FROM : _F_NAME_ _F_ADDRESS1_ _F_ADDRESS2_ _F_CITY_ ,_F_STATE_ _F_COUNTRY_ _F_ZIPCODE_ SHIP TO : _S_NAME_ _S_ADDRESS1_ _S_ADDRESS2_ _S_CITY_ ,_S_STATE_ _S_COUNTRY_ _S_ZIPCODE_ PURCHASE ORDER NUMBER _BARCODE_