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<br />UN1V'ERSE NOVELTY & FIREWORKSCO:MPANY, INC. <br /> <br />. <br />"q:::-~ 8820 U.S. Hwy. 301 . Riverview, FL 33569 <br />~,;,.~,,' '. . "n Phone (81~~) 6.17-1874' F~x (813) 671-1790 <br />. .~gr,.., . E-mail: FlreworksFlonda@aol.com <br /> <br />Name__-'-~~~ <br /> <br />Address <br /> <br />Official Licensed <br />NASCAR NFL. NBA, M.L.B <br />Fair' Festivals. Special Events <br />Wholesale' Retail. Direct Importers <br /> <br />Date _ r~ - tz..- 07 <br /> <br />..----.--..-.--.-.--.---- <br /> <br />QUANTITY <br /> <br />DESCRIPTION <br /> <br />PRICE EACH <br /> <br />AMOUNT <br /> <br /> <br />i\bove items received on consignment from UNIVERSE NOVELTY & FIREWORKS <br />CO., INC. I understand payment or r rn of merchandise is to take place within 20 <br />I , <br />days from above date. (Signature) I <br /> <br /> <br />*.~. . *.* <br />. R 8 <br />~** .*.. * '~'* <br />