ORDER SHEET 
Quantity 
ITEMS 
Dollars 
Cents 
Amount brought forward 
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: *• • ' •**/ (' ) ■ ' i ■ 
■ ;■ - J ■■ *' f ’ ' - 
| 
■ ..... ..... . 
• 
. 
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-r- «r - -— 
' 
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Residents of Missouri Must Add Sates Tax of 1% 
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