Invoice

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					Lost Coast Historical Patterns Costume and Corset Supplies
Invoice
Sold To:
Name: _______________________________ Address:_____________________________ City:______________ State _____ Zip___________ Phone Day:__________
Make Money Orders Payable to Janet Canning

Invoice #: Date: Customer:
Money Orders Payable to Janet Canning

PO Box 2262 Fort Bragg, CA 95437 USA Phone: 707-337-4017 Fax: 707-964-3134 Email: lostcsthistpat@yahoo.com www.lostcoasthistpatterns.com

Quantity Item#

Description

Unit Price

Total

Subtotal Tax State CA Shipping
Rush Fees $15.00

Balance Due Credit Card PayPal Account Card Number Exp Date: CVV Name on Card

Subtotal

to 16.00 $5.25 to 25.00 $6.25 to $35.00 $8.95 to $50.00 $10.00 to $70.00 $13.00 to $90.00 $15.00 to $100.00 $18.00 Please contact for overnight, 2nd day, or real

Shipping


				
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posted:10/31/2009
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