| ITEM# | DESCRIPTION | QTY | PRICE | TOTAL |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| ________ | _____________________________ | ______ | ________ | ___________ |
| Subtotal | | | | ___________ |
| Sales tax | (Florida residents add 6.0%) | | | ___________ |
| Total Enclosed | | | | ___________ |