LSJ, LLC 6100 Red Li - - ' 802-1348 Date of Request: 6-11-08 Requested By: AM Time Frame for Purchase/Repair:asap Urgent Inventory: Other: repair Item/Items Requested:bucket teeth adap. retainers Purpose/Description: both cat trachos Company Name:Heavyquip larry brown Website or Special Purchase Instructions: Purchase Price:3186.30 Tax: Shipping Cost: (Attach Quote))C Other: r_.4. Total Expected Cost: 33 S 7, 3 Deposit Required?Yes: $ or Payment Method: House Acct, to be billed: Check: Credit Card of Requester: Quote Attached: Yes:X No: Ship Vialrop. Id 7O/, Wire Transfer: LSJ Company C Competitive Quotes Obtained? Yes: No:X If No, Why Not:OUR DEALER Authorization: No: l'd 80 L 89LLOV£ L r.S1 SAL 80 7A, unr EFTA00591372