I Need a Copy of My 2007 Pa Tax Form by iko76169

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									                                                                                                                                              NEW ORDER
                                                                                                                                              REPEAT ORDER
                                                                                                                                              NEW CUSTOMER
                                                                                                                                              REPEAT CUSTOMER
                      TREASURED SCENES ORNAMENT ORDER FORM
                                                                                                                      Cust Id:
                                      BILL TO INFORMATION                                                             Order Date:                  6/30/2011
PLEASE PRINT/TYPE                                                                                                     Sales Rep Id:
Organization:
Contact Person:                                                                                                       Day Phone:
Mailing Address:                                                                                                      Night Phone:
City:                                                         State:               Zip Code:                          Cell Phone:
E-mail Address:                                                                                                       Fax Number:

                                                                                                                                                     DELIVERY
                                     SHIPPING INFORMATION
Organization:                                                                                                                                 ASAP
Attn or c/o:                                                                                                                                  Event Date:

Street Address                                                                                                                                Hold & Ship on:
City:                                                         State:               Zip Code:
Phone:                                                          Fax:                                                                          CUSTOMER'S PO NO:



  QTY        ITEM                                        DESCRIPTION                                                    COLOR                     PRICE EACH                    TOTAL
                       3 1/4" TREASURED SCENES ORNAMENT                                                                                                                              $0.00




                                                                   *Price and quantities are listed on the Tree Ornament price chart                      SUB TOTAL              $0.00
                          2% DISCOUNT (On Ornaments & Additional Colors ONLY If Paid In Full At Time Of Order - NOT AVAILABLE ON C/C ORDERS                                      $0.00
               1710    Brass Display Stands [Minimum 24 pieces]                                                                                        $1.95
               1720    1 Pc Corrugated Shipping Cartons [Minimum 25 pieces]                                                                            $0.65
                                                                                                                                                          ART COSTS
           All orders are shipped Ground service. If your date does not allow for normal production and delivery, your order will need to            Est. Orn. Freight
                                  go by air at additional cost. You will be notified prior to shipping by this method.                               Est. Acc. Freight
                                                                                                                                                          SUB TOTAL                  $0.00
                                 PA DELIVERIES ONLY: If tax exempt forms are not filed with us, please send your signed and dated form                PA SALES TAX
                                                                                                                                                               TOTAL                 $0.00
    ARTWORK                                                                                                                                                 DEPOSIT
          We'll use Keystone's Artist                                                                                                                 BALANCE DUE                    $0.00
          Camera ready seperated art enclosed (No Photocopies)
          Line Drawing Enclosed                                                                                                                             PAYMENT METHOD
          Photograph(s) enclosed - Qty:                                                                                                       PREPAID          CK#
                                                                                                                                              1/2 DOWN BAL COD AMOUNT $
                PLEASE PRINT ORNAMENT COPY AND LAYOUT BELOW                                                                                   TERMS
                                                                                                                                              CHARGE MY C/C -   VISA   MC
         TYPESTYLE:

               FRONT COPY                                                    BACK COPY                                                        CARD NO.



                                                                                                                                              NAME ON CARD:

                                                                                                                                              CARD BILLING ADDRESS:




                                                                                                                                              EXP DATE:                  SEC CODE:



                                                                                                                                                        ALL ORDERS MUST BE SIGNED
FRONT BORDER #                                             BACK BORDER #                                                                      Print Name:
      FRONT IMPRINT COLORS                                        BACK IMPRINT COLORS
                                                                                                                                              X

                                                                                                                                              TITLE/POSITION:


** NO ORDERS WILL BE PROCESSED WITHOUT SIGNATURE OR PAYMENT METHOD **
As it is not always possible to imprint the exact quantity ordered, it is agreed that an overrun                                              Date:
or underrun of not more than 5% to be billed pro-rata, is acceptable.
                     TREASURED SCENES ORNAMENT ORDER FORM

                                      BILL TO INFORMATION
PLEASE PRINT/TYPE

Organization:          NICHOLAS COUNTY HOSPITAL
Contact Person:        DEBBIE FRYMAN
Mailing Address:       2322 CONCRETE ROAD
City:                  CARLISLE                               State:       KY      Zip Code:        40311

E-mail Adress:         dfryman@johnsonmathers.org



                                    SHIPPING INFORMATION
Organization:          SAME AS ABOVE

Attn or c/o:
Street Address
(no P.O. Boxes)

City:                                                         State:               Zip Code:
Phone:                                                          Fax:


 QTY        ITEM                                         DESCRIPTION
  150          200     3 1/4" TREASURED SCENES ORNAMENT
                       FRONT IMPRINT
  200          AIC     ADDITIONAL COLOR - FRONT




                                                          *Price and quantities are listed on the Tree Ornament price chart
         2% DISCOUNT (On Ornaments & Additional Colors ONLY If Paid In Full At Time Of Order - NOT AVAILABLE ON C/C ORDERS
            1710   Brass Display Stands [Minimum 24 pieces]
            1720   1 Pc Corrugated Shipping Cartons [Minimum 25 pieces]
          KSI-CFGB Cotton Filled Gift Box
           All orders are shipped Ground service. If your date does not allow for normal production and delivery, your order will
                          need to go by air at additional cost. You will be notified prior to shipping by this method.


                         PA DELIVERIES ONLY: If tax exempt forms are not filed with us, please send your signed and dated form


    ARTWORK
    X     We'll use Keystone's Artist
          Camera ready seperated art enclosed (No Photocopies)
          Line Drawing Enclosed
          Photograph(s) enclosed - Qty:


                PLEASE PRINT ORNAMENT COPY AND LAYOUT BELOW

         TYPESTYLE: WINDSOR

               FRONT COPY                                                    BACK COPY
  EXACT REORDER OF JOB                                                          NONE
    #206260 FROM 2007




FRONT BORDER #                                             BACK BORDER #
      FRONT IMPRINT COLORS                                        BACK IMPRINT COLORS




** NO ORDERS WILL BE PROCESSED WITHOUT SIGNATURE OR PAYMENT METHOD **
As it is not always possible to imprint the exact quantity ordered, it is agreed that an overrun
or underrun of not more than 10% to be billed pro-rata, is acceptable.
                         X     NEW ORDER
                               REPEAT ORDER
                               NEW CUSTOMER
                         X     REPEAT CUSTOMER


                   Cust Id: 608950
                   Order Date: 01/03/08
                   Sales Rep Id: 117 STARIAT


                   Day Phone: 859-289-7181 x 171
                   Night Phone:
                   Cell Phone:
                   Fax Number: 859-287-7510

                                       DELIVERY


                         X     ASAP

                               Event Date:

                               Hold & Ship on:




                COLOR             PRICE EACH        TOTAL
              GL CNDY WHT             $3.35         $502.50
               KELLY GRN
                  BLUE                $0.74         $148.00




he Tree Ornament price chart            SUB TOTAL   $650.50
VAILABLE ON C/C ORDERS                               $0.00
                                                  ART COSTS
 ion and delivery, your order will           Est. Orn. Freight           $51.31
ng by this method.                           Est. Acc. Freight
                                                  SUB TOTAL              $701.81
send your signed and dated form               PA SALES TAX
                                                       TOTAL            $701.81
                                                    DEPOSIT             $543.76
                                              BALANCE DUE                $158.05

                                                    PAYMENT METHOD
                            X        PREPAID          CK#1971
                                     1/2 DOWN BAL COD AMOUNT $543.76
                                     TERMS
                                     CHARGE MY C/C -   VISA   MC


                                     CARD NO.


                                     NAME ON CARD:

                                     CARD BILLING ADDRESS:




                                     EXP DATE:                   SEC CODE:


                                                ALL ORDERS MUST BE SIGNED
                                     Print Name:

                                     X


                                     DATE:

                                                     ** BEFORE SIGNING **
                                                ** VERIFY ALL INFORMATION **

								
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