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| | BILL TO | | SHIP TO | | | | | | | | | | | | | | | | | | | | |
| Attn | Chris Harrison | Attn | Chris Harrison | | | | | | | | | | | | | | | | | | | | |
| Company: | DOMA Coffee Roasting Company | Company: | DOMA Coffee Roasting Company | | | | | | | | | | | | | | | | | | | | |
| Address: | 6240 East Seltice Way, Unit A | Address: | 6240 East Seltice Way, Unit A | | | | | | | | | | | | | | | | | | | | |
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| City/State/Zip: | Post Falls, ID 83854 United States | City/State/Zip: | Post Falls, ID 83854 United States | | | | | | | | | | | | | | | | | | | | |
| Phone/Fax | 208-667-1267 | Phone/Fax | 208-667-1267 | | | | | | | | | | | | | | | | | | | | |
| Email | chris@domacoffee.com | Email | chris@domacoffee.com | | | | | | | | | | | | | | | | | | | | |