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Text File
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1993-03-29
|
4KB
|
74 lines
REF:CIS Rijline Metal Arts
c/o Kenneth Baumann
2215 Bannister Lane
Aurora, IL. 60504
USA
(708) 851-1729 CompuServe : 72401,3335
------- BILL TO -------- --------- SHIP TO -----------
Name: Name:
Street: Street:
City: City:
State: Zip: State: Zip:
Country: Country:
Phone number: (Voice) Phone number: (Voice)
(Fax) (Fax)
---------------------------------------------------------------------
Payment type: Credit card number:
Expiration date:
Signature:
======================================================================
|QTY | CODE | DESCRIPTION | UNIT | EXTENDED |
| | | | PRICE | PRICE |
======================================================================
| | | | | |
| | | | | |
|---------------------------------------------------------------------
| | | | | |
| | | | | |
|---------------------------------------------------------------------
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|---------------------------------------------------------------------
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|---------------------------------------------------------------------
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|---------------------------------------------------------------------
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|---------------------------------------------------------------------
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|---------------------------------------------------------------------
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|---------------------------------------------------------------------
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|---------------------------------------------------------------------
| | | | | |
| | | | | |
|---------------------------------------------------------------------
| |
SHIPPING | |
------------
| |
THANK YOU FOR YOUR ORDER ! *** TOTAL *** | |
------------