Fourth Schedule, Part I Pledge Book
_____________________, Pawnbroker, of______________
Date of pawning |
Number of pledge |
Date redeemed or sold |
Amount of loan |
Description of pledge |
Name and address of pawner, according to the information given by the pawner |
Name and address of owner if other than pawner, according to the information given by the pawner |
---|---|---|---|---|---|---|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |