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UNIVERSE NOVELTY & FIREWORKS COMPANY, INC. <br /> , °'¢" . 4 Z - - 8820 U.S. Hwy. 301 • Riverview, FL 33569 or,�;a, t,cense <br /> lis Phone (813) 677-1874 •Fax (8 3) 671-1790 air NA NF NBA. tvl '- a <br /> E m Festwals Special Events <br /> ., il; FireworksFlorida @ael.com wholesale • Retail . Direct Importers <br /> a Name ( 2 7 r01(A #� Date 9 _. <br /> Address <br /> ------„-- <br /> ~1 <br /> QUANTITY DESCRIPTION PRICE EACH AMOUNT 1 <br /> 3 c dPh d j Tr: / exy - 9 • �__; <br /> 1 11 �-e 5ICDC.k 329. GS" <br /> ) 5 ,Sh o f 5a-1- tArr ►l i ss i le 1. °_° <br /> 30 L on Sc - i&r-rs vi ss, I ., 5. ° <br /> r <br /> 1 1 h � I�QQ ROiI F-;recl Ker 7 . q <br /> • _ liriii ' t - • p 'r i 6 y 9 s <br /> o 00 <br /> I , rI .• i, ...Er ..° t.. - <br /> L -7a-i-1 r n p a a. k" 1 6 1. — <br /> ♦ I ; . t <br /> ■ - 1 II . o - o2 00 <br /> -- ----- �-_- -- <br /> q s - <br /> ' J�O v�G� n C�.-t /.CAP S �. 9 <br /> Gt-I0 Sr, n s 50 <br /> � C� � as <br /> 0 . ______.--.....] <br /> c _S Foy k 1 e r-'S 3/1 • °--"" <br /> 1 1. 1 q r.i rnyno ` C rvA o k _ - <br /> o0 <br /> a . • At Aff 6 -°- <br /> I i 4 C'-01O r rr e Shies a _ ----- <br /> � s <br /> �Li o Z y pro /I& r, ec' <br /> r-r cicer$' S. -- <br /> Above items received on consignrri nt from UNIVERSE NOVELTY & FIREWORKS e4:4;'=,' <br /> 00., INC. I understand payment or retur of merchandis -- is to take place within 20 <br /> days from above date. (Signature) ` / /__ ' / _ . __,...•� .„ j <br /> -�a { s iii <br />