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1/03 VACUUM CLEANERS The Eureka Company P.O. Box 2799 Bloomington, IL 61702-2799 ORDER FORM (Not applicable in Canada) S O L D T O S H I P Name Address (street address needed for UPS) City Telephone
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Qty 58926A DiscoverCard Bloomington Ltd MasterCard llame 2003 Acct 54948A USD CST applicable Consolidated payable Postage Expiration Eureka ENCLOSED digits

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