Graco - 6116

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Contents

r 1 Must be filled in Debe completarse Model No N de modelo Serial No N de serie Total Total Shipping amp handling Gastos de envio _ 5 00 Sales tax Impuestos Total due Total a pagan _ 15 00 outside the continental U S US 15 00 para fuera del continente de EE UU CA 7 25 IL 6 25 IN 5 NY 8 25 OH 5 75 PA 6 SC 5 Check or money order enclosed payable to Graco Children s Products Inc Cheque o giro adjunto a nombre de Graco Children s Products Inc Charge to credit card Cargar a la tarjeta de craJIto Account Cuenta N _ visaExp date Fecha de vencimlento _ Mastercard Signature FIrma _ Discover _ Ship to Enviar a Name Nombre Address ...