XYZ-Institut 
Library 
Schlossallee 14, D-12345 Golfsburg, Tel. +49 5432-247-1918

%$LName 
%$LAdr

Date: %$BDat 

Order Nr: %$BNr  %$BTyp  

Please send the following title: 

%$BVerf%$BTitel %$BAufl 
%$BVlg %$BJahr 
%$BIsn 
%$BAnmerk 

Preis: %$BPreis %$BWhrg  

We ask for handling and delivery without delay. 

Delivery address: Bibliothek des XYZ-Instituts, Schlossallee 14, D-12345 Golfsburg 
 
All deliveries with invoices per item, please, 3 copies, and referring to our order number.