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WCE <br /> ww_w�clayksseqtsimfirv;��,-cunt <br /> F <br /> NAME DATE <br /> ADDRESS <br /> PHONE <br /> SOLD BY CASH C.O.D. CHARGEON ACCT. MDSE.RET'D <br /> QTY. DESCRIPTION AMOUNT <br /> ..: ............._.................................. <br /> ..I_......._..... <br /> _.__.._..........._.... ___.._._............._..................__._..._._.__._.... _.._....._._....---.---_............._.- <br /> .. ............................-........1............... <br /> I <br /> ..._.............. <br /> ._r_.._......... <br /> i <br /> I <br /> .._........__....,____....:.... _..__..______........_. _._.. <br /> r r <br /> _ I <br /> ---------------..:........................__..__.._..........._..._..._...__....._.._ .._.._..._- <br /> ................................ ._. .�._.... <br /> TAX <br /> RECEIVED BY <br /> TOTAL I <br /> - Thank`You <br /> All claims and returned goods MUST be accompanied by this bill. <br />