EFTA Document EFTA02184103

To: lesley.ja From: [email protected] Sent Thur 9/15/2011 4:13:09 PM Subject Seamless Order 219099821 ESTIMATED DELIVERY TIME: 30 - 45 Minutes Title: ORDER# 219099621 GRAND TOTAL AMOUNT: $16.86 TIP AMOUNT: $2.00 Blockheads Burritos - 2nd Ave Order #: 219099621 C Phone: (212) 879-1999 Ordered Thursday, September 15, 2011 12.11 PM Estimated Delivery Time: 30 - 45 minutes Deliver to: Lesley Groff 301 E 66TH ST Cross Streets: 66th and 2nd City: NY Apt/Flat/SuitefFloor #: 10B (212) 750-9895 Delivery Instructions: Please include plastic utensils, napkins, etc. I Grilled Tofu Burrito • Special Instructions: I think this comes with beans, but I definitely want beans! thanks :) • Soy (w/Soy Cheese) • Whole Wheat Tortilla • Tofu Sour Cream • Jalapenos on the Side Order Placed By: Lesley Groff Payment Information Amount $10.95 x 1 = $13.65 $1.95 $0.75 Product Total: = $13.65 Sales Tax: = $1.21 Tip Amount: = $2.00 Grand Total: = 516.86 Amount: $1686 Order Type EFTA_R1_00876990 EFTA02184103 Master Card Last 4: 2423 $16.86 Personal Personal Credit Card For food or delivery/pickup related issues, please contact Blockheads Burntos - 2nd Ave at (212) 879-1999 For billing questions or support. contact Seamless at (212) 944-7755 or [email protected] EFTA_R1_00876991 EFTA02184104