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4. Number of ticket on which transaction was recorded.

1.

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Co-operative Regionale de Nipissing Sudbury Ltd.
4 Main St.
Verner, ON  POH 2MO
705-594-2354

2.

FS

Past due accounts will be charged 1.8% per month service charge (21.6%) computed on the end of the month balance MINIMUM FINANCE CHARGE IS $1.00. Payments will be applied first to any Finance Charge and then to oldest balance.
DATE TICKET DESCRIPTION QUANTITY CASH CHARGE PAYMENT BALANCE
 

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Cash
Purchases
Previous
Balance
- Payments + New Charge
- Returns
+ Transfers From
Deferred/Prepaid
+ Finance
Charge
= New Balance

           
Customer Page Statement Date Pay By OR = New Balance
13. 14.

 

Aged
Balances

1-30 Days 31-60 61-90 91-120 121-180 181-360 Over 360
             
15. Page As Of

16.    Please return Bottom Portion With Payment

THE NATURAL RESOURCE COMPANY

 

17.

 

PAGE A STATEMENT OF YOUR ACCOUNT AS OF

 

 

 

18.

NEW BALANCE DUE BY
YOU SAVE
IF RECEIVED BY
AMOUNT PAID

 


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