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<br />UftIYER8'E NOVELTY & FIREWORKS COMPAN~'NC. <br /> <br />, <br /> <br />~~~, <br />~~.' ")."".. <br />~,".;l<i^"<! <br />~,,~1' {'"'' <br /> <br />Narne__ Q~rrN.-~ '?; <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 />/?~~ t <br /> <br />Official Licensed <br />NASCAR NFL. N8A. MLB. <br />Fair. Festivals' Special Evenfs <br />Wholesale. Retail' Direct Importers <br /> <br />Date ~c'. I d I :kx17 <br /> <br />--~._------- <br /> <br />QUANTITY <br /> <br /> <br />DESCRIPTION <br /> <br />PRICE EACH <br /> <br />AMOUNT <br /> <br />,'''bOVE! items received on consignment from UNIVERSE NOVELTY & FIREWORKS <br />CO., INC. I understand payment or return of merchandise is to take place within 20 <br />(jays from above date. (Signature) _ ~~ Q.Q CD ~ <br /> <br />~o <br />J I 0 <br /> <br />*~~. *.* <br />-t ;;*~-;- *. ~" <br />