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  1.                              COMPU-CHEF INVOICE
  2.  
  3.  
  4. Remit to:                       From: _____________________________________
  5.  
  6. DB Software, Inc.                     _____________________________________
  7. Compu-Chef (c)
  8. P. O. Box 199050                      _____________________________________
  9. Indianapolis, IN  46219
  10.                                       _____________________________________
  11.  
  12. Circle: CK MO MC VISA                              Contact individual:
  13.  
  14. Number:__________________________     _____________________________________
  15.  
  16. Exp. Date: ______________________     _____________________________________
  17.  
  18.  
  19. Quantity                               Unit Price           Total
  20.  
  21. _____  Compu-Chef                      $29.95               _______________
  22.  
  23.  
  24.                                         Total               _______________
  25.  
  26.  
  27.  
  28. I use 5 1/4" ________ 3 1/2" _________ disks  (Order 1 type only,
  29.                                                 not issued as dual media)
  30.  
  31.