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<br />, ~ <br />UNIVE,RSE NOVELTY & FIREWORKS COMPAN~ INC. <br /> <br />~~\..", . <br />\', ., .' <br />· V" .., <br /> <br /> <br /> <br />Name Gro~p tL <br />Address <br /> <br />8820 U,S. Hwy. 301 · Riverview, FL 33569 <br />Phone (813) 677-1874. Fax (813) 671-1790 <br />E-mail: FireworksFlorida@aol.com <br /> <br />Official Licensed <br />NASCAR NFL, NBA, MLB <br />Fair' Festivals' Special Evenls <br />Wholesale' Retail. Direct Importers <br /> <br />Date <br /> <br />hI )4/07- <br />,. , <br /> <br />QUANTITY <br /> <br /> <br />DESCRIPTION <br />. ~A <br />,:J S30 <br /> <br />PRICE EACH <br />1 ~~- <br />t9. ~ <br />'19 9$-. <br />r ' Cjs:: <br />$ 2:E.- <br />19.~ <br />$ 'JX: <br />t ~ <br />t 31. 2;i:. <br />1) ,~ <br />t 9 .:fr. <br />$ ~ <br /> <br />AMOUNT <br /> <br /> <br /> <br />.af)..-- <br /> <br />~ <br />,~ <br /> <br />Above items received on consignment from UN! ERSE NOVELTY & FIREWORKS <br />CO", INC, I understand payment or re~ise is to take place within 20 <br />days from above date, (Signature) C2l Q Q Q ~ ] <br />*~~~.. *.* <br />-t~~~~ <br />