Quantity
Name
SKU
Each
Total
1
Daisy Bouquet
$29.95
$29.95
1
Pink Roses
ro-1234
$69.99
$69.99
Subtotal
$99.94
Shipping: Ground
$5.00
Surcharge: Balloons - $5.00
$5.00
Taxable Amount
$104.94
Tax Total: No Tax (0.00%)
$0.00
Total
$109.94
Billing Address
Larry
T
Bestertester
gwb@xyz.com
84 El Rancho Rd
Cimarron
CO
81220
United States
970 123-2345
Shipping Address
Bob
Mills
ShopSite Inc.
384 Commerce Loop
Orem
UT
84058
United States
801 705-4100
Payment -- Credit Card
Payment type:
Visa
Card Number
xxxxxxxxxxxx0010
Name on Card
Larry Bestertester
Business Name
Expiration Date
01/2006
Ordering Instructions
Please use pink balloons to match the pink roses!
Comments / More Information
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Copyright 2004, Daisy's Flowers
