Purchase Order - Excel by TjUs6QZ

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									                  Illinois State Fair Museum Foundation
                  P.O. Box 8718
                  Springfield, , Illinois 62791
                  217-415-4408
                                                                           ORDER FORM
     Vendor                                                     Ship To
Name                                                       Name
Address                                                    Address
City                       St        ZIP                   City                        St            ZIP
Phone                                                      Phone

  Qty                                            Description                            Unit Price         TOTAL

         22 X 28 Limited Edition Numbered and Signed                                        $75.00
         22 X 28 Fine Print Shrink Wraped on Cardboard Backing                              $40.00
         22 X 14 Fine Print Shrink Wraped on Cardboard Backing                              $24.00




                  THE ILLINOIS STATE FAIR MAIN GATE PRINT
                                By Terry Farmer Photography


                           www.statefairmuseum.org
                                                                                           SubTotal
              Payment Details                                                   Shipping & Handling           $8.00
                     Check
                     Cash
                     Please Mail to Address Above
                     Will Pick up at Illinois State Fair                                    TOTAL             $8.00




          Shipping Date




          Approval
                                                                    Date                    7/31/2008
                                                                    Order No
                                                                    Sales Rep
                                                                    Ship Via
        Notes/Remarks



         Visit us on the web at: www.statefairmuseum.org

								
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