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<br /> <br />COOK PORTABLE WAREHOUSES ORDER FORM <br /> <br /> <br />DATE: 4/7/2008 <br /> <br />BUSINESS NAME: <br /> <br />VISTA MARKETING <br /> <br />(UJ-I-ILt: U::>t: UNLY) <br /> <br />SALES PERSON: <br /> <br />CARL CASTEN <br /> <br />DEALER PHONE #: 813-788-5459 <br />D~~R~X#:813-788-5459 <br /> <br />ACCOUNT: <br /> <br />E-mail orders to: <br />orderentry@cookstuff.com <br /> <br />DEALER LOCATION: <br /> <br /> <br /> <br />USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT <br /> LOCATION OF BUILDING: THIS SALES LOT <br /> BACK <br /> STYLE SIZE COLOR SHINGLE METAL <br /> BARN X DARK NEW XX <br /> BROWN <br /> ECONO X BLACK <br /> LOFT BAR 10 X 16 WHITE XX <br /> CHARCOA XX <br /> UTILITY X <br />LEFT RIGHT L GRAY <br /> GARAGE X LIGHT <br /> BROWN <br /> LOFT GAR. X <br /> CABIN X RED <br /> FRONT <br />Y CODE FOR OPTION PLACEMEN- D SINGLE DD DOUBLE S- STEEL F- AIC G- GARAGE W= <br /> DOOR DOOR DOOR FRAMEOUT DOOR WINDOW <br />MISCELLAN EOUS <br /> <br /> <br /> <br /> <br />RICHARD CHENKIN <br /> <br />CUSTOMER NAME(S) <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP COUNTY <br /> <br />HOME <br />WORK 813-782-1583 <br />CELL <br />HOME <br />WORK 813-469-8696 <br />CELL <br />HOME <br />WORK <br />CELL <br />NAME OF EMPLOYER CF INDUSTRIES <br />SOCIAL SECURITY <br />NUMBER <br /> DERS <br />DRIVER'S LICENSE C525-759-50-307 <br />NUMBER <br />)ATE OF BIRTH 8/27/1950 <br /> <br />5447 11TH STREET <br /> <br />ADDRESS <br /> <br />ZEPHYRHILLS FL <br /> <br />CITY <br /> <br />STATE <br /> <br />33542 PASCO <br /> <br />ZIP COUNTY <br /> <br />DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS <br /> <br />E-MAIL ADDRESS <br /> <br /> <br />