Laserfiche WebLink
� S �; <br /> d � � . � �:�� . . <br />� - E ;� r� <br />� �� � � <br /> ° ' _• r%I IBIT � �A�� <br /> Ib- �0666 '7 ---�--� <br /> I� ORDER FORM rr� � � �� r � <br /> �� � � ����d i�a�e: � � ��,� <br /> � <br /> '"�j A D�vie�oe� or Sre�reSci�u�rz l.uaeea Co. � <br /> �'� 8'L4 Su. 1Vebb Rd. P. 0. Dox I447 <br /> 7{� Grqud�elnnd, NE 68801 — :f08/;i8?•9ti50 <br /> � � / � <br /> F � / ���'' � - <br /> ,'ry INV�ICF TO: �C' . / _ �_,��� <br /> � <br /> t .;� . - . � <br /> rt� �. . !J � / . <br /> �; AUDIiE55: � f�,�.3 _ PIIONE: <br /> � CITY � � ♦ � �`�.e._ . _ STA7'F,: ZIY <br /> � � ��r�r �� "�---��''� ' �� <br /> �Y � JO[3: _ ' � �. f . � � ,� :_ �i �_ . <br /> �, , —,. _ r�.c <br /> , / � / �,. J, � <br /> � LOCATION:-Ll t"Jc,��� L� �J �"1!r _�� - 6�i'_ �-� <br /> � � <br /> s� UA7'E HERUIftED: � • G --- #n�� <br /> e Y� , � <br /> � � 6tUA1. DF.SCRII'TION SPAN I PITCFi I 0.11 . � O.H . TOP B'PAf . COST <br /> .� : I FRONT I RI�.AIi CIiOR�U � I:ACfi TOTAL <br /> , i _ <br /> « � � i � r <br /> '! ; .v ,f( ' i I ;� � �'7; �,77 " �( .j „ � � � �� � <br /> ��j J � ��� i <br /> 'J �-1 r � / / Y �- . <br /> � ;YI -7 I i .r <br /> V i I !^ " 1�_ � . <br /> I 1 <br /> ; � 7 � � � I .��� � ` ��� �„ � � , � � <br /> ; j 2 ' � j� i �,_ i HE P <br /> � _�.� � _ � � _��'���_. C'� i �� � usT�M,eR ��n � , F: � , :« � <br /> � -_� ���^. ra� .r,.. /.�e,�ff,_� I � I f ✓ I �i I-_�� _ � :; � J.:N-LC�'nG � ' . �: � c::UiRED. � <br /> � j —� <br /> � . v '� aIl � � . u j �?E n :�F�' � , � GHT i'O—_—_� <br /> # �� �-f� � .;A�[-Fc^�n-EXE-r_-:-i;-{+!J-tV�$li'�iLi � r <br /> ,'� - I I I I �� r,L, AFTE� THc l � �. �( t,� - <br /> . I I j I �'%+� F HOU �, Ai TiIEI KATE OF � _ <br /> ;� � ; , a � .0 1= R NOUR. I rt <br /> „, -- - � � i — , --- --- ;-- I I i <br /> � — ' � �� � I ! . l�.e« r��_� � I � <br /> / f/� �� � r /1/U /� y� Il�' �- I <br /> �^� � ` ~ ��• �-1��'�.�.L' Lf� � �/ l 'I`�'7q' T� �.�_��Llf�llLf_���! � I � . . <br /> '� _ � !' -C' /t.�l�T if/1,��0' �/ �I. l"�1 �1t� 1 ! � l I � � ! . . <br /> i <br /> � - ? �1 C.l:._.�e _��. � ---'---�-'�.---� <br /> �s 'I'ails: Piumb 7'otal . . <br /> ;,� Syunre " _.� �1'ild � <br /> z i � f I i 7 � ' <br /> TIIESIARKS: �� ' =/�1f� tr. ..:,� _. -- � . � . . <br /> q ���-��, _ Vebr. Tax _'._�!�_� <br /> -: .'y / � . � . <br /> � <br /> :d __ �' � 1 . . <br /> - ---- --- � r <br /> �, ------ _ <br /> �`� Add Frt. Nec —"? <br /> .� _-- -- -�— I <br /> tP Aulhorized Signature is rnquirid before order c¢n be processed. P � �e si n und «turn oce mpy � �7 � � � � <br /> `l _. I <br /> �i> Accrptance must be received by us nt [he above nddress on or befnre the \� i.� ?�� � � � <br /> i � - . _ , dayol " " LLi.v�--.______'. I97� , � <br /> ;.t tu constitute a contract. �-'i - � . <br /> ,� � . <br /> ` � t--�, � � � <br /> a . � , I)a[e ------- <br /> � � \ / <br /> tiELLER: CI�AF'G1 ,1RN FI011F.S <br /> - 4 Cmm � �� � _!. Z "- � ('"tiPc, .�— ;✓� : . <br /> 'E �� ' , A U7� �sm. or�vr:�t Scqc�n Lna. 6�. / / . <br /> \ / i <br /> ; ta>•: �vvc.� _ � �.•�....�,� —�..� �ay --� �`�'�i��� ! . � I'�.� _ � <br /> i � � � � i <br /> =` � - � � '� � � � � fD ~ <br /> :, i . o. ,r no«: ,(_?( `• ' <br /> a - �. . <br /> ��:i . ' �,, �� _ I � .� . . . . <br /> a <br /> All tr�esses nrc 6ui!! ta order - A'o refurnS or CaqCcllu �w�s. ��.� . • ��; ' ., <br /> : , <br /> , ` . __.__—. _..._'. . . ,.!.:.+M .r � . <br /> ____ . - ._.._"_"' _.. __ _ � <br /> N� _ <br /> " ��.� . . �..' . ' . � ,. � . �.. � . : . ' L� � . . . . . . . . . . . J . ' . . , <br /> _ ' � <br /> . . � . . . . h " ` <br /> . .. . . � . � � � �� � ��. - . <br /> : � , , <br />; ,, ,_ . . . . . _. .. . <br /> r <br /> I. ' <br /> i <br /> � � J <br />:y <br />` �. <br />