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  1. &l6d0o066p0o1c0012E&k12.00H&a000L&l6D(0001X                
  2. &l1c0012E&l0c0L       
  3. &a1320v0288H*c5400h0004v0P                 
  4. &a1560v0288H*c5400h0004v0P                 
  5. &a1800v0288H*c5400h0004v0P                 
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  7. &a2280v0288H*c5400h0004v0P                 
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  11. &a3600v0288H*c5400h0004v0P                 
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  18. &a4800v0288H*c5400h0004v0P                 
  19. &a5040v0288H*c5400h0004v0P                 
  20. &a5280v0288H*c5400h0024v0P                 
  21. &a5520v0288H*c5400h0004v0P                 
  22. &a5760v0288H*c5400h0004v0P                 
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  29. &a7440v3852H*c1620h0004v0P                 
  30. &a6720v1080H*c1872h0004v0P                 
  31. &a6960v0972H*c1980h0004v0P                 
  32. &a7200v1008H*c1944h0004v0P                 
  33. &a7440v1188H*c1764h0004v0P                 
  34. &a3000v1656H*c3024h0004v0P                 
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  39. &a2400v3096H*c0004h0120v0P                 
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  41. &a2400v3384H*c0004h0120v0P                 
  42. &a2400v3528H*c0004h0120v0P                 
  43. &a2400v3672H*c0004h0120v0P                 
  44. &a2400v3816H*c0004h0120v0P                 
  45. &a2400v3960H*c0004h0120v0P                 
  46. &a2400v4104H*c0004h0120v0P                 
  47. &a2400v4248H*c0004h0120v0P                 
  48. &a2400v4392H*c0004h0120v0P                 
  49. &a2400v4536H*c0004h0120v0P                 
  50. &a2280v4680H*c0008h0240v0P                 
  51. &a3120v1512H*c0008h2160v0P                 
  52. &a3120v2736H*c0008h2160v0P                 
  53. &a3120v3960H*c0008h3120v0P                 
  54. &a3120v4464H*c0008h2160v0P                 
  55. &a3120v5112H*c0008h3120v0P                 
  56. &a2400v2664H*c0004h0120v0P                 
  57. &a2400v2520H*c0004h0120v0P                 
  58. &a2280v2376H*c0008h0240v0P                 
  59. (0122X     
  60. &a0086v0288HBUSINESS SYSTEMS INTERNATIONAL, INC                 
  61. (0121X     
  62. &a0206v0288H20942 Osborne Street            
  63. &a0326v0288HCanoga Park, California 91304   
  64. &a0446v0288H(818) 998-7227 Telex #5101004239
  65. (0120X     
  66. &a0326v4248HORDER FORM  
  67. (0124X     
  68. &a0686v0360HName -      
  69. &a0696v1368H(SHIP TO)   
  70. &a0926v0360HTitle -     
  71. &a1166v0360HCompany -   
  72. &a0926v3024HTitle -     
  73. &a1166v3024HCompany -   
  74. &a1406v0360HAddress -   
  75. &a1406v3024HAddress -   
  76. &a1646v0360HCity, State, Zip Code -         
  77. &a1646v3024HCity, State, Zip Code -         
  78. &a1886v0360HPhone Number -                  
  79. &a1886v3024HPhone Number -                  
  80. (0121X     
  81. &a2246v0360HVISA or MasterCard accepted or make check payable to Business Systems   
  82. &a3566v0360HSalesBASE/pc
  83. &a3566v1584HIBM/pc or compatible            
  84. &a3566v4032H$           
  85. &a3806v0360HLasersoft/pc LJ                 
  86. &a3806v1584HIBM/pc or compatible            
  87. &a3806v2808HHP Laserjet 
  88. &a3806v4104H295.00      
  89. &a4046v0360HLasersoft/pc LJ+                
  90. &a4046v1584HIBM/pc or compatible            
  91. &a4046v2808HHP Laserjet/PLUS                
  92. &a4046v4104H295.00      
  93. &a4286v0360HLasersoft/3000 LJ               
  94. &a4286v1584HHP 3000     
  95. &a4286v2808HHP LaserJet 
  96. &a4286v4029H2,995.00    
  97. &a5126v0360HOther - Please specify          
  98. &a5486v0360HAll orders will be shipped UPS 2nd day unless otherwise arranged.       
  99. &a5726v0360HSpecial Instructions:           
  100. &a2486v0360HDate :     /     /              
  101. &a2486v1398HP.O. #      
  102. (0124X     
  103. &a1646v1229H( Please do not use PO Box # )  
  104. &a2366v2396HMasterCard or VISA Number  (Please circle one)      
  105. (0125X     
  106. &a0686v3024HName -      
  107. (0121X     
  108. &a2726v0360HIf for Resale, give tax exempt number :_______________________________  
  109. (0122X     
  110. &a2966v0360HX Authorized Signature :        
  111. (0121X     
  112. &a3566v4104H295.00      
  113. &a3326v0576HPRODUCT     
  114. &a3326v1800HCOMPUTER    
  115. &a3326v2880HLASER PRINTER                   
  116. &a3326v4062HCOST        
  117. &a3326v4471HQUANTITY    
  118. &a3326v5161HAMOUNT      
  119. (0124X     
  120. &a2366v5040HExp Date    
  121. (0121X     
  122. &a2486v5147H/           
  123. &a3226v4062HUNIT        
  124. (0124X     
  125. &a5486v4392HSubtotal    
  126. (0121X     
  127. &a6426v0360HFor BSI Use Only                
  128. &a6686v0360HVAR / VAD : 
  129. &a6926v0360HExceptions :
  130. &a7166v0360HInvoice No. :                   
  131. &a7406v0360HDate Received :                 
  132. &a7406v3096HDate Shipped :                  
  133. &a7166v3096HSerial No. :
  134. &a6926v3096HApproved By :                   
  135. &a6686v3096HPayment Method :                
  136. &a6446v3096HSales Person :                  
  137. (0124X     
  138. &a5606v4134HCalifornia Sales Tax            
  139. &a5726v4320HIf Applicable                   
  140. &a5846v4176HShipping/Handling               
  141. &a5966v4012H$6.50/unit  C.O.D. add $1.90    
  142. &a6206v4422HTotal       
  143. &a0696v4104H(BILL TO)   
  144. &a0600v0288H*c5400h0024v0P                 
  145. &a7560v0288H*c5400h0024v0P                 
  146. &a0600v0288H*c0024h6984v0P                 
  147. &a0600v5688H*c0024h6984v0P                 
  148. &a3120v0288H*c5400h0240v003g2P             
  149. &a6480v0288H*c2664h0004v0P                 
  150. &a6240v2952H*c0004h0244v0P                 
  151. &a6240v0288H*c2664h0240v003g2P             
  152. &l6D&a0r-120V
  153. (0001X  
  154.