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Edgar L. Owen, Ltd., PO Box 714, Lake Hopatcong, NJ 07849. Tel: 973-398-9557, Fax: 398-8082. EdgarOwen@worldnet.att.net
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Bidder Name: __________________________________ Company:___________________________
Address: __________________________________________________________________________
City:____________________________ State:________ Postal Code:_________ Country:_____________
Telephone:_______________________ Fax:________________________ Email:________________
Signed:_____________________________________ Date:____________________
Card #: _____________________________________ Expiration Date: _______________
Signed:_____________________________________ Date:____________________
LOT# . . | . . BID In US$
(bids may be continued to right and on reverse)