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III IIIIIIIIIIIII III <br />Insertion Order <br />Bill to: .. ~~. 11.1-1 ~......~~wl..f~~.......' ~~.`~'. ~.Yl~-T!, fi, YL.. <br />I L <br />.....~.T~.~.~........~12'~.!'~!Y1GL.11...liT........~n'1 a~f 5 <br />Headline : ..................................... <br />Sig nature: ......C...........G .......................................................... <br />Run Ad on .....`.'~/~~.1.~ ............................................ DATE <br />Repeat Ad on ........................................................................ <br />Account No. I .~~i <br /> <br />^ Local Display ^ Color <br />^ Class Display ^ Special Tab <br />^ National ^ Stutter <br />Legal ^ Class. Directory ............ <br />Space ..................... col. x ..... ......... ....... inches ..................... <br />..................... inches at (rate) .. ........ .............. $ ...................... <br /> <br />Billing Instrudions : .................................................................................................................................. ~~~ `.~.~.~~.~..~.~~ <br />......................................................................................................................................................................................................... <br />Remarks and Notes: ......... `.~-'~.~.~.....~.~.)..!.. ~.~1 ~~........-......~..-.<~..~!.'..~.L.7 ......................~AY 11 199-. <br />.......................... <br />Mined Land <br />.............................................................................................................................................................F3er.lam~fiij~ ~Il;:~:r.:....... <br />Ad Salespersorc .................................................... Ad Director ................................................ Customer ............................................w.. <br />