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United Supermarkets Order Form (Please make additional copies for future use.) USE BLUE OR BLACK INK WHEN COMPLETING THIS FORM. Item # Qty Description Pieces Order Included 14778 WEIGHT SILVER FOIL COVERED 12 HI795 INF QUALATEX HAND INFLATOR 1 A6703918 HBD 17" *PKG* OMBRE RAINBOW 6 CC107 CUP MAXI CUP II 25 HPS20C STK 20" CLEAR MAXI STICK II 25 14449 DISPLAY AIR FILLED FLOOR RACK 1 6703826 HBD 31" *PKG* BIRTHDAY MARQUEE 5 Q0524 SOL 5" YELLOW LATEX 100 Q0523 SOL 5" RED LATEX 100 CW01 ROLL OPALESCENT 30" × 25' ROLL 1 972093 RIBBON #9 SHEER LT YELLOW 1 01541 FLORAL OASIS UGLU DASH 1,000 LT301 GLUE GUN DUAL TEMP TRIGGER 1 DT20 GLUE STICK DUAL TEMP 4” 20 9734406 HANG TAG A LITTLE SPECIAL 100

Fax 800-880-9759 Renee Hall – Ext. 2212 • Courtney Nicole – Ext. 2239

Store # __________________________ Name ___________________________

Phone ___________________________ City, State _______________________ ZIP______________________________

C4422_2023

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