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DOC 0000017427
Page 285
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TOTAL
C05T
OF
MATERIALS
'
' 0 AT E
SHIPPED
TRANSPORTATION a INSURANCE
AMOUNT
DUE
FROM
TOTAL
FOR
ENTIRE
ORDER
payment
received
REFUND
OF OVERPAYMENT
ENCLOSED
Please
do
not
destroy
these
papers
until you
are sure
that this order is
COMPLETE
and
meets
with your approval.
If you
>
0
“J
this
order
PLEASE RETURN
this
form
with
your
ORIGINAL
ORDER.
We
must
have them
to
help
you,
THANK YOU FOR YOUR ORDER
A*
.
»
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