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� <br /> � i Censuner Co^�ol�int Ferm . � � � , . <br /> � . ' � . ' . Date: �=(u — 7� • . <br /> . . I �f4LE or�A ��. /�R'Mar✓�- r' ��(v,nLf'anl �_QJ.� -/8�� . <br /> Yrint you: Lu 1 �iaar., I[omc 'Pclep.tone <br /> � ! Sh'�(� �n<��� X/�1�7//!P�2. .G%4.�1 . . . . . . . . . . . . ' . <br /> � � SCreet AUdress t�us�,ness Tclephone � � <br /> i <br /> � ' i ' <br /> ' � L`-v v r P 1� ��I Sli`.'r.:.�cnJ . �l�e2o-� <br /> � City SCa'c � 'Lip Cod�� <br /> � . Akki�i:#i�ikR*i*k*k*R*#fi�f*k1FkR*h!*1f.*},�k*!'*R:'kRAtkk*R*#**.'<ik*RkA:•'r.it*#MMR# <br /> �t'1��' J���_-�.1�+or a� P�2a.�t� 3:i.3 —9�2���_ <br /> , �� Nar,.e of Compat:y complaininy agair.�t 7'eleaion^ <br /> / 3 OS NL�,"SaJ ��eYe f� 41us�(�do,�/ i�,�o�J <br /> � StreeC Tddres� . � City State 2i.p Cod_- <br /> . . . 9 � /7 —7�f � �i'//14�t �r �p �i`iCl� 44/�ve� <br /> � �Uate oE 'ltanszcf:lon . Nar.� oY �.e:, FC_::oa <br /> / (rT/iCF/CS.(IS� - . <br /> • � � 1�n h [��'�.c��r ��� �W��;v� �ouls T�ne S,�.ic� <br /> � � Dascn.t�$�4uf It�_m and,/or Service Yura�ased <br /> . . //—� . _ . . <br /> � • � � Did you sign a contract or 1^_asc? (attac'I� a nhoto c�py if pos:��ble.^ <br /> . . `'�,�?�— <br /> � P:as iiic ite:a you pu_chas��d aoa::rased'? i: yes, uhe�io�: and whai dia <br /> the acice.rtiscma�� say? (attach cop� iE puasible) ' <br /> . � .�.5? . .. .. . . <br /> � Uid ihc salcs p���o� mal:e any zep+:esentations to you regarding thc � <br /> � product er service purcha�ed? Ii �, �riint? ' <br /> _ i�t��'inh �/rL�3 .y/af -f�(e �,3�s,oh��r��' /�04FPYS _ <br /> . � � _f,Jncc./,/ s/i.,F nfC (�� aN�f �'�C.;v9 Sbo4lc� �'�uc� _ <br /> • r <br /> f�� .:i /�%5�,;//c�i or� b/a-✓i�o� wh,�l� i.r �/af t�o _ <br /> �sn , i0 -iY— 7� <br /> liave you com?lained to tlie conpas�? llate co:n� air.e� <br /> . �.2 5 — <br /> . -- - To ca� eTi n c':T_d vou conpLa�n'? , Wnat response? , <br /> � ��aY 11E,n.e �a�Irc,,�rrvie �J-1' �(��//iacrl j�-ic�c���"ic�.. r <br /> _�LG�a4 S -h�i F_�Yq .v1 r�SL� -fv Cc titC'. ��—Ta--R..�r.r /�i D�/ flp_ ' _ . <br /> NPJoy S�IpW (��_— <br /> � Is Ehere a ba;ti: or Ylnanee con�any lirrolveC? c�s5 Haae o= Co:��pany <br /> � l,C��l� 45aJ�...tcrc C�Y� Wasl� i.U�e) �Ln)k .�'F Cci'�i� . <br /> StLn_� j�ju:P$5 C1C" St3CC L1p CovE p8 yd7 <br /> / <br /> f[ave a�ou had �auy contact er correspo�dence �with th�- P.:n;: or Finance • <br /> Co.? If }'es, pl.ease cta.e the aatur.z of: th�_ oontacc. (F:ttach ph�to <br /> � wp, of. co:res�+oedence if �.os;iblel � <br /> �A'._�a /3�anl tJard y a� f2 ��,Lk����re�1f � � <br /> To So� �� ho C'cc�/el�ot i�f n 'eElrinti � r r l, are <br /> yn YinriS� Yllo� �i(__C`� k QrJc� lti�(' �a(c� SS�—�10 ��l�rtltl�, <br /> � � � � � l A . ! . � ..� . �. �/r/ /' - ' <br /> ' . .., T . J'.. ��'L Nc ✓ <br /> � �% :2llCl�.�Gt G�/, f/Gl�l`tL �G�G :il:t-L� �;71a� y �ii G'�� . <br /> �,. / <br /> - � ' .1y,' ' /-.' . . .. . ... . � <br /> . i:�G'Ci` < % ;�/� �fl.l1. y/C.L � 1 - _ , , . ' . . . .. . . _ • <br /> � <br /> (�r <br />