xt7qnk361p0s_1051 https://exploreuk.uky.edu/dips/xt7qnk361p0s/data/mets.xml https://exploreuk.uky.edu/dips/xt7qnk361p0s/data/88m6.dao.xml Inland Steel Company 185 Cubic Feet archival material 88m6 English University of Kentucky Copyright has not been assigned to the University of Kentucky  Contact the Special Collections Research Center for information regarding rights and use of this collection. Wheelwright Collection Coal miners -- Housing -- Kentucky. Coal mines and mining -- Appalachian Region -- History. Company towns -- Kentucky -- Wheelwright. Community development -- Kentucky -- Wheelwright. Coal mines and mining -- Kentucky -- Wheelwright Houses 413-434 text Houses 413-434 2016 https://exploreuk.uky.edu/dips/xt7qnk361p0s/data/88m6/Box_317/Folder_7/88m6_317_7__09999.pdf section false xt7qnk361p0s_1051 xt7qnk361p0s ' v i (fix
\ \ _ 4533' 43'4”]
=: ““51 \ \t 5gm3msnrv OF PURCHASE

\ \ THIS AGREEMENT, made and entered into as of the N‘h .
day of. May ‘____, 19 TR , by and between Mountain
Investment, Inc., herein called "Owner” and vanmnnd Till em and

Marie Gillian, his wif” herein called "Buyer."
WITNESSETH:

THAT WHEREAS ”Owner” has offered to sell to ”Buyer” Lot No.

“17 located in its Wheelwright Sub—division, Floyd County,
Kentucky, as shown on map or plat in File 3H8, Floyd County Court
Clerk's Office, and improvements thereon except as hereinafter set p
out, for the sum of $ 9.&O0.00 , and, in addition ”Buyer” shall
pay the sum of $155.00 Closing costs and $30.00 for survey plat to
be supplied by ”Owner”, all of which is to be paid as follows:

$ lCO-QQ down payment, the receipt of which is here—
by acknowledged, and the balance of 5; E! ,(mcn includes
closing costs and the survey plat cost) on date of closing, and
upon delivery of deed of conveyance to ”Buyer” with covenant of
General Warranty of Title, subject to the exceptions and reser—
vations contained in those two instruments of conveyance from
Island Creek Coal Company to ”Owner”, referred to herein for source

I of title and which are dated November 9, 1966, and recorded in Deed
Book 191 at page 50%, and ALSO in those certain deeds executed by
”Owner” to Harold Telephone Company and Tel—Com., Inc. dated
June 15, 1967 and recorded in Deed Book 193 at pages 27l, 273, and
275, records of the Floyd County Court Clerk's Office, and ALSO
deed of conveyance from ”Owner” to Kentucky Power Company dated
December 29, 1967, and of record in Deed Book 195 at page #25,
records of the Floyd County Court Clerk's Office,

It is agreed that time is of the essence of this agreement
and that this transaction shall be closed, all money due hereunder
shall be paid to ”Owner" and the deed herein provided for shall be
delivered to ”Buyer” on or before CVflW‘”- 1?" ‘__~. In event
”Buyer” does no pay the balance as herein provided on or before
the closing date then the down payment herein provided shall be
retained by ”Owner" as liquidated damages hereunder, and this
agreement is then void.

Taxes at the rate of $1.50 per $100.00 of selling price shall
be prorated to the date of closing and taxes for the unexpired portion of
the year following date of closing shall also be paid by ”Buyer” to
”Owner" on closing. All unpaid rents and utility bills due ”Owner”
shall also be paid at date of closing.

(Form 69~lY~Page 1) ~ 2

 ‘ C
i 1
Th ‘ ~‘ ~' t, ;— "Ww mnw ND‘ ionel “f‘nK
.ie C!Oblflg snail ce a; 4 L o 1~*v '7
Pre- sf one. VV‘"; , Kg; .

A: the time of closing 31? rents 3n: utilities due by ’3uyef“
to ”Owner” shall be fully paid. All rents on said property shali be adios:-
ed pro—rats to the date of Closing.

. . , , . *anr n *3 ~

PossesSion Will 5e given ”Buyer” on -.»r_ w. 'J -

Any further notice necessary under this agreement may be isms
by mail to the last known address of the party to be notified“ _

The words ”Buyer” and “Owner“ herein employed sh3ll be con—

, strued to include the plural as well as the singular. and this contract shall
be binding upon their heirs, administrators, executors, successors and as—
signs, and the masculine shall include the feminine and neuter, where the
context so admits or requires.

IN WITNESS WHEREOF, “Owner“ has caused this instrument to be
executed by its duly authorized officers and ”Buyer” has duly executed same '
as of the day and year firsr above written.

MOUNTAIN INVESTMENTJ INC.
ATTEST: _ .
g President .
5. '- Secretary
. 1 . , .
A / V.({..
\ ,- 1}" 4 '_ (IL/3"
[I II I
. . Buyer'-
. ,...) t: f; ,
_-_/”£24.44.“ M. iii. .ZZ.);,;.;_L. ‘
”Buyer“
{Form 69—17 Page 2)

 House No. Deposit $
1 ) : 4' JV 1%4/7 APPLICATION FOR CREDIT
To Mountain Investment, Inc:
Name ylL,k_ fi;; L{;..\Ii t Age '55
Number of Dependents '.f Ages /. .5; 1 j / , (g. ," ' ¢//
Present (or last) permanent address .LL, , F/ ,r,» 51".“ ‘f ”I,
g LL, .,‘ 1,” Telephone No. , L v. ,V,)
Local Address
Telephone No.
Present Employment:
Employer's name and address 11":{ ’ if .[p , / -/1 Jili,.\/
txxiq‘_‘ (I. (j ;
Division or Department Badge No.
Present position /i ,aqu ./-; I ,,., zf
Length of service [xvi L / ____
Previous Employment:
Employer‘s name and address .«7.' , I {' .
_ , ,p.,,_ ; ,i_ ’
Division or Department Badge No.
Position held ‘J R /T gr,
Length of service {I _
Bank Reference: Name
Address
Automobile: Make . A Model
Year ‘ A License No.
Trade references:
l. Name /’ f 7.
Address '._‘:.,, wA kg?
2. Name I.RH. ‘T . , .fi' ,
Address ' r ‘ ':,«.t .;w 4 /
3. Name
Address
Reason for interest in living
' in Wheelwright \VI 1 - « I ,.. fiL(. A
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.
..L /,‘J f“ w ,‘.; ,1,-l )..}, /

 House No. éf/Z Deposit $ 7T7,.
k (9;, APPLICATION FOR CREDIT
To Mountain Investment, Inc:
Name 77E/‘Ié / ’ Cw 77777 Age /77, I D Telephone No.’ !
Local Address \ v} ' '
_fi . Telephone No.
Present Employment:
Employer's name and address 4 I ' 52 ‘ _
Division or Departmenb; 5 , Badge No.
Present position , ”A ,5
Length of service ”K ' , ' if
Previous Employment:
Employer's name and address _
Division or Department Badge No.
Position held 5 “
Length of service \
Bank Reference: Name”? :
Address I ',
Automobile: Make T _, ' ' Model
Year T License No.
Trade references:
1. Name ' “ /
Address_4aa__;___~_______W_______fi_~____**_*________~__
2. Name ' '. »
Address ' 5L. ', x _ '
3. Name »
Address , '
Reason for interest in living , 1 ,
in Wheelwright {I , I " g /
x '

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.

.,?”, . K I/g/
cc_‘ , “l"«~«_

 /“ ,'
House No. i: _/_ Deposit $ 257,551 QQQ/9
t -_
'9’ (‘Z-“l LQJQ;V¢
APPLICATION FOR CREDIT flfl / 17 [fit/<11 y
‘ a/n-W 1‘
/ 91
To Mountain Investment, Inc: A ‘
/) a I ,/V
,~'! // ,1 ~ )4 ,. , i
Name ‘/‘ , / ’1' ’43" , K/Jléew A838 5 [7
Number of Dependents .;§ Ages 2:? {M 550 fi//' '5; 4/
/ , / ' ‘
Present (or last) permanent address 5'] :52 4/ ZZZA/lQ 5‘
fl . , ,.
Telephone No. 2 ”Z Z 3537“,)”
Local Address
Telephone No.
Present Employment:
I ’7»____ ’ fl ('
Employer‘s name and address /’» ’/}//. ‘//77/ g; /
/, 47' ./7 I
5222/25/31 521 E 5 If
x I, /‘
Division or Department 7 Badge No.
Present position Z( [‘2 c? (If , -~ “21:/(:2. : ;;;“ "7:5,; 5' a
Length of service L.L g _Vfflé 512.! (
Previous Employment: r
Employer's name and address «\ , 'fl , g
, fl ' j / /'
5 9555755 5' 5 c";‘”‘5( Alf} .
/ /
Division or Department Badge No.
x I) . / k ,x/ . X. t
Position held "if”-(gzgg 2:2”; {::- .72/L,” [/12 (55'1Q £5 5 .9;
Length of service /Q’ g) {[2 (g j
If ' 7:
1 ”ix
Bank Reference: Name _/_,_;,2_‘" :16 ”Z 5*”! f: E' 2% '7, (Z
Address :2 5/13137 Xi: ,
I, a"
Automobile: Make ; 5' 5351/ Model “71%" T Z ,/.7/)
Year x: (145:: ‘2 License No.
Trade references: ,/
fl I ~ , 7 5 _ - ‘,’/V , 1,
Address , 5 5_ ,,_/, :7“ L.,;
.»r— — N- , r./
2 . Name 4;) Z {5 [51‘/655,254? d
‘5 / r;/
Address / / -/,
7 v 7' ‘5 '. , z“,
3. Name C" T ”' -’ > ”4’ / .4 K " '2‘ Z" . ' (C —
' 150 '/ V "I: ‘ »/
AddlCoS ,7 //~_ Z / (J) V,\.. ( ’./ ‘4
Reason for interest in living , : C: ,
’ —— u ‘ ' ,- ///-, / j?)
in Wheelwright 5,; 55,55 5 5 2 d5 (..5/7 . :75 5i/é/5égl 4&5
’ %* /'ZZ5/”(/ figf‘z’zdn T/K’kj ‘/V///552§
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.
MK, A—C‘p IrK/é‘ifi’fi (Pi/L1 pkwx,»

 . , ' 3' TL ,7 // .
’ ~ ' C
CHAEQE OF E:ALQ§_EEEORT ON PROPERTY
(Rental
r f Pr o:ed of ‘ .. i 1 ~«
Rem>t 0 Op 5 (Sake HouseNa ' J ?_ hv.vv per m0'
beri 71:11:13 7/ 3/6‘} .
T 0 ‘_LLuJLLgL—LLLLLLL L L ’ . '
P ._, T S T N ’
resent Add e S __LA;L44;;T-Lég;§ugkgL_L__LL_______LLLLLLLLLLLLL_____L_
33263.1- fine T v 0 F P rape E UL
Vacant: K Occupied: How Long‘ “”_M“_”__ _
IF Occupied:
P’esent Tenant:
What basis: __ _
Date of Notice
will vacate: _ ’lOatel to vacate:
(If repairs are to be made as a part OF the deal, fill out and attach Property Rehabili-
tation Report)
it E RE NTAL
Occupation o1C prospective tenant:
MrL How iang employed
'fi'fi‘tfimm""“"mm“ “"—"—'—'m""‘"—
Employer ___m____"___u_“mwfim “ Add—ess ymw_“j __ _
m (1‘.: V. 13'1d
Mr S ' TWTT'TT'TTTTT' M“_~~n_ HC‘V l ‘ r LA pr ye i __.‘___‘____‘ ___—___"
Employer _ _ 7’ Addrege
Bank Account "____mm_i_ _”_ , . ‘ _mw“w_ _ How Long _
Credit Referencesm {include adores es) s g ,
~-- -~-wv..+—aew'—een—-h estee-—w—-———-~~———-~—————————‘--——n -
L. prey, in ':.l' .:J" 313'
Reason for Interest; .‘ . , L.,
”aegis-eP—hOL-raiflgweefiwi—c’i-ees —---------—m———r———*———~——————~--————
lfoif‘Ll- E-
Saie Price $_. ____~m~hu_wfiw fleeing Hate: WMHW_W__"_"__ _
Place OF Ciasing ’“_fl_r__wnfl_wvfivm ~ m
Date of Possession: 1V 7 m V
Financing: Deposit Paid $m_wm“m~__ m_ ”
831,, of [)0in Pei/m" S h V v lTi'J‘i r_w_w_‘_ Amt~ Flnanced S____‘ __ _____L._
Lending institution " ‘urmw “_” N . _ ‘wflmng ___m“___ _m_*"
Interest
lerms OT Loan: Rate ”»h> L, Y '0’“: ___~ _, M0. PaYment Sm LL LL-L—n
in urant : Posicy to be Ositten by p'eion* agent? V
TT other. ltate name and addre~» , _ a , ’_‘ “V _"“"___”h
A pp" mm L LLLLLLL.__LLLLL., LL.L ..L- l 9 . .
Change of Status
Lot No.1wi7
_ ‘ LMLLLLLLLLLLLLLLLLLLLLLLLLLL .LLLLLLLL
(torm 68-101

 . .‘i ’..: .1.-firm, V PCT" ”93' 2% ..:V‘
1‘ /
4"{W—_—,—______mm J / ___“ -
i PAY PERIOD {nous HOLBROOK Tom JOHNSON Z BILL HALL mm HALL .
2 {mam 9% RATE 2, 32 V i RATE 3,10 3 SALARY _... .‘ ‘, V

 JOB TICKET
JOB DESCRIPTION
//,/:X’ _...‘jos ’ $1! ‘ ‘.: / ..‘.“ ‘ .
’fi’ :5, ‘1' {C(41) .' ""‘ '
MATERIALS USED COST
TIME HOURS
“’.
Date (- , ..: . C
EMPLOYEE: ;
HOUSE NO. :51" , ‘ 5
(Form 69-18)

 ___—Mm,
JOB DESCRIPTION
/ / ' _.2’1: ,1
MATERIALS USED COST
”_ME HOURS
I :) \’ ,‘ VJ,
Date ~~ / 7 c.2f
—————A—+————
EMPLOYEE: . , J ,
M ’ -' r 7"" 2, ~ ,1 "N
M HOUSE NO. n
(Form 69—18)

 JOB TICKET
JOB DESCRIPTION
,m f xi t
// ,L L ,,V, .../
7 MATERIALS USED COST
~ ' " (Mk / ”21/
(I '7 . a, i 7 'l
', v 1
/.,, // // C 1 I, I,
TIME HOURS
Date _/_ [I W 2g} - 2 5"
EMPLOYEE:
14 x6!“ 559,5 .2 I HOUSE NO. i [2
(Form 69-18)

 ___—___JOLIMEL._______
JOB DESCRIPTION
MATERIALS USED COST
I E
TIME HOURS
Date ' ' (i/x ' , '
EMPLOYEE: . .
"Q g‘Ky-z 4, , , “7 HOUSE NO. '
(Form 69-18)

 ___—___—-——‘-£B—T———_—_——_—_——I(:-K—E—-[-———-—-—————_—
JOB DESCRIPTION
_________________________
_________________________
________________________________.
_________________________
MATERIALS USED COST
'.>X‘ V/ZIL L a x / xv/z (\ KT:
,' 5 , ,xi' 2::
/
TIME HOURS
/
____________________
7/7 /, / ’7 J ,.
Date /.5/\ T'// ~ /:’.
EMPLOYEE: , , '4—-_‘4——_‘
i/c'E/ 1;; @1871 Z" HOUSE NO. 7' A7
(Form 69-18) M

 JOB TICKET
, JOB DESCRIPTION
MATERIALS USED COST

TIME HOURS
VMVf.

Date ” x 5

EMPLOYEE: ;
\‘2F”‘ '1 . ’ " .- _, HOUSE NO. x“ ‘ ‘

(Form 69-18) ...... W...

;éwlt’f’ ' '\

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JOB DESCRIPTION

- ~"_‘_::3_..§:l‘ , £9.31

TIME HOURS

Dale .,...—..._..”.-.v m

EMPLOYEE:
__ FW‘USE NO.

(Form 69-18)

 JOB TICKET
%
W
.__—.’_________________——_
M
M—
M

MATERIALS USED COST
1% HOURS
‘_.-___“—
Date .
EMPLOYEE: _..—“_—
» HOUSE NO.
(Form 69—I8)

 _LLQLEEILLL—
JOB DESCRIPTION
_________________________________________________________
_____________________________________________________
_________________________________________________________
________________________________________________________
___—W
MATERIALS USED COST
TIME HOURS
Date
EMPLOYEE:
HOUSE NO.
(Form 69-18)

 JOB TICKET
JOB DESCRIPTION
MATERIALS USED COST
TIME HOURS

Date ". I

EMPLOYEE:
'. ~ HOUSE N0. ,'J '

(Form 69-18)

 ___—EEE”
JOB DESCRIPTION
" ' . I ,
‘ f/Q/ ,, , K. 7’ » /, 7 , :- , , z, ; . /
I ,~ 1)},’.’»(’l’» ’V" " ‘£"“ . ’ '.., _,—___._‘.—' I
‘ ,I 'j/ K] 7 ’ E1 I I’ .
K 1‘; v 4 ,k’ 7", I/ 7117/ _ 3 , L' . .l _ 7 K. '1” ,1
.’ 1,: , V x'/:/.' 4,; ,///‘f 7 /’)/~ r /
MATERIALS USED COST
SJ . ,.; _1 ,,, , _, A g;
l “ [va . 7 ‘ .7
TIME HOURS
Date (7/ * ’ ,I /'
EMPLOYEE:
/ , , ,, / z/ /
gr, r: A I, . _/ 5 HOUSE NO. 4 //
(Form 6948) /

 ___wflfl
_____________________________
JOB DESCRIPTION
’k b‘ \ ,1 g l
_W_-W_W
, a . I
~.,. " "a \ (’
W
MATERIALS USED COST
17‘“ ,» -, ‘3 ’ . ‘ ‘3 he ,1;—
___,. I [I .‘. / ' ‘ I In I
“.:. ;- s z, -+ x ;,9, ,3 a , 3
J L 3 w [A 3 <\ ;
I_IM_E HOURS
E IWW—“__T 3». 3 5-
Date 4 9‘ ”mg; 39m. i 2
EMPLOYEE:
‘ (‘0 . “\ . '
33_, 4 ;- .4 res. 3 . HOUSE NO.
(Form 69-18)

 JOB TICKET
W
JOB DESCRIPTION
_________________________________________________________
_____~___________________________________________________
_________________________________________________________
________________________________________________________
“m
MATERIALS USED COST
ME. HOURS
__________________________________________________________
Date _
__________________________________
EMPLOYEE:
HOUSE NO.
(Form 69-18)

 JOB T_i_ET A 1
JOB DESCRIPTION;
T x / T , , ' .' / / «
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1 / I f,
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MATERIALS USED I ”cos:
TIME I HOURS
Date T T
EMPLOYEE: ,
. M; 'f 1, I HOUSE NO.
(Form 69-18)

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JOB DESCRIPTION
MM
___.___—M
_____________._._____——————-—-———————-—’_————-
MM
”___.___—ff;-
MATERIALS USED COST
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:w________________.__.——-————-————--——'——‘—"‘-
Date ________________________
EMPLOYEE:
__.___—___, HOUSE N0.
(Form 69-18)

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JOB DESCRIPTION
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MATERIALS USEO COST
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(Form 69-18) x

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MATERIALS USED COST
TIME HOURS
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Date 5‘ ~~ I" ' .
EMPLOYEE: ““”‘—"‘_., .
I- _ .' ' I HOUSE NO. f /I”
(Form 69-18) _I

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JOB DESCRIPTION
MATERIALS USED COST
TIME HOURS

Date

EMPLOYEE:
5 HOUSE NO.

(Form 69-18)

 , JOB TICKET
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JOB DESCRIPTION
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M
_________________________________________________________
___________________________________________________________
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MATERIALS USED COST
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___________________________________________________________
Date ,'{ .
“.___—___—
EMPLOYEE: ,
_1:____________________ HOUSE NO. V
(Form 69-18)

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m

JOB DESCRIPTION

MATERIALS USED COST

TIME HOURS

Date

EMPLOYEE:
HOUSE N0.

(Form 69-18)

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JOB DESCRIPTION
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-——4¥—h——a_;;___+_______;_;:___________;_________________
_________________________________________________________
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MATERIALS USED COST
IlflE HOURS
______________________________________________________
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Date /’ - O
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EMPLOYEE: >
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_______________________ ________________
(Form 69-18)

 . JOB TICKET
W
, JOB DESCRIPTION _
W;____L;EL_____.1_,_____________________________;___~____
___——_—.——v/————q——____—__—___
_______________________________________________________
__________________________________________________________
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MATERIALS USED COST
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IlflE HOURS
___._______________________________________________________
Date .' "' ,’ T
_______._________________._____
EMPLOXEE:
JJ”7 . ' ” 1 HOUSE NO. _ig' {
(Form 69-18)

 . JOB TICKET
JOB DESCRIPTION
MATERIALS USED COST
,.vfi/ " C,
TIME HOURS
Date ' "
EMPLOYEE: -
, HOUSE NO. “T“ I” 7
(Form 69-18)

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JOB DESCRIPTION
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MATERIALS USED COST
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Date , . ;”
EMPLOYEE: ' >
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(Form 69-18)

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JOB DESCRIPTION
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“___—___
“___—__.__—
-—————————————__.________
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MATERIALS USED COST
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Date ,3". - _7 -
EMPLOYEE: '
HOUSE NO.
(Form 69-18)

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JOB TICKET
_ JOB DESCRIPTION
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TIME _HOURS
\5
Da te *4 : l ' /
EMPLOYEE: 7
/ '5' ‘ -_ >.. ‘7/ ‘ HOUSE NO. {/2
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(Form 69—18) _ i U '
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JOB TICKET ‘
JOB DESCRIPTION
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1
(___—WT ‘ - 'O___
MATERIALS USED COST
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I p .L ‘ i - ., i‘ “
,r" " ‘_, .,.;
‘1’”
/ v ., . , O, I .
TIME HOURS
Date ‘
EMPLOYEE:
» , HOUSE NO.
(Form 69:18) I “4977” " "
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MATERIALS USED COST

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» Date I g" I "

EMPLOYEE:
, ~, ‘ , , HOUSE NO. f
(Form 69—18) ~ '.

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m
JOB DESCRIPTION
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_._________________________________________________________
_______________________________________________________________
%
MATERIALS USED COST
Ilifli HOURS
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.__________________________________________________________
Date *-
EMPLOYEE: """"‘"“““‘—“-'-—--—---
‘ HOUSE NO. I
(Form 69-18) /,\,

 ' JOB TICKET
-_—————:—_——_-———_____—_——————
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EMPLOYEE: , " '_‘
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 INDICATE ON THIS DIAGRAM WHAT HAPPENED ” g.
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STATEMENT OF ACCIDENT ‘
' Date of Accident é— /3 -— 7: Time 213’! Z Filo
§ Where did accident happen? mg“; 57‘. wHé‘é'L wKw/H- 5%
,3 Number of persons in your car? Number of persons in other car?
a?
i Make of your own car? ' License Plate No. Year
Owner‘s Name and Address HQ‘Lg E - !n m; amid; zflgtflhflfi (I'M: I
Driver‘s Name Age License No.
Driver‘ 5 Address
What parts of your car were damaged? 19154525} (:18 bmtw tmz Mgg '
Qggg ~L gggi. Hm "12' ,
U € .
. Where can oa-r be seen? 2 {2 When
' What Company carries your automobile insurance?
Were you injured? Was anyone injured? Give name, age & Address of all
i injured
g
4 Nature of injuries
1 I Name and address of doctor
{ Make of other car License Plate Numfir ‘
g e
g Owner‘s name and address ‘
Rate of Speed and Direction of Travel
{Your Vehicle) (Other Vehicle)
Describe accident , . u . 0N d L I ,_, I‘d-IA] '
c I . .. film-1W! . "
I rpm-.1 i: .«
(If more space is needed,use other side of this sheet} ‘
Names and Addresses of all Witnesses. {Include all occupants of your car)
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‘Did you report accident to auihorities? :{é} v«There (Address? “(6:55: elflc‘flf‘ a
Signed ‘% 4235 E! M
Address- '
Date ‘ ' Telephone Number -

 «VCR»
+
$@ KENTUCKY FARM BUREAU
$3530
a
)U MUTUAL INSURANCE COMPANY
0
”Sum“ P.o. Ism- 765
Jackson, Kentucky 41339
June 23, 1975
Mountain Investment, Inc.
Wheelwright, Kentucky 41669
Re: Claim E0. A 97500804
Policy No. 832630
Insured - Denver Compton
D.A. 06-13-75
Gentlemen:
We understand you are presenting a claim for damages to your property
as the result of a recent accident with the car of the above—captioned
assured.
For the purpose of formally presenting your claim, we ask that you
kindly complete, Sign and return the enclosed claimant's statement,
with three (3) itemized estimates from reliable garages for repairing
your damage. If your damage has been repaired, please send your itemized
receipted repair bill. This request does not constitute an admission
of liability on the part of the above—captioned assured, however, this
information is needed in order that your claim may be given considera—
tion.
If you carry collision insurance that takes care of the damage to
your automobile, please advise us the name and address of your carrier.
If you carry any form of deductible or retention, please specify the
amount. If full coverage collision is carried, please so state.
Upon receipt of the above information, we shall be glad to give your
I claim consideration.
Yours very truly,
Kentucky Farm Bureau Mutual Insurance Co.
I , I/, ;iI& z’r~/Ii;/
:«l/Iu L I
K James A. Brooks
Claim Representative
JAflznvn
Enc.
C—3—L
I A U T 0 —~ F IR E —» C R O P H A IL —- F C L —- B L U E C R O S S — Ll FE

 EfiANGE OF 31AigiuREPORTwON PROPERTY
(RentaI
Report of Proposed (m of House No. “5.42.9 fill-0.90 per 1:10.
beginning 9/3/69.
I 03 BER GER J ._..__.__.____.-__.._____,..~_______._m,__.____,____._______
P T e S e n I Add " e F S : __Melzin.Agatag.k.v___________________-________
Er.23¢:_:_:i.:,.a:;::_ai__fi;222;.2z
Vacant: X Occupwed: How Long- a
Pkesent Tenant; _ -___ ,__,_.., _ ,
What ba 51' s: “._..__-..“m- __fl _______ _“w _ _ _ __
Date of NOtT ce
wiII vacate: ___ _--._ ___w _( __(Date) to vacate:_
(IF repairs are to be made as a part OTC the deal , FT II out and attach PFOPGI’Iy RehabiIi-
tatT" on Repor t)
,::...EI‘ILEI
Occupation OF prospec T. I we ter-anT —::
MT . __neiineLminer_m._____..- How long em: I Dyed "___«_____"_____
E mp I 0y e r M.____,__.,_m__e_,_WW.-. j Ad (1 -' e i s m .._.m___-_~__.._____.... _______
Mr s . .._Houseuiflewm--- ..__. .I..-.“ How I orig emp‘i eyed ___—“__. _______
Emp I Oyer -___,__,,....... __“_____ __ ..--.-Wfl. Ach e L’: M..“-.- __ .,..._--_,____..-_-m_.__ ____
Bank A: count ”___ ._-._ .__” _-..-.NMWI”__....v___-..i.- ”.__ ._‘__W_________1_V___w________m_ How Long 1_“_____
Cr'edT I Refe‘en<:c~‘. ( Inc: 7 ude Emotes ~63} _._.,...-Jacksonfionsemn.___m,.__________-.__-m_...-
Bypro, Kentucky
Rea3“” *0" {DIGISTIJ _quhteILJiousdJn;_cfuniitixuis_Efm__"_n_um_"_____“.___m_i__“.-_
I ‘F SAL I.
Sale P’I ce $_W_M“m___‘__"__V C In; :1 mg» .71-ave; ..W..- .___“-.- _w w _,, “___
P I ace (It Cl C; 3 T In; u_fl____‘_____m__‘_WW" ___ Ne.....v._e_e....-._..l__._m ___ _»
De I e of PO e 9e '3 51 o n: ___-.___ «... .__” -_- .. _W ..-...m-.0.7-...._..,._.---_..__-..-._--__ ___
If i nanci fig: Depo .»I I Pas d S”__.“..-....-_-‘_._.,_r.-_
BaI . of Duwr‘ Paymf Sm e-,.,...,,.._-_-._..__- :"v-IE: .-.-,.-.-_____.__.__ Am . F I nanced $__m___________
Lend“ pg I n E T T T LIT. I or ._..“.-.mm WNW ___“ _fl__fi_’___q_‘__>__”___‘ 7m_"_~_m_____wm__fl_ _______________
Inferemr
Teams of Lman: Ram -., V { 'e‘rm M Mu. Payment S“ > __
{reef-ab: :5; PO? I :y to be. w i ‘.‘." ,- t‘v L7 r‘ : BI” 696117 W .__,W
It other . state name and as‘ri" E» W W W_WW“_nww_mWm___