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JWF Enterprises
BarCodeScannersDiscount.com

116 Kingsley Road
Rochester, N.Y. 14612


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Bill To/Ship To:

Name: _________________________________________________________________________

Street: _________________________________________________________________________

City: ______________________________________________ State: _________Zip:___________

Quantity

Part#

Description

Comments

Unit Price

Ext Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Purchase

    $

Domestic Shipping

    $      

Sales Tax (8.25% New York Residents)

    $

Total Order

    $

Method of Payment

VISA___  MasterCard___  Discover___  American Express___  Money Order (Enclosed)___

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