DS9 Document EFTA00520879

STARK Credit Card Authorization Form ieFient efi,c761") , hereby authorize Stark Carpet Corp. to charge my card for the amount indicated below. i understand these charges are for the payment of goods and/or services by the above referenced merchant. Account #: Invoice/Order #: clzio.3oci Amount to be charged: m/ OOO Credit Card Type: Credit Card #: Amex Et/ Credit Card Expiration Date: CVV /Security Code: Visa 0 MasterCard 0 Company Name: Cardholder Name: ,/ec,chAez. Y C-70 S7-61A, Billing Address: cec-roi s City: ,A) at-0 (o At A/ State: Phone #: NV Zip Code: (002 / Email address for CC receipt: Terms & Conditions: The above named client understands and acknowledges the charges described above. The client agrees payment in full is to be made when billed in accordance with the standard policy of the issuing bank and without any disputes or stop payments on the above credit card. Please sign below agreeing to the above ter d conditions: Cardholder Signature: Print Name: 1&filrfr 6 C ic~ Date: ioA cite EFTA00520879 STARK D B D Dote: 10/05/2018 979 THIRD AVENUE. NEW YORK. NY 10022 Quote #: 240308 (2)2p52-9000 Account t$: 45284 Bill To: Ship To: RE: JSC INTERIORS 575 LEXINGTON AVE Shuliak Residence 9 East 71 Street PROJECT: Shuliak Library PO It: NEW YORK NY, 10022 NEW YORK NY. 10021 JOB ft: ESTIMATE AREA(S): LIVING ROOM To deliver and install wall to wall carpet over 40 ox synthetic padding using lackkss method. Seaming is required. price includes rip up and disposal. ASTINN - WHITE REPEAT: W: 3/e X L:111/2" CONTENT: 100% WOOL CONSTRUCT: WILTON PILE: LOOP PILE ORIGIN: SPAIN WIDTH: 13' 2" To proceed with your order. please return a signed copy of this quote along with your 50% deposit. If you have any questions, please email me atmillinimm Thank you. TENZING NEPALI DESIGNER NET: $23400.00 SALES TAX (NY - 8.875%): 52.118.91 FREIGHT: $375.00 TOTAL PRICE: 525.993.91 ACCEPTED DATE: / lb This %ale 6 subioci Do ihe SRA Candlom of Sole elfethith On the 00th WC o at 6 rewived. wrich we nconaccoloo o he or Int month Caviethal W Solent ovorode ot 'wen liOdECC•001.CCOWC000.110MONde. aid OW v.4 be ION OV mole:flat lo lhe oschart worn evouro. stoic toot occvoionor lo the form of SC.. Ond othoclf so any oilier asadliaccd a 'Sad leans es Itece purchaser's pc:chose ceder occeolOhCe. taw no: I I of I EFTA00520880