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Order Form
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| Name: Glenn Gould Phone: (513) 444-5481 Shipping Address: 9474 Farmcourt City: Dayton State: Ohio Zipcode: 45103 | Card Number: 9998882 Expiration Date: 01/21/2006 Bank: Fifth Third | E Mail: jsmith@email.com | |||
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Items
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| 8961 | CM | Computer Monitor |
1
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89
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80
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1
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0
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| 8967 | Pcable | Power Cable |
4
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5
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5
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4
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0
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| Item total | 100 | ||||||||||||||
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Shipping
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20
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Tax (6.6%)
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6
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Total Due
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126
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