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<br />- , <br />I <br /> <br /> <br />COOK PORTABLE WAREHOUSES ORDER FORM <br /> <br />DATE: 7/10/2008 <br /> <br />(UFF-Il.E USE UNLY) <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 />E-mail orders to: <br />orderentry@cOokstuff.com <br /> <br />DEALER LOCATION: <br /> <br /> <br />93801 <br /> <br /> <br />USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT <br /> BACK <br /> STYLE SIZE <br /> BARN X <br /> ECONO X BLACK <br />WIN LOFT BAR X WHITE <br /> UTILITY X CHARCOA <br />LEFT RIGHT L GRAY <br /> GARAGE X LIGHT XX <br /> BROWN <br />SD LOFT GAR. 12 X 20 GREEN <br /> CABIN X RED <br /> GD <br /> FRONT <br /> <br />NEW XX <br /> <br />XX <br /> <br />EY CODE FOR OPTION PLACEMEN1D= SINGLE DD= DOUBLE DOOR S= STEEL F- AIC G- GARAGE <br />DOOR DOOR FRAMEOUT DOOR <br />OPTION PLACEMENT AND <br />MISCELLANEOUS Place GO u front. Place 24x36 window <br /> <br />on left side 4 ft, from back. Place side door on left side <br /> <br />W- <br />WINDOW <br /> <br /> <br />LORIE OR KENNETH MOWREY <br />CUSTOMER NAME(S) <br /> <br />5612 BEECH. STREET <br />ADDRESS <br /> <br />HOME <br />~~Er 813-862-3609 <br /> <br />CITY <br /> <br />ZEPHYRHILLSFL <br /> <br />STATE <br /> <br />33542 PASCO <br /> <br />ZIP COUNTY <br /> <br />HOME <br />WORK <br />CELL <br /> <br />NAME OF EMPLOYER <br /> <br />FLORIDA MED. CLINIC <br /> <br />DELIVERY ADDRESS IF DIFFERENT THAN MAIUNG ADDRESS <br /> <br />SOCIAL SECURITY <br />NUMBER <br /> <br />NA <br />MAN ATORY N ALL RT RDERS <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />COUNTY <br /> <br />DRIVER'S LICENSE <br />NUMBER <br /> <br />!)ATE OF BIRTH <br /> <br />M600-532-70-885 <br />10/25/1970 <br /> <br />E-MAIL ADDRESS <br /> <br /> <br /> <br />PAGE 1 <br /> <br />REVISION 2/ 8 <br />