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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