BOB NICHOLS
  14 March St.
  Worcester, MA   01604


LARRY BROWN
6875 Rte 549
Millerton, PA   16956
                                                   
---------------------------------------- below is record for shipper -------------------------------------
 Attach USPS receipt/tracking to this form
         
LARRY BROWN
6875 Rte 549
Millerton, PA   16956

Node Number
                       104    

Email address    lbrown@myself.com
Cell Phone   none
Land Line    (570) 537-2730
Latitude
 41.92
Longitude
-76.93
  Application Process Guide: for temporary office use only                                                Date completed
1. PayPal transaction
                   
2. Application/shipping label

3. Updated financial submittal/sales record

4. Email address added to MADAR List

5. Welcome letter to purchaser with set-up instructions

6. Announcent to MADAR List

7. Date shipped