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Text File  |  1993-03-29  |  4KB  |  74 lines
  1. REF:CIS                   Rijline Metal Arts
  2.                          c/o Kenneth Baumann  
  3.                          2215 Bannister Lane                          
  4.                           Aurora, IL. 60504                           
  5.                                  USA                                  
  6.                             (708) 851-1729     CompuServe : 72401,3335
  7.  
  8.  ------- BILL TO --------               --------- SHIP TO -----------
  9.  
  10. Name:                             Name:
  11.  
  12. Street:                           Street:
  13.  
  14. City:                             City:
  15.  
  16. State:          Zip:              State:           Zip:
  17.  
  18. Country:                          Country:
  19.  
  20. Phone number:             (Voice) Phone number:               (Voice)
  21.  
  22.                           (Fax)                               (Fax)
  23.  
  24. ---------------------------------------------------------------------
  25.  
  26. Payment type:                     Credit card number:
  27.  
  28.                                   Expiration date:
  29.  
  30.                                   Signature:
  31.  
  32.  
  33. ======================================================================
  34. |QTY |  CODE  |               DESCRIPTION       |  UNIT   | EXTENDED |
  35. |    |        |                                 | PRICE   |  PRICE   |
  36. ======================================================================
  37. |    |        |                                 |         |          |
  38. |    |        |                                 |         |          |
  39. |---------------------------------------------------------------------
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  60. |---------------------------------------------------------------------
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  63. |---------------------------------------------------------------------
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  65. |    |        |                                 |         |          |
  66. |---------------------------------------------------------------------
  67.                                                           |          |
  68.                                               SHIPPING    |          |
  69.                                                           ------------
  70.                                                           |          |
  71.    THANK YOU FOR YOUR ORDER !            *** TOTAL ***    |          |
  72.                                                           ------------
  73.  
  74.