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EFTA01221177

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Pan Emir &gowns On 1$?? BILL TO: ANN RODRIQUEZ 6100 RED HOOK QUARTERS B-3 ST THOMAS VI 00802 340-642-2587 DOCUMENT NO. 840498 CUSTOMER NO 107405 JOB NO 000 SHIP TO: JCB EXCAVATOR DATEITIME PURCHASE ORDER 7/28/17 11:11 NATIONAL PARTS (800) 282-2667 ST.CROIX ST.THOMAS 773-1029 774-1029 Express Parts Specialist Since 1977 THANK YOU FOR YOUR BUSINESS DELIVERY DATE ORDER TAKER Store 2 7/27/17 DAVID BARFIELD TAX. 001 GA SALES TAX - TERMINAL 561 PAGE NO: 1 Remit To: 455 PLAZA DRIVE STE B ATLANTA, GA 30349 Phone: (404) 530-6333 CLERK BB INVOICE B40498 0HDER 140498 TERMS NET 30 DAYS MFG PART NUMBER DESCRIPTION ORDERED SHIPPED BKO LIST PRICE NET NET CORE EXT. AMOUNT 1 SERIAL 2022172 8035Z 0.00 2 MIS 331/20717 DRIVE COUPLING 1 1 596.38 596.38 596.38 3 MIS 82300309 WASHER 3 3 17.36 12.58 37.74 4 MIS 1391/3507D CAPSCREWS 3 3 4.62 3.35 10.05 5 STT DH12 "FREIGHT,HANDLING,CLEAR.TAXES" 1 1 126.96 92.00 92.00 6 STT SHIP PREPARING TO SHIP 1 1 0.00 7 AWB#5334620944 07272017 box 1 0.00 " PAID IN FULL " 736.17 TAXABLE 0.00 NON-TAXABLE 736.17 SUB-TOTAL 736.17 TAX AMOUNT 0.00 BANKCARD PAYMENT 736.17 TOTAL AMOUNT 736.17 BKCRD# X t107405000B40498132001k t Received By NO RETURNS OR REFUNDS ON USED PARTS, SPECIAL ORDERS & ELECTRICAL PARTS. PARTS NOT PICKED UP WITHIN 15 DAYS OF NOTICE WILL BE RETURNED AND DEPOSIT FOREFEITED. RETURNED CHECK FEE IS $50.00 PER OCCURANCE. BALANCES NOT PAID IN FULL WITHIN 30 DAYS SUBJECT TO 1.5% FINANCE CHARGE. EFTA01221177

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