WESTPORT LOCATION

WESTPORT LOCATION 11 Ferry tone West int G Westport, CT 068800030 Phone: 201227.5181 2013411440 Toll Free 74466 Bill To: LT STO N E BETHEL LOCATION Paul Street Bethel, CT 06801.1712 Phone: 203.790.9023 Fox. 20379042 Dote Page Ship To: Purchase Order No. Customer ID Salesperson ID Site Location Req. Slip Dote Payment Type Master N Ordered UOM Shipped B/O Item Number Description Unit Price Ext. Price Instructions: Subtotal Misc. Tox Freight Tined ABOVE MATERIA4WEPE RECEIVED IN GOOD CONDITION BY PLEASE PRINT NAME - ' X TERMS W RESENT THE RIGHT TO APPLY A LATE CHARE COMPUTED BY A PERIODIC RATE Of LS% PER MONTH WFSCH IS AN ANNUAL PERCENTAGE RATE Of 1St ON AMOUNTS PAST DUE 30 wit MORE FROM THE DATE Of PURCHASE. BALANCE 6 DUE N FULL BY THE 10TH Of THE MONTH FOLLOWING PURCHASE. RETURNED MERCHANDISE 5 SUBIECT TO A 20% FONDLING FEE AND/OR FREI CHOICE SHORTAGES OR DISCREPANCIES Of MATERIAL MIST BE REPORTED WITHIN 24 HOURS OF DELLVERY A SO% NONREFUNDASLE DEPOSIT 6 REOUMED BEFORE A SPECIAL ITEM IS ORDERED. SPE ORDER ITEMS CANNOT BE RETURNED FOR OHM OR WIND WE ASSUME NO RESPONSIBILITY WHEN DELFIERED WIMIN THE CURS UNE. All SALES ARE MADE FOR C10:590( DELIVERY WHITE COPY (OFFICE ORIGINAL) - PINK COPY (DELIVERY ORIGINAL) - WHITE COPY In 'STOMP'? ORIGINAll- YELLOW (YARD ORIGINAL) DELIVERED BY EFTA00317203