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Inv# S010080855 - BANK OF AMERICA - 09/27/2021
A The WareJOHNSTON ii iii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Ship Ticket ::::::::..::.........................::: ::::... .....:.:...........:.............. HEJOHNSTONE O° SUPPLY .............................................................................. ...... 3224 SW 30TH AVE 09/27/21 S010080855 . 002 DANIA BEACH FL 33312 ORDER TO: ::::>::P `kN�> : (954)921-8070 Fax (954)921-8746 DANI JOHNSTONE SUPPLY DANIA BEACH ............::..:..:.... 3224 SW 30TH AVE .�-^7/), //�! DANIA BEACH FL 33312 1 oT k -3q "~J 5`�( 9 "'` (954)921-8070 Fax (954)921-8746 SOLD TO: v CJ SHIP TO: DANIA BEACH HOUSING AUTHORITY DANIA BEACH HOUSING AUTHORITY 715 W. DANIA BEACH BLVD. 715 W. DANIA BEACH BLVD. DANIA BEACH, FL 33004 DANIA BEACH, FL 33004 954-920-9662 Fax 954-920-9677 54799 r22-30 sprayer LUIS . WILLIAM JONES PICK UP BACK Shp DANI Prc DANI 09/27/21 No .::::.::::::Wit... .......... lea lea X83-559 4778-0 TANK TURBO 305 .220 305 .22 lea lea B92-085 R22-30 REFRIGERANT R22 30 834 .430 834 .43 LBS . HCFC SINGLE COMPONENT NON-FLAMMABLE DISPOSABLE *********************** Credit Card Information ************************ * * * Merchant ID## : 529000158217 TimeEDT/Date: 15 : 17:31 27 SEP 2021 * * Card Number : 5150 Card Type: * Card Holder : DANIA BEACH HOUSING Auth Code: 041967 * Charge Amount: $1139 . 65 Charge Date: 09/27/2021 * * * * * Signature * * * * I agree to pay above total amount according to card issuer agreement . * ************************************************************************ ********** ORDER SUMMARY *********k Total Sales for Order 1139 . 65 Remote Order Discount 0 . 0D Beau)6u34.0popal09001AeSa,)4nd�Y�daO Payments to Date -1139 . 65 3•dIIIIPAetpmynaufa Balance 0 . 00 *********************************** 09/27/21 1139 . 65 Credit Card ENC OCT 1 2021 Tote: TOTEAB Picker: RYANDETR Loc: PUB Packages: PAL: BOX: BAG: PCS : Subtotal 1139.65 Filled by Checked by Pieces S&H CHGS 0.00 Customer Signature: Date: / / Sales Tax 0. 00 Overdue accounts will be charged 1.50$ per month finance charge. WWW.JOHNSTONEWAREGROUP.COM Amount Due 1139.65