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i <br />~; ,:~~~ <br />EICH'~BI','P .,$« <br />~~~~ <br />A 1~tviWtpt+ aw ~sira-'Sactr~rt tlwt~ettlp. <br />~4 Sa. tYeY6 Rd. - Crtred IaMoed. NE 8(38di - 8@B/'.JB2.8t64 <br />Builders <br />"hose _ P>ae~e _T <br />306 3+tpt• <br />Yatne - Pb0ne <br />Name ~`~~ t, v .J,I~~~~rr~i _ -_ __ <br />Cky__.______ __,---__~_ ~_ <br />State Zip <br />~w~ _ ---_ --- -~ <br />` • SHIPPING INFORlIlATION <br />~------1----- <br />Requested Dd'svary Aataa: <br />Dates wiU ba confirmed ~~---_.___ <br />I~_.~-L__----`- -~ <br />four days prior to delivery. 13eclc 13aaic Trim <br />LOCATION: Addrasa -~l3 ~ •7 ~~ PA)1 i.+r4`: d _~'g•{)y <br />City ~ t~~~ -~~~`ty.~if~~ _Stats..~C~__ <br />Lot Bloch ._ _--- <br />Legrr! Tina Holders Name .~. -_-- <br />Inatructiene t0 Driver _ _-- <br />' LOT ~ Bttt7der a Owmer SALE jq Spec 'Pre sold <br />• TE$MS OF PAYMENT <br /> <br />_ - - <br />-- <br />,r'ELLF:R: CRAFT•MAItI( NUMES -----~'_---^ <br />A 1)~awun w St-tra-SS:stULYB I..sa. Co. <br />WT AGREE TO FURNISH QNLY THE ITEMS AND GRAllES <br />S!'6'CIFIED ON MATERIAL LIST. <br />,--~ <br />s! <br /> <br />Sa3eralman _....,.,.., .__...,,_ ,__._..-, <br />Gedlt Approved $Y Date <br />PAC1Ci-fIE SUAlI-IARY Amaasr <br />F _ d~ ~ ? i <br />- - s <br />y ~ --~- <br />~y,y. <br />.ems 1~~d /tin, d o #'-...faf`= <br />' -`~'__~ <br />t•~ <br />~- i <br />"{~ T <br />~_~__~_=..a~_71~.~_____ ~7s~s' .~7 <br /> <br /> <br /> <br /> <br /> ! ; <br />It--~ ~C.r! ~ ~ Y ; <br />,~,,// I <br />i <br />L_ <br />i ---- <br />- <br /> <br />----- <br /> <br />3 <br />i <br />i <br /> <br />_ -- <br />_. r~--_- <br />_ <br />` <br />~ <br />. <br />i -- - - - - - - --- - <br />i -_. ___~.._ <br />~~ ; <br />~__-- <br /> . _ -Y_..---- <br />I <br />NET I}ELIYERED COST <br />~ ~ "~ 7 ~ - <br />_---.-- _-- <br />SALES TAXT_-.~_..._ob __ <br />FREIGHT GHARGE ______ -_____ ~' .~ .-_ <br />i~~ <br />~ <br />s I'OTAG - -- - - ; ~ ~ <br />~ Acceptance must be received by ua at the shove a ddress oa or 1»fora the <br />_ dsy of . _ .._ _ _ . 19 , <br />w conatitute a cpntract lay ypur acceptance o1 tlu <br />aMree to the terma end conditions on the reverse e Proposal, ypu further <br />side hetspt. <br />~stlnature below acknowledges ace0ptasu:e o1 General Toms A Conditions. <br />F3liYk:lt _ ._ ~ .__ .. .... Uate _ <br />f._ -- ~It_...~~j~~`~~ ... <br />13y ._ ..._.._ <br />General Tams aad ConLtiona un ttaverae Side. <br /> <br /> <br /> <br />