

                                  INVOICE

Remit to:                                                  From:



Patrick Harvey                         _____________________________

710 Peachtree St NE 430                _____________________________

Atlanta, GA 30308                      _____________________________

                                       
                                       Contact : ___________________
                                       
                                       Phone   : ___________________


Quantity                             

_____ ANSICHEK Ansibomb Detector    x $5.00/Unit        $__________


                                      Total-->>         $__________



I use   _______5.25"  _______ 3.5" disks



Please note that ANSICHECK.ZIP has been delivered to the above and accepted
by the customer.  Upon receipt of this paid invoice, you will receive a copy
of the most current version of this program (which may be the same as the
version you are using now).  You will also be notified of any updates.

