| Electrum, Inc. |
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| 827 Martin
Street |
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LOT # : |
12345 |
| Rahway, New
Jersey 07065 |
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| Tel. (732)
396-1616 |
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Date: |
12/10/2004 |
| Toll-Free:
1-(800) 622-1192 |
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ABC
Electronics Corp. |
THIS ACKNOWLEDGES RECEIPT OF MATERIAL(S)
AND |
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123 Main Street |
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WEIGHTS ADVISED BELOW |
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Anywhere, USA |
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TARE WEIGHTS (CONTAINERS) ESTIMATED EXACT |
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WEIGHTS TO APPEAR ON SETTLEMENT. |
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Attention:
Mr. Customer |
OUR LOT NUMBER IS YOUR CONTROL REFERENCE |
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| Our Lot No. |
Customer Lot |
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Received Via |
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Date Received |
Salesman |
| 12345 |
N/A |
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CCX |
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12/9/2004 |
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| QUANTITY |
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DESCRIPTION |
DESCRIPTION |
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Gross |
Tare |
Net |
| 19 Pails |
Scrap, solder dross |
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2732 |
155 |
2577 |
| 1 Skid |
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CC: |
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