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<br /> <br />< COOK PORTABLE WAREHOUSES ORDER FORM <br /> <br />DATE: 5/16/2008 <br /> <br /> <br />(Urt-U...l: U::;,t UI'l1LY) <br /> <br />SALES PERSON: <br /> <br />VISTA MARKETING <br />CARL CASTEN <br /> <br />DEALER PHONE #:813-788-5459 <br />DEALER FAX #:813--788-5459 <br /> <br />BUSINESS NAME: <br /> <br />ACCOUNT: <br /> <br />ZEPHYRHILLS, FLORIDA <br /> <br />em <br /> <br />93801 <br /> <br />USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT <br /> <br />BACK <br /> <br /> STYLE SIZE COLOR SHINGLE METAL <br /> BARN X DARK NEW <br /> BROWN <br /> ECONO X BLACK <br /> LOFT BAR 12 X 24 WHITE XX <br /> UTIUTY X CHARCOA <br />LEFT RIGHT L GRAY <br /> GARAGE X LIGHT <br /> BROWN <br /> LOFT GAR, X <br /> CABIN X RED <br /> <br /> <br />xx <br /> <br />xx <br /> <br />FRONT <br /> <br />Y CODE FOR OPTION PLACEMEN,D- SINGLE DD= DOUBLE <br />DOOR DOOR <br /> <br />S= STEEL <br />DOOR <br /> <br />F= AlC <br />FRAMEOUT <br /> <br />G= GARAGE <br />DOOR <br /> <br />W= <br />WINDOW <br /> <br />MISCELLANEOUS <br /> <br /> <br />PHILIP BUCKLEY <br />CUSTOMER NAME(S) <br /> <br />4828 COURTSTREET. <br />ADDRESS <br /> <br />HOME <br />~~~K 813 -625.-0010 <br /> <br />ZEPHYRHILLS FL <br /> <br />CITY STATE <br /> <br />33542 PASCO <br /> <br />ZIP COUNTY <br /> <br />HOME <br />WORK <br />CELL <br /> <br />NAME OF EMPLOYER <br /> <br />SELF <br /> <br />DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS <br /> <br />SOCIAL SECURITY <br />NUMBER <br /> <br />002-28-5196 <br /> <br />AT Y <br /> <br />RD R <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />COUNTY <br /> <br />DRIVER'S LICENSE <br />NUMBER <br /> <br />8240-664-39-383 <br /> <br />)ATE OF BIRTH 10/23/1939 <br /> <br />E-MAIL ADDRESS <br /> <br />