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									LAYAWAY RECORD
Salesperson: Customer: Address: Date: Telephone:

City:

State:

Zip:

QTY

ITEM/DESCRIPTION

PRICE/UNIT

TOTAL

Pick-up Date: Delivery Schedule:

TOTAL DUE DEPOSIT BALANCE

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LAYAWAY RECORD
Salesperson: Customer: Address: Date: Telephone:

City:

State:

Zip:

QTY

ITEM/DESCRIPTION

PRICE/UNIT

TOTAL

Pick-up Date: Delivery Schedule:

TOTAL DUE DEPOSIT BALANCE


								
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