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Text File  |  1993-08-12  |  404b  |  19 lines
  1. Type...............:
  2. Brand..............:
  3. Model Number.......:
  4. Serial Number......:
  5. Warranty...........:
  6.  
  7. Place of Purchase..:
  8. Phone Number.......:
  9. Sales Rep..........:
  10. Method of Payment..:
  11. Amount Paid........:
  12. Date Ordered.......:
  13. Sipped Via.........:
  14. Date Recieved......:
  15.  
  16. Date Unit Failed...:
  17. ────────────────────────────────────────────────────────────────────────────────
  18. Comments
  19.