DS9 Document EFTA00520820

Ft PALECEK PAYMENT: 601 Parr Blvd.. Richmond. CA 94801-1316 CORRESPONDENCE: 601 Parr Blvd.. Richmond. CA 94801-1316 Telephone: FAX ACKNOWLEDGEMENT 301 E 66TH ST #14G NEW YORK NY 10065 DATE 07/05/2011 ORDER NO. 755593 000 CUST. NO. 27235 ORDER TYPE SB BRANCH PAL PAGE 1 MS PH: 9 E 71ST STREET NEW YORK RES NY 10065 SHIP WINDOW CUSTOMER P.O. ORDER NO. FOB ORDER DATE VIA SHIPPING INSTRUCTIONS 07/14/2011 NYL0293401 755593 RICHMOND, 06/30/2011 LINE DESCRIPTION SIN NUMBER M QTY ORDERED UNIT PRICE EXTENDED PRICE SHADOW BOX MUSHROOM CORAL 167177 EA 3 109.00 327.00 SHADOW BOX PLATO CORAL 167377 EA 5 109.00 545.00 SHADOW BOX CLAM 196977 EA 3 103.00 309.00 SHADOW BOX STARFISH 197977 EA 3 83.00 249.00 SHADOW BOX NAUTILUS 198477 EA 1 77.00 77.00 Estimated Freight Amount 183.85 Sales Tax 150.06 Customers are responsible for ALL freight charges. If freight does not appear on this acknowledgement, please contact our customer service department. TERMS SALES TAX RATE TOTAL DUE BANKCARD 90350 .08875 1,840.91 EFTA00520820