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["898 Baxter St.",null,null,"Customer:"]
["Neosho, MO 64850",null,null,"Address:"]
["Phone:  417-451-5369",null,null,"City/State:"]
["Fax:  417-451-0333",null,null,"Zip: "]
["E-mail:  gfausett@cebridge.net",null,null,"Phone:",null,null,"Ordered:________","Wanted:"]
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