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<br />~ <br /> <br />ORDER BOOK <br /> <br />N ~ p. 5 2 5 <br /> <br />BOX 1127 · SHINER, TEXAS n984 <br />(361) 594.2911 <br /> <br />(PLEASE PRINT) <br /> <br />-;f/lOt;attle <br /> <br />DATE: <br />P.O.#: <br />PHONE#: ~ ~ <br />SALESMAN~ {~f4t. 1.$~ <br />TERMS: <br />CREDIT DEPT. (CUST~ <br /> <br />X <br />(NET 30 DAYS FROM INVOICE DATE) <br />F.O.B. SHINER, TEXAS . <br /> <br />If >>b/DC} <br /> <br />SOLD TO: <br /> <br />~m wt:JTrs <br />[JiIrj rf' Sv~1Zfks"h. <br /> <br />~pLD TO: <br /> <br />fAx (?pj) 9'1'/;31/3 <br /> <br />3I <br />s.. <br />/5 <br /> <br /> <br />TOTAL <br />PRice AMOUNT <br /> <br />aUANTllY <br /> <br />.~5 <br />~5 <br /> <br />-rib{ e <br /> <br /> <br />i:J a...3- PI>- '/ 'II?I !3 J -sv ~ <br /> <br />~9~IN~RU~T10NS: <br /> <br />I <br /> <br />If . <br /> <br />A " <br /> <br />r . . , I <br />