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fDM 0000000 <br /> INCLUDES AFFLICAELE FEDERAL.STATE AN::LOCAL TAXES CI-I M,UTCR VEHICLE WE.PAYMENT Or WHICH MAY EE ASSUMED EY 76. <br /> DATE <br /> 12705448 <br /> E 080403 M b81809 <br /> u03b41o2 <br /> MAW-CA <br /> QTY. ( PRICE AMOUNT This trcnsaction is subject ib the-terms.-(5nd <br /> F UNLEADED LEADED DIESEL I conditions(cs mcy be modlf'IQ -F time to:time. <br /> U I with required notice)of-the 76 orrne credit <br /> E GRADE I Card Agreement as contained on the monthly - <br /> L I statement. <br /> O SUPER I PREMIUM HI-PERF. SIGNATURE OF BUYER <br /> L GRADE tem <br /> s SERVICE <br /> C <br /> OR ER NO. i AUTHORIZATION SVG BY <br /> SALES TAX I NO. <br /> ACCOUNTING COPY <br /> TOTAL <br /> FORM 3-2K95(REV.11-971 PRINTED IN U.S.A. <br />