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Order Form

Name : John Eboneezer Fitzjera


Telephone: 905-772-6327 Email: JohnEF@rogers.com
Address (If delivery is needed): 1781 New Dorhindge Ave.

Meal
Appetizers

Entre

Kids Menu

Desserts

Drinks

Blue Cheese Walnut


Toast

Cost

# Ordered

Total

13.00

Caesar Salad
Mini Mushroom and
Goat Cheese Tart
Fresh Cut Fries
Fresh Garden Salad

6.00

12.00

$
$
$

13.00
6.00
8.00

1
2

$
$
$

6.00
16.00

Mussels a la Mariniere
Beef Bourguignon
Canard
Sturgeon
Suckling Pig
Chicken Tenders
Sliders
Grilled Cheese
Cheese Pizza
Penne Pasta
Macaroons
Chocolate Cake
Tart du Jour
Crme Caramel
Ice Cream
Pinot Noir
Merlot
Champange
Soda
Smoothie

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

22.00
28.00
30.00
30.00
32.00
12.00
15.00
8.00
12.00
11.00
10.00
9.00
7.00
6.00
6.00
14.00
9.50
19.95
4.00
5.00

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

22.00
28.00
32.00
12.00
9.00
7.00
12.00
9.50
4.00
10.00

SubTotal
HST
Total Cost

1
1

1
1

1
1
2
1
1
2

179.50

23.34

202.84

Payment on Arrival: Cash


Credit/Debit
Signature: ________________________

Pickup

Phone Number: 905-972-0137 Visit Us At: www.ChezKadin.ca Address: 57 Honey Grove Ave. Toronto, ON

Delivery

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