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To:

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Terms:

Customer #

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Toll Free Date Ordered:

10127

Order #

PO Box 702482 Dallas, TX 75370

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Salesperson:

Shipping & Freight: label: Customer PO # Special Instruction: '---------sHORTS LONGS REGULARS 38 '40 42' 44 46 48 50 52 64'55 58 60 62 34 36 38 40 42 44 46 34 36 38 40 42J44 46 48 SO 62 64 56 68 60 62 Unit Amount - ' - f-- i ­ QTY Price 28 29 30 31 32 33 34 35 36 38 40 42 44 46 48 50 52 64 56 .C--XS S M L XL 2X ax I . 4X 5X .-

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FACTOR CONFIRMATION #: PLEASE MAKE YOUR PAYMENT TO: BERRAGAMO ALL SHIPMENT FOB DALLAS, TEXAS.

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