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table Bill to Samantha Peterson 66880 Adam Way Gregorystad, DC 09167 US Tel +(519)974-0102 Email brownamanda@example.net Site http //www.rodriguez-wyatt.com/ Terms and Conditions will be charged if payment is not made within the due date. Date 05-Sep-2005 DISCOUNT(3.94%) (-) 19.89 Due Date 11-May-2014 INVOICE # 5Y3M6d-520 Note This order is shipped through blue dart courier Address 4894 Melanie Pass Apt. 742 Tammyland, SD 42587 US Email cjames@example.com Mclean-Cochran TOTAL 504.78 USD logo