MARY T LEBRATO
     
STREET ADDRESS  
CITY, STATE ZIP  
PHONE    
   
 TODAY'S DATE:________________________    
     
   
BILL TO: SHIP TO :  
_________________________________ _________________________________
_________________________________ _________________________________
CITY:_____________________________ CITY:_____________________________
STATE:___________________________ STATE:___________________________
ZIP:______________________________ ZIP:______________________________
PHONE #:_________________________ PHONE #:_________________________
   
Qty Item # Print/Size Card/Size  Description  Unit Price Total  
      (5x7 or 6x6)          
               
               
               
               
               
               
               
               
               
               
  Subtotal    
  Thank you for your business! Shipping    
  Subtotal    
  Sales tax rate    
  Sales tax on purchase    
  Total    
Make all checks payable to MARY T LEBRATO