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Order Number: 00001

Ship To:

Test Customer
123 America Lane
Anytwn, NY 55555
555.555.5555

Bill To:

Test Customer
123 America Lane
Anytown, NY 55555
555.555.5555

Item # Qty Product Description Price Ext. Price CT
11222 1 TAPE GUM COTTON CANDY $9.99 $9.99  
11333 1 TAPE GUM JUICY FRUIT $9.99 $9.99  
11444 2 HERSHEY MILK GIANT BAR $9.99 $19.98  
11555 1 CREME SAVERS STRAWBERRY $9.99 $9.99  
11666 1 LIFESAVER 20CT BUTTER RUM $9.99 $9.99  
           
           
           
           
           
           
           
           
           
           
           
           
           
           

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