HomeMy WebLinkAboutInv# PC - 10081 - HOBBY LOBBY STORES INC #831 - 03/03/2023S-831 R-6 T-908 3/3/2023 1:12:28 PM
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1750 S. Bearing St
Dania Beach, FL 33004
Hobby Lobby Store #831 (954) 919-4616
S-831 R-6 T-0908 IVOR B SALE
108000000 Sewing 29.99 N
108000000 Sewing 19.99 N
105500000 FABRIC 19.17 N
108000000 Sewing 21.99 N
SUBTOTAL 91.14
TAX TOTAL 0.00
TOTAL 91.14
VISA 91.14
ACCOUNT #: 471529******8205
AUTH#: [ENC]
AUTH CENTER:
ACCT: VISA INSERTED
VISA CREDIT
CARD # ************8205 EXP **/**
REF # AUTH # RESP 00
131603031042 068833 ISO 00
AID: A0000000031010
TSI: E800 ARC: CUR:0840
TVR: 0080048000
APP: VISA CREDIT
IAD: 06011203A0A002
Verified by PIN
CHANGE DUE 0.00
S-831 R-6 T-908 3/3/2023 1:12:28 PM
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TAX EXEMPT CUSTOMER INFORMATION:
HL ID CARD: [ENC]
FIRST NAME: [ENC]
LAST NAME: [ENC]
TITLE: [ENC]
TELEPHONE: [ENC]
ORGANIZATION: [ENC]
TYPE: [ENC]
ADDRESS: [ENC]
[ENC]
[ENC]
I certify that the organization is granted
authority from the governing state and local
taxing jurisdictions to make purchases
without payment of sales tax of tangible
personal property or taxable services to be
used or consumed by the organization itself
or to be given away. I understand that if
the tangible personal property and/or
service is used other than as stated_ or for
any purpose that is not exempt from the tax_
the organization is liable for the state and
local sales taxes. I further certify that
this purchase is being made with funds
directly from the organization. Under
penalties of perjury_ I swear or affirm that
the information provided is true and correct
as to every material matter.
Signature on File: 1
Number of Items Purchased: 4
3/3/23 01:12 PM