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lvfyCOKfQXy I EdKrfrta Way H.jli*ay?0 Ad.LtC.vCr-. MA KII i [phone]

Customernurrber: X lnvoice rumber: XXX

Datę: December 6.1995

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ShipTo: CustontórName SuitfeTĄfti Irigencrei Road Custcity, MA XX XXX

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1    onethrag

2    TWothrdgs

8 20 JQ5	8 20 JQ5
$ 2025	$ 40.10
Subtotal:	$60.15
Tax:	$0.36
Shipping & Hćndng:	$2.08
Total Due:	$ 82.59

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