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UNIVERSE ,NOVELTY & FIREWORKS COMPANY, INC. <br /> - -` \ .,.,:': 2« 8820 U.S. Hwy. 301 • Riverview, FL 33569 Official Licensed <br /> k . Phone (813) 677 -1874 • Fax (813 671 -1790 N ASCAR NFL, NBA. M.L.B. <br /> ,�, � Fair •Festivals - Special Events <br /> .. E -mail: FireworksFiorida @aol.com wholesale • Retail • Direct Importers <br /> 517 50,Sice rd <br /> zik <br /> Name e /---° Date • // / 6 <br /> Address ( 4-ct. /'2d <br /> QUANTITY N PRICE EACH AMOUNT <br /> (iorA-1 -- •er- ere FL 1 . ) 5 - G— <br /> 1 1 eo(L Ff re Le S °,-) . 75- =s <br /> a B cx,eis .s. - 6 s� - A-s- / ( s 0,c/.q r <br /> 9 <br /> L f 7„,./166 ,ass c� r -- f. 7-. L 39. <br /> 4 <br /> 1 IA; rig H filar. 1 3q9.ff <br /> 1- 4 L C/) rA.Q 79. <br /> b ,5 A- A-S'so r - tzt . 79 — <br /> r. 5 - 5 e,S" S9• s - <br /> 0i zi d Ne N a t5+ r f-5 ' <br /> 6 t ��- <br /> 1 h 000 r, ��K_c' /cam 7q. Yo . r3 n 1. a d - <br /> £2 / , C' Roy Ci e `5 . - . <br /> 1 ,A--)/y) a )3ox {otq- <br /> 6 gI,A5 0 )5 , <br /> c7 /i11 a l/ <br /> 7 0 , bg 0 SV"k 0 ts ,-7c1L'641-7-) 5 - , 0 o <br /> Z G 7 _CC +-5 6- <br /> la ,/ EX). , i 1 e 07"cirkve-/-e. - <br /> 40 il -dpa C 9 I of S P5 - , -.--4010-ci, <br /> Above items received on consignment from UNIVERS NOVELTY & FIREWORKS <br /> 00., INC. I understand payment or return of merchandise is to take place within 20 <br /> days from above date. (Signature) /f ,,,___,A,/ __z___ I1 44,. <br /> * <br />