399/ 31107 22299 ?Jell) 101133 119 97 11119 II 99 16771 17 97 15621 19992 19972 131 56 20421 17374 yen 95 1Ø1E8 total Ina ko roved SIGNARME x I agree to Day the above total NICUlt 0000•31132 to the card 1841ir agreement Calronfilt agreement If Credit voids) 2532.% CUSTOMER COPY IMPO