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<br /> <br />COOK PORTABLE WAREHOUSES ORDER FORM <br /> <br />DATE: <br /> <br /> <br />(Ul"l"ll..t: U~1: UNLY) <br /> <br />SALES PERSON: <br /> <br />VISTA MARKETING <br />CARL CASTEN <br /> <br />DEALER PHONE #: 813-788-5459 <br />D~~R~X#:813-788-5459 <br /> <br />BUSINESS NAME: <br /> <br />ACCOUNT: <br /> <br />USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT <br />BACK <br /> STYLE SIZE <br /> BARN X NEW <br /> ECONO X BLACK <br /> WIN LOFT BAR 10 16 WHITE <br /> X <br /> UTILITY X CHARCOA <br />LEFT RIGHT L GRAY <br /> GARAGE X LIGHT XX <br /> BROWN <br /> DD LOFT GAR. X <br /> CABIN X RED <br />FRONT <br />Y CODE FOR OPTION PLACEMENcD- SINGLE DD= DOUBLE S= STEEL F= AlC G= GARAGE W- <br />.DOOR DOOR DOOR FRAMEOUT DOOR WINDOW <br /> <br />MISCELLANEOUS <br /> <br />PLACE DOUBLE D. ON RIGHT SIDE 4 FT. FROM <br />FRONT. PLACE 24X36 WIN. ON RIGHT SIDE 4 FT. FROM <br />BACK. THANKS.! <br /> <br /> <br /> <br />BEVERLY TRIPLETT <br />CUSTOMER NAME(S) <br /> <br />5436 10TH STREET <br />ADDRESS <br /> <br />HOME <br />~~LiK 813-782-4245 <br /> <br />ZEPHYRHILlS FL <br /> <br />CITY STATE <br /> <br />33542 PASCO <br /> <br />ZIP COUNTY <br /> <br />HOME <br />WORK <br />CELL <br /> <br />NAME OF EMPLOYER <br /> <br />PEACOCK MEATS <br /> <br />DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS <br /> <br />SOCIAL SECURITY <br />NUMBER <br /> <br />230-70-5329 <br /> <br />MAN AT Y N ALL RT R <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />cou N IT <br /> <br />DRIVER'S LICENSE <br />NUMBER <br /> <br />)ATE OF BIRTH <br /> <br />T614-070-5329 <br />T614-070-50-524 <br /> <br />E-MAIL ADDRESS <br /> <br />