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PURCHASE ORDER

  Diana D's Blankets of California

  "Your Request is Our Specialty"

            Date: _________________________

10920 Paso Robles Avenue

Granada Hills, CA 91344

  Reference # _____________

Tel: (818) 831-6020, Alt. :(818) 674-8691

   Fax: (818) 831-6020 (PLEASE CALL FIRST)

dlddb@aol.com

[Name]

_____________________________________________________

[Company Name]

_____________________________________________________

[Street Address]

_____________________________________________________

[City, ST  ZIP Code]

_____________________________________________________

[Phone]

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PLEASE SPECIFY BREED OF HORSE: ___________________________________

QTY

DESCRIPTION

MATERIAL

COLOR

UNIT PRICE

LINE TOTAL

SHIPPING AND HANDLING PRICES

SUBTOTAL

 $00.01 to $25.00     »»» add 5.95

S&H

 $25.01 to $50.00     »»» add $7.95

TOTAL

 $50.01 to $75.00     »»» add $9.95

 $75.01 to $100.00 »»» add $12.95

 $100.01 to $150     »»» add $14.95

 Authorized by

 Date

 $150.01 to $200    »»» add $16.95

 Additional Comments:

 $200.01 to $300    »»» add $18.95

 $300.01 to $500    »»» add $19.95

 Over $500.01         »»» add $20.95