-18) .

 I 't .
%
JOB DESCRIPTIONA }
. ”a, N ,., , _ .11-XIII I, :7./g" .71: i;;:':,"’ 2, ,. j,
V’ ,,7 g l .‘ v > r. .r
I 4". - i I 2: I
__________________________
W
MATERIALS USED COST
3 ‘ I . (“.' {5.1.3:} ..‘, (744/1;} 7 x
,2
LIE HOURS
EMBE'OYEE: - ,
__ ,,,_I’ ' _ -' ' HOUSE NO. 1v,"
(Form 69-18) flj/fisz

 ‘ A
CHANGE OF STATUS REPORT ON PROPERTY
Rental
Report of Proposed ESa-fi-e of House No. 3524 Q] 9%,p—a/Z; “AL/4;“) ffggv/fi‘?
To: élggéz {£2312Z; 9g ,
Present Address; fig é’flgzi I %2
Present Status of Property
Vacate:f\ Occupied: How Long:£££3§ ffnlj?~}59
If Occupied:
Present Tenant:
What basis:
Date of Notice
Will vacate: (Date) to vacate:
(If repairs are to be made as a part of the deal, fill out and attach
Property Rehabilitation Report)
IF RENTAL
Occupation of Prospective tenants:
Mr. 4%,: w gag-22: How long employed g 44¢ 25,
Employer JML {aoféifl g; Addressézgéfifl % {é £2 £22; 42,)
Mrsy¢§ZL¢éadb #r-7é2flgé‘ :42 How long employed
Employer Address
Bank Account How Long:
Credit References: (Include addresses: 1&5. hé/éz [égaégjvgfio
________________________________________________________________________
_______________________________________________________________________________
Reason for Interest: ‘ , ‘/,, ' ;oZZZJ ,
W2 ’ éF/Os/Xffia’Vz/ZJW ‘
Sale Price $ Closing Date:
Place of Closing
. Date Possession:
Financing: Deposit Paid $
Bal. of DOWn Payment $ Due Amt. Financed $
Lending Institution
Interest
Terms of Loan: Rate % Term: Mo, Payment $
Insurance: Policy to be written by present agent? A
If other, state name and address
_________._____________________.___________________________________________
Approved 19
Change of Status
—————————————— Lot No. {Big
(Form 68—10)

 ‘ ' House NO. I3 (2’6 Deposit $ AZfl/w
W
To Mountain Investment, Inc:
Name ‘33 g Q B&A & Igd Age ,3)é
Number of Dependents 5’ Ages ’Z‘j‘ Z Z 52: '3
Present (or last) permanent address Km :5 {Z ..W C "I
1
Telephone No. £331.- 357?
Local Address .
' Telephone No.
Present Employment:
Employer‘s name and address 55Quf b 5&1 3% (jg 3L 00.
Catfish: 2g Qimcfg (32% @4152
Division or Department Badge No.
Present position “in?! Q, EN gs, j .1 yj
Length of service :2 i A 35
~ Previous Employment:
Employer's name and address Q 13!; bl I'C Z b '(/.I #2
12 3ch £44
. J
Division or Department Badge No.
Position held 11 Q .F'Zg K g. :13} (9
Length of service ‘
Bank Reference: Name ytZ‘fi 5i r1 Zat (Mag 1 Ba {24
Address Q (uaIg‘f 99-3 b5! E 3 . /_< K
Automobile: Make {Z (\ ng‘u)‘; 3 :10 Model
Year /2Cé 4 License No.
‘ Trade references:
1. Name fl Usfgglfi'gfg (‘Ig QC? :5 Z
Address W_Iggfl.”
2. Name T Hg/fi g QWK - $555183:th {INL
Address 13:5 9..-59 1;}:
3. Name / . ___..___—___..___...—
AddressW
The foregoing statements are true and are made to induce you to
extend credit for rent, gas, water, sewer and garbage collection to me.
I agree that any payments made by me may be applied by you, in your dis—
. cretion, on any account owing by me.

 ’ . A
House No. 3335; @ éZJQ Deposit $ ’33 i; :15“
APPLICATION FOR CREDIT
. fl: 514,4“-7 \37; :7; 7/
To Mountain Investment, Inca »I
' Name ‘f. A? (q :«x a [,1“? f Age 5’ ‘1:
Number of Dependents ,. )7 Ages 6? :'«5~_,:rj?”,;{ g ’91.: f ("U
Present (or last) permanent address KW (>337 [L'gi‘lcg 2x (,,,V‘l, 3335??“
$2 :51 £261, 4%; "‘ i ‘244/ Telephone No. Q ( )7 Q
Local Address
Telephone No.
Present Employment:
Employer's name and address “a Ail Q E “1:334.” , 92:11: (:Q‘ g Q
Division or Department Badge No.
Present position \
Length of service
Previous Employment:
Employer's name and address ,5;- ;I~,: Q} 35,32." Z? 1?? ”)4; ’?,”;m lkfi/
WW.—
Division or Department Badge No.
Position held gj Al: l, E. p 6‘ {5E fi‘ AT, jg
Length of service
Bank Reference: Name (3):" U Q g g 22; Z Q S ,,- W“) n} 3" SHE; 3w
Address
Automobile: Make FT; }’(l {1"} g Model
Year _AL License No. ________________
Trade references:
1. Naméfi’zfi E: Il g g Q It}? If} SEQ :’L/lS ’" l I
Address ’7? r”" M7 ’r’ a
Address H? H gr? 7‘: ., I?! g lg? U
3- Name lip A '2 g, {Zara o._—F -_. a g? g A z I was
Address I’ll ,,_ ‘7‘ 57:; H i
The foregoing statements are true and are made to induce you to
extend credit for rent, gas, water, sewer and garbage collection to me.
I agree that any payments made by me may be applied by you, in your dis—
cretion, on any account owing by me.
/2 iI 4"»; . <1 331i?

 — g ‘
CHANGE OF STATUS REPORT ON PROPERTY
(Rental
Report of Proposed (Sale—of House No. kfévfi
To: 1§é242;5e/ Aflééé/ '
Present Address: ééé/glggn. fig; :
Present Status of Property
Vacatez/y Occupied: How Long: //5#L7é~j-
If Occupied:
Present Tenant:
What basis:
Date of Notice
Will vacate: (Date) to vacate:
(If repairs are to be made as a part of the deal, fill out and attach
Property Rehabilitation Report)
IF RENTAL
Occupation of Prospective tenants:
Mr. 17!:12, e4finxém44/b How long employed 24¢J¢L).f:;zfé;;ge,
Employer,j2£:egg/,3?22Z2¢22£2¢£4é§ddress /é;14£4uug/ ’%:::I
Mrs. How long employed, I
Employer Address
Bank Accountégigfi5944>4aézgl ééé?“«%i/ How Long:
Credit References: (Include addresses:
Rx
Reason for Interest: ¢$2442422#%QL/ é?4¢€/” éefi/ 44>$£2L/)-
IF SALE
Sale Price $ Closing Date:
Place of Closing
Date Possession:
Financing: Deposit Paid $
Ba1. of Down Payment $ Due Amt. Financed t
Lending Institution
Interest
Terms of Loan: Rate % Term: Mo, Payment $
Insurance: Policy to be written by present agent?
If other, state name and address
______________________________________________________________________
Approved 19
Change of Status
—————___—‘————————————————-—- Lot No. cjj7é
(Form 68-10) _—

 ‘ 5
CHANGE OF STATUS REPORT ON PROPERTY
Rental g .
Report of Proposed ESaée of House No.\ifiaé g§2§4??§@ TX“ Xx??? . [fig /W/dh
To: M
Present Address: jig/Q ibsyflésgaémv.£figx7. sawsfléafiaw sflrwfif
Present Status of Property
Vacate: x5 Occupied: How Longpaflgzfigx; cfgaaag¢ée
If Occupied:
Present Tenant:
What basis:
Date of Notice
Will vacate: (Date) to vacate:
(If repairs are to be made as a part of the deal, fill out and attach
Property Rehabilitation Report)
IF RENTAL
Occupation of Prospective tenants:
Mr.w+4§a%z [€5?:@¢g§;c‘ How long employed £¢£%jwfl;figiéékcfi
Employer ggrlju/M; it 2719/“ Address in} {g/flj mgjfifi. [7941 . ‘
Mrs. glfia¢l;5;:-14f How long employed 0
Employer Address
Bank Account {as {22% :Ealfiifinwfiinmligairwrfiygfl, How Long:
Credit References: (Include addresses: _sfifigv p554g4f19‘ g;%¢;{32 sugggs
.____________________._______.___________________________________.___~____
_________________.____________________________________________________
Reason for InterestzgyZZféi /,fl;®¥h, g? ggéguf1}ir&f.
‘ IF SALE A
Sale Price $ Closing Date:
Place of Closing
Date Possession:
Financing: Deposit Paid $
Bal. of Down Payment $ Due Amt. Financed $
Lending Institution
Interest
Terms of Loan: Rate % Term: M0. Payment $
Insurance: Policy to be written by present agent?
If other, state name and address
Approved 19
Change of Status
_ ___—___._._— Lot No. 4‘25
(Form 68-10)

 v ‘5
House No. jgé/ Deposit $ gfld‘a
APPLICATION FOR CREDIT
To Mountain Investment, Inc:
/.
Name/”0’12? gz / f" 4 2 é? Age if;
Number of Dependents é Ages 5 g a // - g L a [é , g /
Present (or last) permanent address [,1 (j So [,Z/g/ypfl 51: fl
E, g Q Q] C 0“ //V\(/: __ Telephone No. .v\
Local Address -
We? E g Q fia/ Telephone No. \
Present Employment: A
Employer's name and address /)7/ /l/‘/ //‘/‘f_
51a Cr 3,; g 3 fl 3 Z/
Division or Department rs Badge No. '”
Present position ZZZ 0" Z 0 b (2 Qé C
Length of service :1" 4,?
Previous Employment:
Employer‘s name and address do ‘ A” ,4 /‘/1/‘c (9%86 e (a? .
EB?“ Quanta» /M i ‘
Division or Department L-r' Badge No. ,—
Position held 3 ,ée g S 3 {k2 (2 /j E J:
Length of service [5 leY‘E '
Bank Reference: Name CZ i y m fg’o/ng 45 d M5
Address 5772! filZégra: é? 591 rd” //?/¢/
Automobile: Make %prc/ Model / 2 é 4%
Year ___—___ License No. _____________________
Trade references:
1. Name C/ITM M82 (’0 ga/ 5 84 1;
Address fig 5g IA/Y“ [/YZ
2. Name .80/6 3/ jZS’V/‘Mf‘v/ 5607/ DIV-91.55516}
Address 5 2Z6! (1 / ffl/Y“
3. Name E& 32:62“ 5261051220 _
Address 229 :76, Ez/"e H _ fig
The foregoing statements are true and are made to induce you to
extend credit for rent, gas, water, sewer and garbage collection to me.
I agree that any payments made by me may be applied by you, in your dis—
cretion, on any account owing by me.
,gfl May in?

 II . III I / I I I I II III
fl; LII III III III/j //I2/ I” WWI; %€WWL 4”“;
v EEANEE“QE“§EA1US_REPORT ON PROPERE: ,szq_Q_/ Hf{‘tfibrié}¢/

(Rental
Report of Proposed (26an 01c House No- 0,96 § 40.00 beginning 12-16~69
T0 =__Dm.Miillifl____________m___m_m_mflmm_
Present Address: _JIDQELUIEIEJIEILESLI_u___“_m__‘___~I_m____“_________um
Ptgegiiigéiggiitgaeji

Vacant: X Occupied: How L0n93§L£E£L§.1__,_______

Present Tenant: ____m__mnuw__m“mfl__‘_______m__“_____m_fi___

What basis: ___“__nm_m______fiww____u____“___“_xmw__r______

Date of Notice

Will vacate: ___flm‘m__w(Date) to vacate2m__
(If repairs are to be made as a part of the deal, fill out and attach Property Rehabili-
tation Report)
Occupation of prospective tenants:

Mrs Miner‘ I How long employed

Employer Island Creek Coal“ COAddress “rm“...

Mrs. Housewife , How long employed ”

Employer ________ ___u_' Address
Bank Account ______‘ _ How Long
Credit References: (Include addres