• <br />4380 16 <br />CUSTOMER'S ORDER NO. <br />DEPT. <br />DATE: <br />NAME: <br />F <br />ADDRESS: <br />CITY, STATE, ZIP <br />CASH <br />GO D. <br />OIARGE <br />ON ACCT. <br />MDSY RTD. <br />PAID OUT <br />SOLD BY: <br />QUANI I I T <br />'4' <br />o CI A <br />T <br />M <br />5 <br />3. <br />1 pi S <br />4 <br />l <br />, <br />5 <br />6 <br />8 <br />USDA - :SAS • N9',0 <br />s <br />12 <br />~yf,i Q ` Y' Ai i7q~ <br /># <br />13 <br />t <br />ua- <br />r <br />15 <br />: Gam., <br />i"" <br />RECEIVED BY: <br />06 <br />j IEEP 7HIs COPY FOR YOUR RECOMS <br />02004 R32FOMO 51-320/5L320S <br />