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(Form No. 3.)

(A Card which folds in the centre to keep clean.)

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Occupation,

Residence,

The Borrower must repay his LOAN at the Rate of One Shilling in the Pound, every week. Regularity in making the weekly payments will secure a preference in future.

A Fine of

per Pound, on the original sum lent,

will be charged for the first neglect of payment, and

in the Pound for the second neglect. If three weeks are allowed to
elapse without payment, immediate proceedings will be taken for the
recovery of the sum due.

OFFICE OPEN

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o'clock, for receiving payments.

20

TOTAL,..

o'clock, for issuing Loans, &c.

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On Demand, We jointly and severally promise to pay the TREASURER for the time LOAN FUND SOCIETY, his Successors, or Order, the Sterling, value received; together with all Fines which have been

Pound

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Dr.

To Cash Balance

ACCOUNT OF CASH TRANSACTIONS AT THE OFFICE OF THE SOCIETY.

Instalments received this day, as above (column 3).

do, (column 2).

Loans granted.

Fines (

d.) do.

Discount on £

Tickets (

) at ld. each

£ s. d.

By amount Loans granted this day.

Paid Debenture No.

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Cr. £ s. d.

TOTAL

TOTAL

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