Delivery Order Form Template by nto27318

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More Info
									123 Main Street
New York, NY 01001
(800) 123-4567
info@abccorp.com

Bill To:
[Name]           Name
[Company]        Company
[Street Address] Street Address
[City,ST,ZIP]    City, ST, Zip
[Phone number] Phone Number


Ship To:
[Name]           Name
[Company]        Company
[Street Address] Street Address
[City,ST,ZIP]    City, ST, Zip
[Phone number] Phone Number


   Stock #              Qty                           Description
                         0
                         0
                         0
                         0
                         0

                                 Balance due 15 Days after delivery
                                         Make all checks payable to
                           {Delivery scheduled begins upon Deposit of Funds}
                          Shipping calculated per order and shipping destination.
                                                                                    Sales tax on purchas

                                     Thank you for your business!
       Date:
       1/17/2011




         Unit Price       Total




              Subtotal:
             Discount:    20%
        Discount Total:
              Subtotal:
             Sales tax:   6.50%
Sales tax on purchase:
                Total:
                              Product Description              List/Piece   Number
Select Product                                                 $      -     0
Laser Toner for Minolta Fax 1600                               $ 109.00     10000
Laser Toner for Lanier Fax 1210 / 1240 / 1260 / 1290MFD        $ 89.00      10001
Drum for Lanier Fax 1210 / 1240 / 1260 / 1290MFD               $ 95.00      10002
Compatible Toner for HP LaserJet 4V / 4MV Laser Printer        $ 99.00      10004
Compatible Toner for HP LaserJet 5P / 5MP / 6P / 6MP / 6P      $   56.00 10006
Copier Toner for Ricoh Aficio 340 / 885149 compatible          $   75.95 10084
Copier Toner for Ricoh Model Aficio 250 (Type 2105D)           $   36.00 10085
Copier Toners and Supplies / Models EP-1083/2010               $   60.00 10086
Copier Toners and Supplies for Model Aficio 220/270            $   38.00 10087
Copier Toner for Ricoh Aficio 551 / 887994 compatible, Black   $   79.95 10088
Discount Values
           20%
           22%
           23%

          24%
          25%
          26%
          27%
          28%
          29%
          30%

								
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