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Text File  |  1987-06-19  |  2KB  |  46 lines

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  9.        <Name>                                <Name>
  10.        <Addr1>                               <Addr2>
  11.        <City1>                               <City2>
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  15. <Date>    <Date>              <Act#>      <Terms>
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  17.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  18.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  19.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  20.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  21.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  22.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  23.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  24.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  25.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  26.   <Qty>             <Desc>                                   <UPrice>   <TPrice>/
  27.                                              -----------------------------------\
  28.                                              Retail Total   *          $<RTotal>\
  29.                                              Sales Tax                 $<TTax>  \
  30.                                              Wholesale Total           $<WTotal>\
  31.                                              Labor Total               $<LTotal>\
  32.                                              -----------------------------------\
  33.                                              Total                     $<ITotal>\
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  43. *
  44. Form 29403
  45. Order from        RAPIDFORMS, Inc.  501 Benigno Blvd., Bellmawr, N.J. 08031
  46.                               800-257-8354 (N.J. 800-322-5587)