Laserfiche WebLink
b.d I , i W f-0 INVOICE. NUMULM <br />I! <br />n BOA <br />U DATL 2R 'h ^ = CONTRACT NUMBER <br />NT NO. s_ j <br />(1.Vv <br />E.B. rrACPT. - ISHIP: PPO /COL $HIP VIA (CUSTOM R <br />PAYMENT BY: <br />DTO1211- —j (— <br />p0 G <br />IPPEO TO: J�'{A, �V ✓ <�-F�N�' —T MARKED FOR: <br />.H <br />SS 1111 <br />J <br />AUTHORIZED SIGN% -L % "- ••t5 -_ <br />ITEM DESCRIPTION OF ITEM <br />NO. <br />T <br />I j <br />_j SHIPPED FROM TE: <br />li <br />DEST. ORIG. . <br />J i . <br />PACK BY INSP�CTEO <br />l J <br />VNSII : HE MS �s <br />QUANTITY UNIT PRICE <br />Lor, <br />C NCB <br />S? <br />.G <br />1 LoT `I`G- <br />IN�T bey Gt <br />3 <br />CN6T Wes.: G�,' j (4'-o Las <br />BILLABLE NON -BILLr TILE <br />x 0 <br />SPECIAL INSTRUCTIONS <br />AMOUNT <br />- oTxlgo <br />ce- <br />CNE� C- -H r`' 1/0 <br />�G✓ W <br />- <br />I <br />CEIII IFICATION.!i"' •....irn ^rnti Ihdr l nr. :�•cI W u:• a.•:+.n..-r,,.» •:I Uw•.v nrlr,....J %ur rn.: n.v S.nna: rrc of the nrrr.n:< rovanvf I <br />}i <br />wrrnrO', rt hds hdW crrrnpin•p w•pr nrp r,ru I r:p.' 'i Srr, l.rd• •1c• ail L'I, GY. .r. dnnwJrJ <br />