C U S T O M E R
Order Date
7-1-2003
Name
Jane Doe
Address
1234 Your St.
City
Anytown
State
Zip Code
Telephone
(253) 555-5555
Email
_________________________________________________________________________
O R D E R
Category
Product
Code
No.
Cost
Ti
641800
1
20.00
Fo
366900
14.00
Cl
347300
12.00
Co
884400
2
13.00
Ve
168700
28.00
Bo
687600
10.00
Re
414500
CSk
901800
3
6.00
623200
4.50
CRe
515100
5
1.25
0
0.00
T OT A L
C O S T S
Discount
$ 12.50
Sub Total
$ 110.25
Sales Tax
$ 9.26
TOTAL COST
$ 119.51
P A Y M E N T
O P T I O N S
Payment Method
Credit Card
Check Number
1234-5678-9876-5432
Exp. Date
05/03