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MANUFACTURERS ~? fa. os ™ DATE OF aie
pP Ge ZL ENTERED © Pt- fa

SALES COPY SHIP VIA
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G 483 13M
TERMS
REWRI [E Wh FC tee
SHIP TO € + FACTORY ORDER NO.

he Var o™ | ORDER NO. & DAT
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(UA ; thee e TAG FOR

DEPT. & CUST. CLASS
TERRITORY. NO.
TOWN & CUST. NO.
SALESMAN

CREDIT APPROVAL

QUANTITY SPECIFICATION EXTENSION
ORDERED OR STOCK NO. ween se ste = FOR FACTORY

SPECIAL SHIPPING OR FACTORY INSTRUCTIONS SPECIAL BILLING INSTRUCTIONS

121D-G488 (11-38)