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  1.      
  2.      
  3.      
  4.                                    INVOICE
  5.      
  6.      
  7.      Remit to:                                             From:
  8.      
  9.      JB Technology Inc.                     __________________________
  10.      28701 N. Main St.
  11.      Ridgefield, Wa. 98642                  __________________________
  12.      (206) 887-3442
  13.                                             __________________________
  14.      
  15.                                             __________________________
  16.      
  17.                                                  Contact Individual
  18.      
  19.                                             __________________________
  20.      
  21.                                             __________________________
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  23.      
  24.      Quantity                               Unit Price         Total
  25.      
  26.      _______         CopyCon Software       $15.00         ___________
  27.      
  28.                                                      Total ___________
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  30.      
  31.      I want 5 1/4" _______   3 1/2" _______  diskette. (Check One)
  32.      
  33.      
  34.      Note that CopyCon computer software has been delivered and ac-
  35.      cepted by the customer.  Upon receipt of paid invoice,  a current
  36.      disk will be sent.
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