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Text File  |  1993-08-12  |  360b  |  17 lines
  1. Name of Fish.......:
  2.                    :
  3.  
  4. Place of Purchase..:
  5. Phone Number.......:
  6. Sales Rep..........:
  7. Method of Payment..:
  8. Amount Paid........:
  9. Date Ordered.......:
  10. Sipped Via.........:
  11. Date Recieved......:
  12.  
  13. Date Fish Died.....:
  14. Cause of Death.....:
  15. ────────────────────────────────────────────────────────────────────────────────
  16. Comments
  17.