Labels:crt screen | dialog box | monitor | sky OCR: Form NEWCUST.FSL Customer No 1.222.00 Narme Kauai Dive Shoppe New Street 4-976 Sugarloai What's your name? City Kapaa Kauai State/Prov H -nter VOU name here Zip/Postal Code 94766 Country U.S Phone 808-555-0269 First Contact 06/E/t Cancel Sucarloal