Order Number: |
00000001 |
Order Date: |
29-Jun-2004:02:06 |
Order Status: |
|
|
|
Bill To |
Ship To |
Name: |
Site Administrator |
Company: |
|
Address 1: |
1 Apache Street |
Address 2: |
|
City: |
Apache |
State/Region: |
GA |
Zip: |
30307 |
Country: |
USA |
Phone: |
555-555-1212 |
Fax: |
|
Email: |
noreply@phpshop.org |
|
Name: |
Site Administrator |
Company: |
|
Address 1: |
1 Apache Street |
Address 2: |
|
City: |
Apache |
State/Region: |
GA |
Zip: |
30307 |
Country: |
USA |
Phone: |
555-555-1212 |
Fax: |
|
|
|
|
Quantity |
Name |
SKU |
Price |
Total |
|
|
|
SubTotal: |
4.99 |
|
|
Tax Total: |
0.32 |
|
|
Shipping: |
0.00 |
|
|
Shipping Tax: |
0.00 |
|
|
Total: |
5.31 |
|
|
Payment Method |
Account Name |
Account Number |
Expire Date |
Visa |
John Smith |
4111111111111111 |
Apr-2006 |
|
|
|
Payment information captured for later processing.
|