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t®~c~ <br /> - <br /> INVOICE <br /> NO. <br /> TO ~ i INVOICE <br /> ~ tea <br /> i=~ ; ` ___mm__ _ DATE <br /> 2 1 <br /> • SHIPPED <br /> TO <br /> i <br /> j <br /> OUR ORDER NO. YOUR ORDER NO. SALESPERSON TERMS SHIPPED VIA PPD. OR COLL. <br /> i QUitWTITY U E S C R I P T! O N PRICE ~ AMOUNT <br /> R;, ~al ~g ~ ~ ~ ~ ~ 1 eJ u•.^ g ~ "r 6-,~ tl ~ S. ~t.~ . t~•J <br /> # S ~ f _ <br /> i <br /> I <br /> i <br /> <br /> I <br /> ~o ooh a~f <br /> 6 ' <br /> INITIAL ~ <br /> Reorder Item #F1012 Grayarc, P.O. Box 2944, Hartford, CT 06104-2944' <br /> ©EGI, 1982, Printed in U.S.A. <br /> QUADRUPLICATE <br /> <br />