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Inv# 01634408 - COLLIFLOWER, INC. - 01/13/2022
Gounter Order Customer Receipt till|tililtflil| fi@=;ffi colliflower Itrc - Davie 4750 oakes RdSuile N Davie FL 33 314 Receipt Date: t/13/2022 11:20:o5AM Employee ID: JVARGAS Cust Ship-Tor 715520-01 ship-To Name: CITY OF DANIA BEACH Mark Nurber: Customer POr 512 IEwoice Nuhber 3 01534 4 0I rtaa Daasrr,Dtlon Ou!!ttly g(n{ttnlg PlLira l!$turdcd F471TC0513- 8-8-a-317, 00 F4?1TC3 905 -4 -4 -4 -3 5 .50 gwTx -wrnl- s llose Assenibfy 43 Series Hose A.ssenbly 43 Series BT]LIGIEA.D T'NION 1.00 1.00 1.00 EA EA EA 307.s2 54.14 L2 .83 307.52 54.14 t2 .43 lnvoice Number: 01634408 Questions? Calf 954-584-3232 Cbalg€E: sub-ToEa1 . . . . . . . . . S37{.49 Total Taxea....... S0.00 crand Tota1....... S37{. {9 PelareBEs: S0 . 00 on Account: s37{ ' {9 Due: .... 90.00 Page: I