Jean-PaulMart
Make checks payable to: Jean-Paul Tertocha

       
Send To: _______________________________________

Address: _______________________________________

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Item_____________________Amount_____Unit Price_______Cost___________
 
Item_____________________Amount_____Unit Price_______Cost___________

                                    Shipping & Handling_____________

             Thank-you for your order.              Total: _________
           
             Tape sides of foldable envelope if enclosing payment.        
                       
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                          JEAN-PAUL TERTOCHA

                           P.O. BOX 412

                           WARRENSBURG, IL  62573-0412
                                 USA




    

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