MS01.01.01.B02.F05.0080

[receipt]

6903.

Customer's
Order No. [blank] Date: [HANDWRITTEN] 6/13/1978

Name: David Driskell
Address: [redacted]

SOLD BY CASH C.O.D. HARGE ON ACCT. MDSE. RET'D PAID OUT

QUANTITY DESCRIPTION PRICE AMOUNT

vest [REDACTED]
travel bag [REDACTED]

tax [REDACTED]
total xxxxxx [REDACTED]
deposit [REDACTED]
balance [REDACTED]

all claims and returned goods MUST be accompanied by this bill

RECEIVED BY [SIGNED] Scott Barnett

Grayline forms S8847 Duplicate - S8947 Triplicate U.S.A.