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INVOICE NO. <br /> 21 <br /> Sz,' 1% <br /> ~ 04-21-04P02:28 RCVD'.~ __i ~.9 <br /> I _ ~ <br /> SOLD TOE SHIP TO: ~ ,w__ _ <br /> .l <br /> ADDRESS: / ADDRESS: <br /> it <br /> } CITY, STATE, ZIP CITY, STATE, ZIP r...,..-. <br /> i o <br /> m <br /> W° <br /> e CUSTOMER'S ORDER SOLD BY: TE F.O.B. DAjI'E• <br /> O ~ QUANTITY- DESCRIPTIQN PRICE AM/pUNT <br /> r . . <br /> 0 1 <br /> ~N <br /> ~ ~ ~ <br /> a ~ r <br /> ~ _ <br /> 4 C•- <br /> 5 <br /> 8 - <br /> ~ <br /> 8 <br /> 9 CJ~ ~ ~ <br /> r~ <br /> 10 <br /> , <br /> ~ v , <br /> i ~ ~ ~ ~ - - - - - ......;rs. <br /> _ T-_ <br /> INVOICE NO. <br /> ~ <br /> i <br /> 04-21-04P02:28 RCVD ~~l ~ 1 <br /> SOLD TO: ~ SHIP TO: _ - <br /> ADDRESS: ' ADDRESS: <br /> I <br /> i CITY, STATE. ZIP CITY, STAT <br /> ~ ~ .....z,..r,. -.r.., _,.,-ram- r ~ <br /> W o CUSTOMER'S ORDER SOLD BY: ,T~R~1S: w ~ F.O.B. DAT~: / / r~ <br /> <br /> ~ V ® /tfr~ ~ J j <br /> O ~ QUANTITY DESCRIPTION `PRICE AMOUNT <br /> ' °o <br /> N <br /> ~ Q <br /> ~ n <br /> 4 <br /> i' 5 <br /> r- <br /> 7 /e O <br /> y 8 C-,~ Of ~ <br /> 9 <br /> r' <br /> <br />