Seller: SYNDI EDNEY
Make checks or money orders payable to:   Syndi Long Edney





Date:   Received     Cash     Check #     MC/Visa #           exp. date         Balance owed__________

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_______________________________________________________Sales Tax:_________________

___________________________________________________Balance Due:__________________

_____________________________________________________Total Paid:__________________



Buyer's Printed Name:_____________________________________________________________


Buyer's Sig:_______________________________________________Date:___________________


Additional Comments: ______________________________________________________________

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Click here for our health agreement/main contract.       Click here to report your puppy's spay/neuter.