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Text File  |  2001-01-06  |  1.0 KB  |  42 lines
  1.                          Receipt
  2.  
  3.  
  4.                                                       [COMPANY]
  5.                                                                                                          [ADDR1]
  6.                                                                                                          [ADDR2]
  7.                                                                                                    [CITY], [STATE]  [ZIP]
  8.                                                                                                                                                                                                                         [EMAIL]
  9.                                                                                                                                                                                                                         [URL]
  10.                                                       [PHONE]
  11.  
  12.  
  13.  
  14. Date:                            [DATE]
  15.  
  16. Order Number:           [ORDERID]
  17. Name:                   [REGNAME]
  18. E-Mail:                 [EMAIL]
  19. Card Number:            [CARD NUMBER]
  20.  
  21. Product:                [PRODUCT]
  22. Price:                  $[PRICE]
  23. Quantity:               [QUANTITY]
  24.                         ---------------------
  25. Subtotal:               $[SUBTOTAL]
  26. Shipping:               $[SHIPPING]
  27. Sales Tax:              $[SALESTAX]
  28.                         ----------------------
  29. Total:                  $[TOTAL]
  30.  
  31. Serial #:               [SERIALNUM]
  32.  
  33.  
  34.  
  35.  
  36.  
  37.  
  38.  
  39.  
  40.  
  41.  
  42.             [MVFOOTER]