New Search
SOLD TO: <br />X 67,LTC- wL-w <br />ADDRESS <br />SHIP To: <br />ADDRESS <br />SOLD BY <br />CASH <br />COD <br />CHARGE <br />ON ACCT. <br />SNIP VIA <br />MDSE. REM <br />PAID OUT <br />❑ PREPAID <br />❑ COLLECT <br />awxnty <br />:!DESCRIPTION <br />PRICR'. <br />ODIC °.` <br />1 <br />YrRt FT E A- 6.1-"• <br />SI o <br />4 <br />t <br />t y <br />5 <br />je <br />B . <br />7 <br />9 <br />tr; 11 <br />12 <br />.i <br />✓ Y <br />rif r <br />13 <br />y <br />14 <br />All claims and returned goods MUST be accompanied by this bill. <br />RECEIVED <br />DELIVERED <br />BY <br />BY <br />i. <br />v' <br />• ®1999 Rediform <br />� <br />1 <br />carboolem <br />UM-CL D1 e <br />58659-CLTriplicate <br />