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It's been my observation, that Adwords ads sometimes appear above the organic results and sometimes they appear off to the right. I don't know that there's anything you can do about that. Please, someone tell me if I'm wrong.
As for getting the top spot in sponsored results, bid the highest. I think that'll do it.
If you want the top spot in organic results, then read everything on this site and make it happen. Or, I'm sure there are plenty of SEO's around here (me included) who would be happy to take your money.
Good luck.
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