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JALI( FROST <br /> ICE SERVICE <br /> P.O. Box 843 • Modesto, CA 95353 <br /> {�3 <br /> �j9011 <br /> DATE v r <br /> NAME <br /> ADDRESS CASH CH E <br /> CITY <br /> t , <br /> 300# BLOCK <br /> BLOCK <br /> V BAGS <br /> 20# BAGS <br /> 40# BAGS <br /> G <br /> TAX <br /> TOTAL <br /> Xlb(AnnuW <br /> � . <br /> I be <br /> • fha 25N ot/he month.M nlmum Mame charge,1506 <br /> emerge n ell balances nolnpe by arg <br /> CUSTOMER COPS' <br /> r <br />