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Text File  |  1995-11-21  |  971 b   |  64 lines
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  4.                                  Your Company Inc.
  5.                                   123 The Street
  6.                                The Town, The State 
  7.                                      H1R 2P9
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  12.                                                                    Order Date  Order No.
  13.                                                                    ----------  ---------
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  16. Supp   Tax Number FND F.O.B.     Via              Instructions
  17. ----   ---------- --- ------     ---              ------------
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  27. Ln  Prod.#       Description                   Qty Ord     Price  UM   Del.Dt.   Exten.
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  46. Comments                               Terms                                    TOTAL
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