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- Date _________ Invoice No. ______
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- Purchased from :
- Marc Adler
- 138 - 23 Hoover Ave.
- Jamaica, New York 11435
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- Product Qty Unit Price Total Price
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- NYW Word Processor 35.00
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- Sales Tax (NY residents add 8 1/4 %)
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- ______________
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- Total Amount
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- Please make checks payable to Marc Adler
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- You may retain this invoice for your tax records
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