Authorization for G. O. sugar contributions, replacement sugar and sugar for advertising form

(1)

Form 252-12-74

NO.

_ _ _ _ _ _ _

#1

_

DATE.

5/6/75 (Delivered 4/12/75)

AUTHORIZATION FOR G. 0.

SUGAR

CONTRIBUTIOr\lS,

REPLACEMENT

SUGAR, AND SUGAR

FOR ADVERTISING

R

E0U ESTE D 8

Y:

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@NTRIBUTED

YOR)

CUSTOMER

(OR)

BROKER

(Circle

One)

Dr. Lambert - Tri Town Lions Club

Name

352 Oak Street

Street Address

Frederick,

Colorado

City

State

SHIP TO:

Customer

will

pick up

Street Address

City

PACKAGE TYPES:

QUANTITY

3

PRODUCT CODE

KX

SUGAR CONTRIBUTION

0 REPLACEMENT SUGAR

0 ADVERTISING

ADVERTISING MANAGER

State

80530

Zip

DESCR!PTION

Bags 1/25's Paper

Approval General Sales Manager

Approval Marketing Director

POUNDS

75#

(2)

THE GREAT WESTERN SUGAR COMPANY P. 0. BOX 5308, DENVER, COLO. 80217

WHSE. CODE

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WAREHOUSE NAME

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WAREHOUSE DELIVERY ADVICE - MSG

DATE SHIPPED INVOICE NO.

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FOR THE ACCOUNT OF BROKER NO.

BROKER NAME BROKER ORDER NUMBER SUB BROKER

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CUST. P.O. SHIP CARRIER TRUCK OR CAR NUMBER TYPE , /

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CUSTOMER NUMBER: CUSTOMER SHIP TO ADDRESS: CUSTOMER INVOICE ADDRESS:

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UNITS PRICE UNITS

CODE PRODUCT POUNDS PER CODE PRODUCT

SHIPPED POUND SHIPPED I

60100# OR.-CRYSTAL

I I

61100#

OR.

-

CRY

.

-UNLABELEO

I

62100# OR.-MINIFORM

I I

63100# OR.-MIN.-UNLABELEO

I I I

64100# OR.-FINE

I I

65100# OR.-FINE-UNLABELEO

I I

66 50#

BG.-CRYSTAL

I I

67 50#

BG.-MINIFORM

I I

68 25# BX.-CRYSTAL

I

69 10# CANISTERS

I I

70 CASES

12/1 #

CANS

I I

71 CASES 48/2oz. CANS

I

72 250# OR.-CRYSTAL

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INVOICING INSTRUCTIONS

(FOR

G. W. USE ONLY)

X

93407

TERMS I ,' ~ PRICE POUNDS PER POUND I I I I I I I I I I I I I I I I I I I I I I I I I I I I I