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<br />-- -- . n - - -- -- .. <br /> <br />- ;--/-.- . +:~-~f~~:K~~~:t+~~~;~i~~¥Jl~2i~~i:~;It~~t" <br /> <br />- -,' ~---- ----'---_n_-. 'boP':; <br />INW ~ARGE - <br /> <br /> <br /> <br /> <br />~¡ 0404 DP~ 00000227 TE~ ;~ TR~ 06462 <br />FI M 004177142633 9,47 J <br />007874200003 1.47 J <br />007410006601 19,87 J <br />SUBTOTAL 30.81 <br />IS EXEMPT FRûH SALES TAX i <br />TOTAL 30.81 <br />-, rHRG TEND 30.81 <br />CHANGE DUE 0.00 <br />TCt 05450498217858 <br />HA9E A NICE DAY! <br />07/10/95 14:02:02 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />{ <br /> <br /> <br /> <br />:¡;:':'~~i;\~~'.i\7.\:':~:f!':,':~;'::;1~~';',:¡>:\-;/' '~¡:i :-:':;';..~" ;:~:,~,~~::',~'~'/-;-l;;~;;/:'.~.)á~:..,:::iiA;: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />(;.' J-r /lJC-v,.,yo..:< <br />CUSTOMER COpy <br />