Sterling Business Systems Inc.          
11 Pinetop Dr., Shirley, N.Y. 11967            Date of Order ________    
Call 1-631-395-9106              P.O. #  ________    
     
Fax Order To: 1-631-395-9180    
     
  Fax Back Order Form    
Bill To:          Ship To:    
Customer _______________________          Customer ___________________    
Address  ________________________          Address   ___________________    
Town_____ State____ Zip Code______          Town______ State____   

                    Zip Code_______

  
Contact  ________________________    
Phone # ________________________   Compatible Cartridges - New Cartrdges       
     
Credit Card # ________________________   Type:_________   Signature:____________________________________  
     
Printer or Fax Machine Cartridge Qty. Printer or Fax Machine Cartridge Qty.
HP 1000,1200 7115X     Canon PC ,1,2,3,4,5,6,7,8,11 A-14, A-30  
HP Laserjet 1100 C4092A     Canon PC 300, 400 Series E-20  
HP Laserjet 4100 C8061X     Okidata 5300N Black Toner 42127404  
HP 1012 Q2612A     Okidata 5300N Magenta Toner 42127402  
HP Laserjet 1300 Q2613X     Okidata 5300N Cyan Toner 42127403  
HP Laserjet 2100 C4096A     Okidata 5300N Yellow Toner 42127401  
HP Laserjet II, III 92295A     Okidata 5300N Black Drum Unit 42126604  
HP Laserjet 3si, 4si 92275A     Okidata 5300N Magenta Drum Unit 42126602  
HP Laserjet 4, 4m, 4 Plus 92291A     Okidata 5300N Cyan Drum Unit 42126603  
HP Laserjet 4P, 4L 92298A     Okidata 5300N Yellow Drum Unit 42126601  
HP Laserjet 4V 92274A     Okidata 7300 Black Toner 41963004  
HP Laserjet 5P, 5MP, 3100 C3900A     Okidata 7300 Magenta Toner 41963002  
HP Laserjet 5L, 5ML C3903A     Okidata 7300 Cyan Toner 41963003  
HP Laserjet 5 si, 5 simx C3906A     Okidata 7300 Yellow Toner 41963001  
HP Laserjet 4000 High Yield 4127X     Okidata 7300 Black Drum Unit 41962804  
HP Laserjet 5000 High Yield 4129X     Okidata 7300 Magenta Drum Unit 41962802  
HP laserjet 8000 High Yield C3909A     Okidata 7300 Cyan Drum Unit 41962803  
HP Laserjet 8100, 8150 C4182X     Okidata 7300 Yellow Drum Unit 41962801  
Canon IR 2210, 2220, 2250 EP-62     HP Laserjet 4200    
Canon PC 850 F-100     HP 1012    
Canon Fax L700, L3301 FX-1     HP 4300    
Canon Fax 5000, 7000 FX-2     HP 4050 Color    
Canon Fax 2060, L4000 FX-3     HP 4550    
Canon Fax 8500, 9000 FX-4     Panasonic UG 3313    
Canon Fax 3170, 3175 FX-6     Brother TN-460    
Canon Fax 710, 720, 730 FX-7     Brother PC-101    
Canon Fax 510       Brother PC-201    
Canon Fax PC 6 RE, & A-15, A-30     Brother PC-301    
Canon PC 310 E-16     Brother PC -401    
Canon 1060, 1080F L 50          
Canon PC All E-31, E-40          
Canon PC 300, 400 Series            
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