| Purchase Order Number: ____________ (to be filled in by Shadow IRIS Books) |
|
| Date: _______________________ |
Deliver to:____________________________________ ____________________________________ ____________________________________ ____________________________________
|
Ordered by: (if different than Delivery Address)____________________________________ ____________________________________ ____________________________________ ____________________________________
|
| Quantity | Description |
Unit Price
|
Total
|
| Looking North |
$11.25
|
||
|
Minnesota Residents add 6.875% Sales
Tax
|
$0.76
|
||
| |
|||
|
Shipping Charge per book
|
$3.00
|
||
|
TOTAL DUE
|
|