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<br /> l - <br /> 'i <br /> _ ? ~ ~ q <br /> - _ <br /> RECV ~ ~ 9 " <br /> DATE a ~ ° ~ <br /> No. e ~ ~ <br /> Name ~ LP 7'"~ a'C~~~ <br /> Address /mod ~~e~1f .~i£ <br /> ' ~ ~ SOLD BY CASH C_O.D. CHARGE ON ACCT. MDSE. PAID OUT ' <br /> . RETD. <br /> QUAN. QESCR1FliON < AMOUNT <br /> 2 cz~ ~ <br /> s .S `le <br /> 4 f~2t3d~C~ ~ <br /> 5 O~, <br /> 6 ial~ °fl" <br /> 7 <br /> . s o <br /> i <br /> c'~-~ l ~S <br /> s ~ 5~2-8G-~4~1 <br /> 10 L.~ <br /> 1' 33~~ -,L~~se Cass .C <br /> 12 = ~e 91 c~ <br /> Customer's~~OY~(O^ ~ r re"5~ <br /> Order No. f[,~,` J ~7 <br /> KEEP THIS SUP FOR REFEREN(1~~./ <br /> RIDIFORM 5L240 ~(Q/yL <br /> <br />