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UNIVERSE NOVELTY & FIREWORKS COMPANY, INC. <br /> .::;•'••• 8820 U.S. Hwy. 301 • Riverview, FL 33569 official Licensed <br /> � - - Phone (813) 677 -1874 • Fax (813) 671 -1790 NASCA R NFL., NBA. M.L. �+ <br /> ` Fair Festivals Special Eve <br /> •• - • • sFlorida @aol.com Wholesale • Retail • Direct Importers Ar <br /> N ame 0 _ Date la n, A."' e' <br /> Address ______ _ <br /> QUANTITY DESCRIPTION PRICE EACH AMOUNT <br /> . i <br /> I a f3 U Il.4- 60 rri hs q. <br /> o - t _ $_ 5 5 <br /> r p a� <br /> 1 AO ' f9. _ <br /> 1 F3C S - I - e r p r-o I £R. IF <br /> L I Sao -LI rdt AI ; i-e... 5 ►'G 1 ,,.9. . <br /> h 3 6 c aciv 7 r-pp e eA-1- c k,e �' . __ <br /> a e• <br /> i3° S1r•6-4- co10 - e f' (}_sA c3 . <br /> ° <br /> I no . / pave - 7 — r -0,, t, e.1-c --Q ° . <br /> 1 a.o /1A 3 . e?-2- <br /> _. <br /> L( o z R nrace l--5' . 5 c <br /> 1 Q z 120e- ,ke-F5 6 Ts-- <br /> L/ 3 - ; r - 1 A 1--f-i'11 -91- .sj-w_lls 3/ . II _ __ <br /> S)4 12i4m4-7l e (2/. ei_s— <br /> q -q–s- <br /> ,qs <br /> [AA d 0 r A ) k 1c,K-e_J'' Gl. f- -- <br /> 6 6 ) 0 ,..per L.„,,,,.,L5 ,l , qs- <br /> �. A/1; 17 / c G K•c5 v2-q • 4 c - ----.- <br /> Above items received on c signmint from UNIVERSE & FIREWORKS'' ,ti:' <br /> CO., INC. I understand payment or retu n of rperchandise is to take place within 20 <br /> days from above date. (Signature) 1�i w 1. _ J <br />