NOTICE OF WITHHELD DELIVERY






                                   Date: _






To: _ [Customer]






     Reference is made to your order for certain goods under
date of  _, 19_.
     We are withholding delivery for the reason[s] checked:
     __ Required payment has not been made.
     __ You repudiated or withdrew your contract to buy.
     __ You failed to furnish requested shipping instructions.
     __ Certain goods are back ordered and shipment will be
        made in single lot.
     __ Other [Describe]
        _




                                   Very truly,








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