Nor <br /> 1A)g <br /> .(..:::, t ed„ <br /> NN\ vt ,•.t.--,11, 1-‘8 Q 9 9 ©op v <br /> E L w , e, 02 . G ri4 62 - <br /> 0 r-' - l - 6h9-(a5-3 ) <br /> CUSTOMER'S ORDER NO. DEPT. D TE: <br /> alr, 5 -0 4 I W (A S _ -07 <br /> NAME: y� <br /> C`l� li rs)c (_i pcicto ve Aog O phC� <br /> ADDRESS: ` c J <br /> s.e u t t �v p, <br /> CITY, STATE, ZIP <br /> SOLD BY: l CAf H C.O.D. CHARGE ON ACCT. MDSE RTD. PAID OUT <br /> • * • I, r ` CL• r WI /t <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> 1 CnQ 4 * - c)-no 5 — 6 ''4 41 <br /> 2 r . • ,•,r • <br /> 5 <br /> f. <br /> 8 <br /> ---(---5:PA- i -- NM li. . ...MINEREVE:la <br /> • <br /> Aninfaim i <br /> 4 e 1 �( / / / , <br /> j <br /> 15 NN �`� 4r'�ra, 1"1 1�0o 1 1 —o5 r, Z� <br /> RECEIVED BY: ^/t ';3000654 f 5 <br /> KEEP THIS COPY FOR YOUR RECORDS <br /> ©2004 REDIF p 5y5Q[51, Q <br />