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[[stamp, in purple ink]]

[[6-column table]]

[[span 3 columns]] BEFORE FILLING SEND TO [[/span 3 columns]] | [[span 3 columns]] AFTER FILLING RETURN TO [[/span 3 columns]]
 | Office | | | Dock Order |
 | Corres. | | | N. I. |
 | Sales | | | Catalog Appl. |
 | Quotations | | | Office |
 | Technical | | | Corres. |
 | Complaint | | | Acct. Dept. |
 | Split Order | | | Technical |
 | Holding File | | | Audit |
 | Acknowledge | | | Invoice |
 | [[blank box]] | | | No. Ord. Card |
 | Reference to | | | Complaint |
 | [[blank box]] | | | [[?]] |
 | [[blank box]] | | | [[blank box]] |
[[span 6 columns]]Order to travel as marked on left
When completed check on right side[[/span 6 columns]]

[[/6-column table]]

[[/stamp, in purple ink]]

^[[large handwritten check-mark, in red ink, overlaying the stamp]]