BOB NICHOLS
  14 March St.
  Worcester, MA   01604


JIM KLOTZ
5506 216th St. SW
Mountlake Terrace, WA   98043-3035
                                                   
---------------------------------------- below is record for shipper -------------------------------------
 Attach USPS receipt/tracking to this form
         
JIM KLOTZ
5506 216th St. SW
Mountlake Terrace, WA   98043-3035

Node Number
            100             

Email address  jklotz77@comcast.net
Cell Phone       (206) 769-7609
Land Line
Latitude
 47.8028
Longitude
 -122.3082
  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