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NAME DATE <br />ADDRESS _ <br />PHONE <br />SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD <br />QTY. DESCRIPTION AMOUNT <br />.......... _.. �....._.............. _`_I <br />............. _I.__... . <br />....... ...... ...................................................-.I.........._..._..._....--..._.._._....._................._..-.-._.............. <br />............. <br />I <br />_......_......_........._............. __............. __._.......... ....... .....--..--- ............... ...... <br />.................. <br />...... _...... _.... ...... -..................... ................. - .......... .......... <br />1.70190 ......................_.... ........._ ....._r.................. ....................... ................!............... <br />I <br />............ ..... .................... ......................_....._..._.........-.- ................ --...._..... _._................_............... ............... <br />I <br />............ ............. ................................. ........................................ _................... .................._..._............. ............... <br />I <br />............ ...................................... -................... _........... _........... ......_.............. .............. .......... ...... .......... ...._.....,.............. <br />I <br />............................................ ................. ............................. ............. .........._..............._................................... <br />........!............... <br />I <br />...................... ............................. -........... ........ --- ........ _.... ._........._..... _................. ......... ................. .............,................ <br />TAX <br />RECEIVED BY <br />TOTAL <br />I <br />jLo31e Thank`You <br />All claims and returned goods MUST be accompanied by this bill. <br />