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~~7J <br /> ~~Il96~ 9i'86.e~~~~~ ~l~~n ~ <br /> 5~4 gc~~~r~r ~a~v~ <br /> I'~ <br /> _ - <br /> -a,_. { <br /> <br /> ' - CUSTOMER'S ORDER NO. DEPT. D E: <br /> ~~Q ~ ~ <br /> .L <br /> <br /> it <br /> € ; .NAME: I. <br /> ADDRESS: <br /> CITY, STATE, ZIP <br /> ._....m~ a .....~.,fi <br /> SOLD BY: CASH C.O.D. CHARGE ON ACCT. MDSE RTD. PAID OUT <br /> dPR'ICE < AMOUNT <br /> ~ 'QUANTITY DESCRIPTIOI'v <br /> ' 1 ' <br /> 3 ~ <br /> PP~ ~ USS <br /> ~ . <br /> Y - - <br /> d.l~ a <br /> 1 1 0 <br /> ' a 9 <br /> y <br /> ~ y <br /> RfGEIVED BX <br /> . <br /> ~ - <br /> i <br /> „ - <br /> ~ , <br /> ~ KEEP THIS COPY FOR YOUR RECORDS <br /> ©2001 R®IFd2M® 5L320 <br /> 4 <br /> <br />