
                                                
John N. Stewart                                
11323 Blythe St.                               
Sun Valley, CA 91352                           
(213) 875-2012                                 
                                               
                                                
_______________________________________________ ________________
                                                
NAME:______________________________            
                                               
ADDRESS:___________________________            
                                               
CITY:__________________STATE:______            
                                                
ZIP:_________DATE:_________________            
                                                
quantity          item              price      | fill in here V
_______________________________________________________________
                ANTIQUITIES         $29.00     
_______________________________________________|________________
 		ANTIQUITIES                    |
	        INDIVIDUAL DISKS               |
		please indicate                |
		desired disks                  |
                #1 THRU 5 [ ] [ ] [ ] [ ] [ ]  |
			              7.50 ea. |
_______________________________________________|_________________
                LUMINARIUM           29.00     |
______________________________________________________________
                KINETIC ART DISK     22.00     | 
_______________________________________________|_________________
                HUBCAPS & CONEHEADS  15.00     |
_______________________________________________|__________________
                SHIPPING & HANDLING   6.00      
________________________________________________________________
                OVERNIGHT            12.00     
________________________________________________________________
                CALIF. TAX           8.25%     
________________________________________________________________
                                    TOTAL:>>>>> 
                                                
      [] 3 1/2" disks                           
      [] 5 1/4" disks	
                                                 
please make check payable to John N. Stewart - thank you!        

                                      
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
                                                
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