Labels:text | diagram | parallel | handwriting | black and white | line | number | font | document | receipt OCR: Southwest Send a Free catalog to your brewing buddy! Cap & Cork Name/Address 3118 U.S. 12 E. Niles, Michigan 49720 (616) 663-0035 0 01 307 2wolls n Order Form Name Shipping address (no P.O. boxes) City/State/Zip (req.} Phone Referred by PART UNIT PRICE TOTAL TOTAL SUBST NUMBER QTY. UNIT IT. DESCRIPTION WT. PRICE O.K .?. / TISZTWOY Sub Total Michigan res. add 4% sales tax X .04 = UPS Charges C.O.D. add $4.50 addtl. Order total and amount encl. (Visa/MasterCard See Below) CARD # VISA [] MASTERCARD Toll Free Order Line! 800-345-CORK SIGNATURE EXPIRES Check this box for each item that it is acceptable for a substitution should we be out of stock on the ordered item - i.e .: out of John Bull Stout, subst. with Cooper's Stout." Thank You! See Additional Ordering Information on Page One
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