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T"TAW. PAUL SHARP <br /> Im : ( 0 ) 523- 2336 FAX., (209) -1160 <br /> 1 <br /> ELECTROMC WASTE RECOVERY CENTER <br /> l� cyr:i�� Ir�forr�ratio <br /> Instructions. <br /> Please complete the inforrrration req lested below in reference to each shipment of <br /> electronics. Approximation is okay. Feel free to atfach any supplementary data or <br /> information your think is relevant. <br /> 1 Contact lr formation Date. <br /> `lorar Company do - <br /> Contact Person <br /> i <br /> . 1-z-,_ <br /> Address - I -/ <br /> )-IS vj yflzu� omz <br /> City, Mate, Zip <br /> ..._._�___,-_.�_._,,._ <br /> . - CA X53 <br /> Phone Number <br /> 5-4 <br /> 2. E- ante ready to go <br /> l�ti iI_ bs)option l <br /> Televisions <br /> Monitors <br /> CPUs <br /> Peripherals ___-�^` <br /> �'rinters <br /> Scanners <br /> VCR <br /> Keyboards/Ivyrc,e <br /> -Stereo/Tape/CD Pier <br /> Fax/„Ca y Machines <br /> T <br /> Misc, Computer Parts_ _ <br /> _Lap <br /> toffs <br /> Other <br /> Other <br /> Other <br />