EFTA Document EFTA02176066

To: From: confirmation©seamless.com Sent: Fri 1/20/2012 5:14:24 PM Subject: Seamless Order 245506350 ESTIMATED DELIVERY TIME: 30 - 45 Minutes Title ORDER# 245506350 GRAND TOTAL AMOUNT: $17.68 TIP AMOUNT: $2.00 Blockheads Burritos - 2nd Ave Order #: 245506350 C Phone: (212) 879-1999 Ordered. Friday. January 20. 2012 12:13 PM Estimated Delivery Time: 30 - 45 minutes Deliver to: Delivery Instructions: Please include plastic utensils, napkins, etc. 301 E 66TH ST Cross Streets: 66th and 2nd City: NY Apt/Flat/Suite/Floor it 10B 1 Grilled Tofu Burrito $10.95 x 1 = $12.90 • Soy (w/Soy Cheese) $1.95 • Brown Rice • Whole Wheat Tortilla • Tofu Sour Cream 2 Tofu Sour Cream $0.75 x 2 = $1.50 Product Total: = $14.40 Sales Tax: = $1.28 Tip Amount: = $2.00 Grand Total: = $17.68 Order Placed By: Payment Information Master Card Last 4 Personal Credit Card Amount: $17.68 Amount Order Type $17.68 Personal EFTA_R1_00863002 EFTA02176066 For food or delivery/pickup related issues, please contact Blockheads Burritos - 2nd Ave at (212) 879-1999 For billing questions or support, contact Seamless at (212) 944-7755 or care eamless.com Contact US • privacy Polk•( t , 2011 Seamless, All rights monied 232 Madison Avo. Suits 1409 Now York, NY 10016 EFTA_R1_00863003 EFTA02176067