| Customer#_______________ | MISSION TILE WEST | Salesperson_______________ |
| 853 Mission Street South Pasadena, CA 91030 phone 626.799.4595, fax 626.799.8769 | 1207 4th Street Suite 100 Santa Monica, CA 90401 phone 310.434.9697, fax 310.434.9795 |
| order# | home# | pager# | fax# | work# | date |
| sold to | job site |
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| sold by: ONLINE CATALOG |   |   |   |
| ROOM | QUANTITY | DESCRIPTION | PRICE EA. | TOTAL COST |
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| NO RETURNS | TAX |   |
| ALL SALES FINAL | SHIPPING |   |
| ORDERED BY: | TOTAL |   |
| 853 Mission Street South Pasadena, CA 91030 phone 626.799.4595, fax 626.799.8769 | 1207 4th Street Suite 100 Santa Monica, CA 90401 phone 310.434.9697, fax 310.434.9795 |