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<br />COOK PORTABLE WAREHOUSES ORDER FORM <br /> <br /> <br />GENERAL AND DEALER INFORMATION <br /> <br />DATE: 12/14/2007 <br /> <br />ACCOUNT: <br /> <br />SALES PERSON: <br /> <br />VISTA MARKETING <br />CARL CASTEN <br />ZEPHRYRHILLS FLA. <br /> <br />DEALER PHONE #: 813-788-5459 <br /> <br />BUSINESS NAME: <br /> <br />(Ut-rlLt u::,t UNLY) <br /> <br />DEALER FAX #: SAME <br /> <br />DEALER LOCATION: <br /> <br />)EALER NUMBER: <br /> <br />293801 <br /> <br />MODEL # <br /> <br /> <br /> <br />CITY <br /> <br />USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT <br /> <br /> LOCATION OF BUILDING: <br />BACK <br /> STYLE SIZE SHINGLE COLOR <br /> BARN X DARK NEW <br /> BROWN <br /> ECONO X BLACK USED <br /> WIN LOFT BARN 12 X 16 WHITE <br /> SOLD <br /> UTILITY X CHARCOA <br />LEFT DD RIGHT L GRAY <br /> RENTED <br /> GARAGE X LIGHT <br /> BROWN <br /> LOFT GAR. X GREEN XX <br /> CABIN X <br /> <br />xx <br /> <br />xx <br /> <br />FRONT <br /> <br />EY CODE FOR OPTION PLACEMENT D= SINGLE DD= DOUBLE DOOR S= STEEL <br />DOOR DOOR <br /> <br />F= A/C <br />FRAMEOUT <br /> <br />G= GARAGE <br />DOOR <br /> <br />MISCELLANEOUS RAISE LOFT SIX INCHES. PLACE DBLE. DOORS ON RIGHT <br />SIDE OF BLDG. CENTERED. PLADE ONE EACH WINDOW <br />TOWARD RIGHT SIDE BACK AS SHOWN. THANKS! <br /> <br /> <br />STEPHEN PAGE OR ROBERT SNYDER <br />CUSTOMER NAME(S) <br /> <br />HOME <br />WORK <br />CELL <br /> <br />38735 9TH AVENUE <br />ADDRESS <br /> <br />HOME <br />~~Et 813-245-5628 <br /> <br />IN LUDE AR A DE <br /> <br />CITY <br /> <br />STATE <br /> <br />33542 PASCO <br /> <br />ZIP COUNTY <br /> <br />HOME <br />WORK <br />CELL <br /> <br />ZEPHYRHILLS FL <br /> <br />INCLUDE AREA CODE <br /> <br />NAME OF EMPLOYER RETIRED <br /> <br />DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS <br /> <br />SOCIAL s~~~~~ 175-26-8013 <br /> <br />MANDAT RY N ALL RT RDER <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />COU NTY <br /> <br />DRIVER'S LICENSE <br />NUMBER <br /> <br />DATE OF BIRTH <br /> <br />5536-768-32-369 <br />10/9/1932 <br /> <br />E..MAIL ADDRESS <br /> <br /> <br />PAGE 1 <br /> <br />REVISION 5/07 <br />