7 -----ASL -------- -- <br />.i. <br />No. <br />DA4,�� <br />ORDER NO. <br />SOLD BY <br />CASH C.O.D. E] PAID OUT <br />CHARGE MERCHANDISE RETURNED <br />• <br />DESCRIPTION <br />C e - //0 '-? /� <br />• <br />35 Z <br />77- 7 <br />ILI L <br />- <br />Tai -� �a�� z - � � �..� - <br />- -__ <br />�._._._ <br />CAdwm <br />NC2581 SIGNATURE <br />ALL CLAIMS AND RETURNED GOODS MUST BE ACC(TA HY - HITH; <br />GENERAL PURPOSE .�',i,:,. <br />