Laserfiche WebLink
<br />:-----.COOK pORTABLE-wA-li-EHciiisEs-:-ouRDER FORi\,~i- <br /> <br />I'. -... .___.._.cL_________.~--------._-.-u-. .u.____._.. ____~___....._u_._.__.__.._....._______u__._.... ._.__.__u.. <br />GENERAL AND DEALER INFORMATION <br />I""u.-"--.'-.---.--' . ---------.----.---. . . ---..-.. __.__.__c_ <br /> <br />I DATE; _1-,1 i9./c~"1 <br />I <br />I ACCOUNT; <br />i ---rtlF1'lIT11S~- <br />I <br /> <br />BUSINESS NAME; <br /> <br />VISTA MARKETING <br /> <br />DEALER PHONE #; <br /> <br />SALES PERSON: <br /> <br />CARL CASTEN <br /> <br />DEALER FAX #; <br /> <br />DEALER LOCATION: <br /> <br />ZEPH RYRHILLS FLA. <br /> <br />)EALER NUMBER: <br /> <br />. ~__._..__________.__..____._.____._.__~__,.--.--~=-=--CJTY===--=--==--=~_=====__=_~__~.TA1F.___.=___.____..__._____.._______._______ <br /> <br />BUILDING INFORMATION <br /> <br />.------MO-~;~;-C T-~~_~_.._ <br /> <br /> <br />LOCATION OF BUILDING: l_____~ <br /> <br />I <br />I <br />I <br />iEy l'O~J~ -~~ ~)~~I-,;_~.;L~CEMENT D= -SINGLE DD= DOUBL~-DOO; s= s rEtL- F~ A/C' G= GARAGE--- .-.----------.----- <br />r,;;:~..::l~;.~~"-~~U- DOOR DO~___=:!R-~~~- _..J:?.20R _____=======-.=... <br />1 MISCELLANEOUS <br /> <br />I - -- ---.-. ..--------- ---..-.-....-,.--- <br /> <br />IO~C~~<~"'C' _~~~__c__= _ c- - <br /> <br /> <br />l=====:::.==:==-=__-===-===--=-..-==-==-~=.:..=:=--===-=--====--==-.-.-'--._'- <br /> <br />I <br />I. <br /> <br />I <br /> <br />us!:: D!AGP.Af>1 BELOW TO SHOW OPTION PlACEt-1EN-' <br /> <br />BACK <br /> <br />~INGLE-'COLOR <br />:~~~N ,-- <br />BLACK <br />WHITE <br />CHARCOA <br />~RA! <br />LIGHT <br />f-B~~YVN --.-. .----- <br />GREEN <br /> <br />STYLE SIZE <br /> <br />BARN X <br /> <br />ECONO X <br /> <br />LOFT BARN J C" X J &; <br /> <br />LEFTI <br /> <br /> <br />I <br />j <br />I <br />I <br />L <br /> <br />RIGHT <br /> <br />UTILITY <br /> <br />X <br /> <br />GARAGE <br /> <br />X <br /> <br />I <br />l______________ <br /> <br />LOFT GAR. <br /> <br />X <br /> <br />CABIN <br /> <br />-~-j <br /> <br />FRONT <br /> <br />CUSTOMER INFORMATION <br /> <br />MUST HAVE TWO PHONE NUMBERS ON ALL ORDERS FOR DELIVERY <br /> <br />I P.-Z;.7f IL' j( L; Ai. ?) j1 (/ f s: <br />I n,'''",,:;::;~ J 1 5-ri. -r-r <br /> <br />~i,ill;~i-SC:--.------~-----. -L-;oL.:..-----.__ <br /> <br />~ ..--,--- I I ( . ?IJ <br />1~2LLiJr111 /IS~ J::~S 3~'1; <br /> <br />i UTY STATE 1__ ZIF rutJi'iTY----.---- <br /> <br /> <br />l-- ---- - <br /> <br />~ C.l:LI\~RYA-DOR~tF DIffERENT THAN M.l'.!UNG ADDRE5S----.--------------- <br /> <br />~ <br /> <br />HOME L <br />WORK <br />CELL - ___ <br />INCLUOE AI~EA CODE <br /> <br />813-788-5459 <br /> <br />SAME <br /> <br />293801 <br /> <br />~.- ti- - <br />NEW <br /> <br />--- -- ----- <br /> <br />USED y, <br /> <br />- -- <br /> <br />~~-_.- <br />SOLD <br />----- ~-:-----;-_.._- <br />RENTED ~~>( <br /> <br />~- --'~::.- <br /> <br />..._-_......__.._.._-~ <br /> <br />I <br /> <br />HOME il . <br />WORK <br />CELL <br />INCLUDE AREA CODE <br /> <br />HO~IE r::[ <br />~g[(LK l~ ___ <br />INCl.UDf. AREA CODE <br />,( -) <br />.-- \ <br />NAME OF EMPLOYER ~C:::-) 7 <br /> <br />- , <br />1~'1' / .;./ /. <br />SOCIAL SECURITY _ .'1.~., ! ," -- l-.. C,'./ <br />NUMBER ..7' l::::: "7 "--? <br />MANDAToifY--or,j' ALl-nTO ORDERS <br /> <br />1\;] - -. /) 7/ <br />L.J <->( C. - J..L);fL --/f;:c{-- ~-;\ <br />0':" ./L "7 <br />")' - ~'i] -- ~ <br /> <br />cITy----...------- STATE--- <br /> <br />DRIVER'S LICENSE <br />NUMBER <br /> <br />ZIP <br /> <br />COUNT'{ ._-_._-~- <br /> <br />DATE OF BIRTH <br /> <br />I ,.-,.:i^',.."uw,"';<::-..... ...----.---------.--. <br />I <br />L...__ _ ______ <br />!. _______u____~=_~- "':'~*A~ TW~~VE.~~~BUILD~NGS _ARE ~EASURED:i=~OM EAVE TO EAVE*** <br /> <br />P/\GE 1 <br /> <br />///'+") <br />J' - <br /> <br />RlV1SION 5;07 <br />