ITEM ORDERED | CODE No. | SIZE | QTY | COST EACH | TOTAL |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
_____________________________ | ______ | ______ | ______ | ______ | ______ |
GRAND TOTAL: |
______ |