Document Ne5KLm13vXQr3Zvor9bxY3b3E

Mirrolike Photo Serv. 1. Customer 2. Address Seattle, Wash. (PR Location) cm3. Other Locations Using PR: Yes STATUS Major PR User MICC Bus. Qrp, TOjeFTTCT No cm 4. Prior Experience: T-55 | I T-66 | | Other | | tm cm3. Other Locations Converted from PR: Yes No cm cm6. Any Conversion Attempts by Monsanto: Yes No cm n-oAny Conversion Inducements: Yes 8. If Yes to 6 or 7, give details and status Applications for PR (Details) FR System(s) Volume (gal.) Any System Peculiarities or Precautions Max. Op. Temp (F) Ikely Replacement: T-55 | | T-66 | | Other | | Sales History Total V'lume Orders/Year 1968 1969 1970 1971 Date of last order Tt. Key Personnel (address/title/phone) Volume of last order 057S684 WATER PCB-00039480 C OK VERS I ON ACTION C nverslon Target Date Monsanto Help Needed Progress of Conversion Date Action Initiated by 0578665 WATER PCB-00039481 PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S). REQUIRED FEE(S) PAID. Show to whom, date and address where delivered RECEIPT r-i Deliver ONLY L to addressee Received the numbered article described below. REGISTERED NO. SIGNATURE OR NAME OF ADDRESSEE {Must always bt JilleJ in) " 6/HC1 INSURED NO. -iy SIGNATURE DATE DELIVERED imo L DEC 10 id/1 &Qr 057868b WATER PCB-00039482 Apr. 1 * 9 eSS_J*-7354S-U POD P m 3 f il Print your name and address below. , restrict delivery, or to have the addri sho>wwn co--n this -r-e-c--eipt, check block(s) on other side, Molisten gummed ends and attach this card to back of article. MONSANTO COMPANY P. 0. BOX 14617 ST. LOUIS, MO. 63178 0578687 WATER PCB-00039483