JP WATER STATION

JP WATER STATION

BORROWERS SLIP

BORROWERS SLIP

Date:_____________

Date:_____________

Name of Borrower:
___________________
_______________________

Name of Borrower:
___________________
_______________________

Address:
____________________________
___________________________________

Address:
____________________________
___________________________________

Slim _____________________
Round ___________________

Slim _____________________
Round ___________________

JP WATER STATION

JP WATER STATION

BORROWERS SLIP

BORROWERS SLIP

Date:_____________

Date:_____________

Name of Borrower:
___________________
_______________________

Name of Borrower:
___________________
_______________________

Address:
____________________________
___________________________________

Address:
____________________________
___________________________________

Slim _____________________
Round ___________________

Slim _____________________
Round ___________________