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Text File  |  1986-01-27  |  6KB  |  140 lines
  1. &l6d0o066p0o1c0012E&k12.00H&a000L&l6D(0001X                
  2. &l1c0012E&l0c0L       
  3. &a1320v0288H*c5400h0004v0P                 
  4. &a1560v0288H*c5400h0004v0P                 
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  58. &a2280v2376H*c0008h0240v0P                 
  59. (0001X     
  60. &a0086v0288HBUSINESS SYSTEMS INTERNATIONAL, INC                 
  61. &a0206v0288H20942 Osborne Street            
  62. &a0326v0288HCanoga Park, California 91304   
  63. &a0446v0288H(818) 998-7227 Telex #5101004239
  64. &a0326v4248HORDER FORM  
  65. &a0806v0360HName -      
  66. &a0576v1368H(SHIP TO)   
  67. &a1046v0360HTitle -     
  68. &a1286v0360HCompany -   
  69. &a1046v3024HTitle -     
  70. &a1286v3024HCompany -   
  71. &a1526v0360HAddress -   
  72. &a1526v3024HAddress -   
  73. &a1646v0360HCity, State, Zip Code -         
  74. &a1646v3024HCity, State, Zip Code -         
  75. &a2006v0360HPhone Number -                  
  76. &a2006v3024HPhone Number -                  
  77. &a2246v0360HVISA or MasterCard accepted or make check payable to Business Systems.  
  78. &a3566v0360HSalesBASE/pc
  79. &a3566v1584HIBM/pc, compat.                 
  80. &a3566v4032H$           
  81. &a3806v0360HLasersoft/pc LJ                 
  82. &a3806v1584HIBM/pc, compat.                 
  83. &a3806v2808HHP Laserjet 
  84. &a3806v4104H295         
  85. &a4046v0360HLasersoft/pc LJ+                
  86. &a4046v1584HIBM/pc, compat.                 
  87. &a4046v2808HHP Laserjet/PLUS                
  88. &a4046v4104H295         
  89. &a4286v0360HLasersoft/3000LJ                
  90. &a4286v1584HHP 3000     
  91. &a4286v2808HHP LaserJet 
  92. &a4286v4029H2,995       
  93. &a5126v0360HOther - Please                  
  94. &a5486v0360HShipped UPS 2nd day unless otherwise arranged.      
  95. &a5726v0360HSpecial Instructions:           
  96. &a2486v0360HDate :  /  /
  97. &a2486v1398HPO #        
  98. &a1406v0869H(Do not use PO Box#)            
  99. &a2366v2396HMasterCard or VISA NO. (Circle) 
  100. &a0806v3024HName -      
  101. &a2726v0360HIf for Resale, give tax exempt number :_______________________________  
  102. &a2966v0360HX Authorized Signature :        
  103. &a3566v4104H295         
  104. &a3326v0576HPRODUCT     
  105. &a3326v1800HCOMPUTER    
  106. &a3326v2880HLASER PRINTER                   
  107. &a3326v4062HCOST        
  108. &a3326v4477HQUANTITY    
  109. &a3326v5161HAMOUNT      
  110. &a2366v4896HExp Date    
  111. &a2486v5147H/           
  112. &a3226v4062HUNIT        
  113. &a5486v4248HSubtotal    
  114. &a6426v0360HFor BSI Use Only                
  115. &a6686v0360HVAR / VAD : 
  116. &a6926v0360HExceptions :
  117. &a7166v0360HInvoice No. :                   
  118. &a7406v0360HDate Received :                 
  119. &a7406v3096HDate Shipped :                  
  120. &a7166v3096HSerial No. :
  121. &a6926v3096HApproved By :                   
  122. &a6686v3096HPayment Method :                
  123. &a6446v3096HSales Person :                  
  124. &a5606v4047HCal. Sales Tax                  
  125. &a5726v4032HIf Applicable                   
  126. &a5846v4010HShipping/Handl.                 
  127. &a5966v4010H6.50ea,COD+1.90                 
  128. &a6206v4320HTotal       
  129. &a0576v4104H(BILL TO)   
  130. &a5246v0936HSpecify     
  131. &a0600v0288H*c5400h0024v0P                 
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  139. &l6D&a0r-120V(0001X  
  140.