collins country gifts
DESCRIPTION
Speciatly Home and Gifts ItemsTRANSCRIPT
Payment Received By: By:
Sold To: Sold By :
Address:
e-mail: e-mail:
Phone: Phone:
ITEM # DESCRIPTION SCENT COLOR TOTAL
$0.00 to $ 14.99 $ 6.95 ______________
$15.00 to $37.99 $ 8.95 ______________
$38.00 to $74.99 $12.95 ______________
$75.00 to $99.99 $14.95 _____________
$100.00 to $149.99 $19.95
SHIPPING:
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SUBTOTAL:
UNIT PRICE
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____________________2105 E State Road 14
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Rochester, Indiana 46975
Collins Country Gifts
[e-mail] [email protected]
P O Box 1014 Order Date:
Delivery Date: ____________________
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$150.00 to $199.99 $27.95
$200.00 to $299.99 $34.95
7% SALES TAX:
TOTAL PAID:
Payment Received By: By:_____________________