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m , <br /> Hi <br /> NOW M <br /> r <br /> Waite e e rtodesID CA 75352 + t209i SII-1050 <br /> Date: 4.1 -f y='---- <br /> •a' <br /> Tree: _y (�Q_`-1 C L I E N <br /> 5�4_ .9553 xUPI tit ntitive: ------------------- <br /> Phone: t2 6 9-_1 ------- ------------ <br /> SE SCO 95357 <br /> Clienl: ___•------LJ city: Modesto <br /> State: Iip: ------------- <br /> 431 Hatch - - ------ - ----- -- - --- - <br /> Address: -- --- ------------- L L I M fi ] <br /> Purchase Order <br /> ----T ------`------------ <br /> Or Contract go.: --------------------- <br /> � Phone: t--- <br /> SAMS AS A1� -------- <br /> ---- ------- <br /> Stite: <br /> Bill To: ------ ---- ip' -------------- <br /> • ".--- City: ____. <br /> -----------'----` Billie <br /> ------------- -----g----------------- <br /> Address: - -.- ;X: O <br /> - ----- check s_----- -. _ Credit Ap4licilion .. <br /> 7ayrent: Cash t__.--------- <br /> - LOCC A T 1 0 N 1 P R D I E L T 1--� <br /> SAMPLE Iipi -- - <br /> ---_. .- <br /> .•. City s`=-------- State*. -- - <br /> fiiis 1yp ___— <br /> G 5iae a ---------- <br /> Address- U.S. <br /> .^ Tint RQiayil%: Number <br /> ..._._ <br /> CrossN;vz/..4CD C ----------------- A Metas+ry. <br /> Strew- -- <br /> ------- MDTf: Attach Any 5p <br /> --------- eciii Instructions Or Diffs <br /> County: -- <br /> StxEDuliMfi3 <br /> Start Date: .... <br /> Meekly <br /> Monthly Quarterly Daher: --------------- <br /> 5aeple: ; One Tile Only _; Gold Rush - ---------- <br /> --� Silver Rush -- 2 NoLis+ys .__- - -- royal] <br /> Routine 5 Morkdays -----------------•-'""- --rovill List ]Needs Lif Director's App <br /> -exults: = <br /> s 1jeQ: l0 Vorkdiys R t 5 t List twits LabDirector's App Costs Incurred <br /> e Tit,. ! List Price qty List Price Discount <br /> Cossents s <br /> Test Code Test De scrtPttonlMethod J n r % i r a "a <br /> Lib I.D. 1 `` _ <br /> 113 �1/ <br /> or <br /> .!17 n Per 5aeple <br /> other Sp'c:il xandlinq <br /> Digestion, E:triction, fiitr+tian, Dr Any field Service Charges 4 <br /> TatiI Other char%'% 4 <br /> TOTAL ]OB COST % <br /> ----, ti`..-- <br /> r <br /> ti 1r14 �P" <br /> 41ot� <br /> r FiSe: 1!1?AyE1.�Rtl <br />