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Your purchase is complete. Please print this page and save as your invoice/receipt.

        Order Invoice/Receipt                                        


        Order Information                                        

Product ID:

174867

Product Name:

T-shirt Large

Unit Cost:

$50.00

Unit TAX:

5%

Quantity:

10

Subtotal:

$500.00

Order TAX:

$50.00

Shipping:

$10.00

Total to be charged:

$560.00

        Billing Information                                        

Credit Card Type:

Visa 

Credit Card Number:

1234567876543454

Last Name:

Kraycik

First Name:

Michael

Middle Name/Initial (if present):

J

Expiration Date (mm/dd/yyyy):

12/14/2002

Address:

967 Penn Cr.

D112R

City:

King of Prussia

State:

PA

Zip Code:

19506

Phone Number:

6107835677

        Shipping Information                                       

Last Name:

Same as Billing Information

First Name:

Same as Billing Information

Address:

Same as Billing Information

Same as Billing Information

City:

Same as Billing Information

State:

Same as Billing Information

Zip Code:

Same as Billing Information

Phone Number:

Same as Billing Information