Sioux Specialties PURCHASE ORDER www.SiouxSpecialties.com

J. Andrew Forsythe, owner/craftsman 203 School House Road Montgomery, PA 17752 Phone 570-547-2693 [email protected]

SIOUX SPECIALTIES IS PROUD TO SERVE AS YOUR SOURCE OF FINE QUALITY NATIVE AMERICAN ARTIFACT REPRODUCTIONS AND CRAFTING SUPPLIES. THANK YOU FOR CHOOSING US & GOD BLESS.

TO: SHIP TO:

P.O. DATE REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS

QTY UNIT DESCRIPTION UNIT PRICE TOTAL

SUBTOTAL PA RESIDENTS 6% SALES TAX SHIPPING & HANDLING OTHER TOTAL

1. Enter this order in accordance with the prices, terms, * You can send this order form directly to us at the delivery method, and specifications listed above. address above or attach to an email and send to 2. Send all correspondence to: [email protected] Andrew Forsythe 203 School House Road Montgomery, PA 17752 Phone 570-547-2693

Order Received: Order filled/shipped by: Date