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Ordered by: Mr. / Mrs.<br />

Customer:<br />

Delivery address: customers address:<br />

Pos. Part.-No. Part.-No. customer Price / PE Quantity Del. date<br />

236<br />

FAX Order FAX Inquiry<br />

Remarks:<br />

Delivery by:<br />

as usual:<br />

FAX INQUIRY / ORDER<br />

Customer No.:<br />

Order No. customer:<br />

Phone-Nr.:<br />

Date: Time:<br />

Recorded by: Mr. / Mrs.

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