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<br />349099 <br /> <br />.AN LOWI! CONSTRUCTION INC. <br />38344 THEEL AYE. <br />ZEPHYAHfLLS. FL 33540 <br />('13) 711.7107 <br /> <br />:~d'~';2.~~- ~ P:Z;c:=-oC-.~~ DATE <br /> CUSTOMER'S <br /> ORDER NO. <br />City .? x:~ ~~ Stote 7/~ - SHIP <br /> VIA <br />Sh,,,,-To oAJ - ~ 6::> <br /> SALESMAN <br />CASH I CHARGE I C. o. 0, I PAID OUT I RETURNED MDSE. r RECEIVED ON ACCOUNT <br />QUANTITY ./""\ DESCRIPTION PRICE AMOUNT <br /> ~V~ /0 Xl./O ~~ .- ..:;;;i!..;. <br /> /~ ~~,e? /?--- - j~-~ <br /> I ,. ~d ~ <br /> - /l <br /> /J~~ ~,~- <br /> /) <br /> / ~ <br /> An ~J/, .; <br /> ~r <br /> '-. I (/ <br /> ;. '-, ,,' ,,',' . . , -) r," . <br /> ,',1 -'.-: --.. l ~" .:':"','L, <br /> .. ..',. ": . t:: i ] .~', ~ ~,.:.~; <br /> "ll j. ~ . ~;Q - .nii..:rCIilZ.;: lr"~fl <br />SIGNATURE fJ ~ Claims and R~ed Goods MYJ!)Be Accomp~y~ Bill ~~r/,.,.( <br /> __.L/ ~ ...9~ ~" <br /> <br />- <br /> <br />./ <br />