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4~~ <br /> - <br /> ~~r~6~~~ ~~ar~ ~ ~ ~ - <br /> ~ e? <br /> CUSTOMER'S ORDER N0. pEpT. > AIE: ,r <br /> kY J <br /> v` <br /> ' <br /> 5 - - a <br /> ~s <br /> _ <br /> J <br /> NAME: ~ a .Q ~ ~ ~ <br /> ~ ~ ~y <br /> Q~ <br /> ~c <br /> ADD <br /> RESS: ~ <br /> <br /> I; ~ 7~~ <br /> CIiY, STATE, ZIP <br /> _ ~ <br /> SOLD BY: CASH CO-D- CHAitGE OtH ACCf_ iNDST RTD- PAID OUi <br /> . <br /> QUAN7(fY DESCRIPi70N_.,.,..~_,,..w..,. ,...t.,,,~PRICT ~_,a._ <br /> <br /> i <br /> z G'~ ~ tP ~ <br /> s ewe, 1lCLLt. ~ / to <br /> 4 Gi ' r t <br /> y ~ <br /> s a 1, y ~ _ -y <br /> i 6., e l [ 1 ~ ~.e y ~ ~dd <br /> ~b k ~f <br /> © <br /> g 1 ( t f ~ ~ ,,,r. <br /> pp ~ k <br /> L 1U. e.~~.2\ ~ <br /> i1 i ~ ii ~~...i /I ~ sG ~ <br /> t 13 i~ ~ LL"'~ <br /> ® V ~ s <br /> 14 s ~ ~ rl g~~ 7 ~ ~ a~ <br /> 9 e ! 7 <br /> 15 <br /> RECEIVED BY: <br /> KEEP THIS COPY FOR YOUR RECORDS . <br /> ©2004 Ii~IF0iir7® 5t320/51320S <br /> <br />