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Text File  |  1990-09-23  |  818b  |  35 lines

  1.         
  2.  
  3.                                     
  4.                  NUMBERS & CO.                        
  5.                 Rt. 1, Box 59A                    
  6.                       Oroville, WA  98844                        
  7.                     (509) 476-2216                        
  8.  
  9. Sold To:_______________________            Phone:____________________________        
  10. Address:_______________________            Contact Person:___________________            
  11.     _______________________    State:______________        
  12. City:    _______________________    Zip:________________                    
  13.  
  14.                                             
  15.  
  16. Quantity            Title        Unit Price    Total
  17.                                             
  18.             
  19. ________    Whiskers (Windows App)        $15.00         ________
  20. ________                            ________
  21.                                         
  22.                                             
  23.                                             
  24.                                             
  25.                                             
  26.                         TOTAL DUE    ________        
  27.                                             
  28.  
  29.     MASTERCARD                                        
  30.             ________-________-__________-__________
  31.     VISA                                        
  32.  
  33.     Expiration Date___________Signature_____________________________
  34.                                             
  35.