INVOICE

Invoice #:

5011846
Please pay from this invoice.

Account

SHIP TO:
RED CLIFFS REGIONAL REHA
1745 E 280 N
ST GEORGE, UT 84790-2400

Customer #

Purchased By

Authorized By

xxxx xxxx xxxx 4911

Amount Due

$738.94

Transaction Date

02/13/14

Payment Due Date

03/19/14

Purchase Order/Job Name

Customer Agreement #

Store / Register #: 4412, WASHINGTON CITY

PRODUCT
HANGING TOOL

SKU #
00003527200000300009

QUANTITY
1.0000

HANGING TOOL

00003527200000300009

1.0000

HANGING TOOL

00003527200000300009

1.0000

5.5OZKSPKBWH

00001241440000200010

5.5OZKSPKBWH
5.5OZKSPKBWH

UNIT
EA

UNIT PRICE
$9.98

TOTAL PRICE
$9.98

EA

$9.98

$9.98

EA

$9.98

$9.98

1.0000

EA

$3.68

$3.68

00001241440000200010

1.0000

EA

$3.68

$3.68

00001241440000200010

1.0000

EA

$3.68

$3.68

5.5OZKSPKBWH

00001241440000200010

1.0000

EA

$3.68

$3.68

DUALOUT TMR

00008848060003100003

1.0000

EA

$4.83

$4.83

MASKINGPAPER

00001947070001000013

1.0000

EA

$1.98

$1.98

MASKINGPAPER

00001947070001000013

1.0000

EA

$1.98

$1.98

.94 HDX TAPE

00005089560000500010

1.0000

EA

$3.53

$3.53

.94 HDX TAPE

00005089560000500010

1.0000

EA

$3.53

$3.53

POUCH

00005266160001100010

1.0000

EA

$9.98

$9.98

2090 2"

00003150260000500010

1.0000

EA

$6.58

$6.58

DISCOUNT

00000000000000000005

1.0000

EA

$12.00-

$12.00-

2090 2"

00003150260000500010

1.0000

EA

$6.58

$6.58

HDMI-MINI AD

00002357160003000008

1.0000

EA

$7.97

$7.97

HDMI-MICRO A

00002352210003000008

1.0000

EA

$7.97

$7.97
continued

NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION

Page 1 of 6

13

This Account is Issued by Citibank, N.A.

Please detach and return lower portion with your payment to insure proper credit. Retain upper portion for your records.
Your Account Number is xxxx xxxx xxxx 4911

Amount Due
Due Date

$738.94
March 19, 2014

Invoice Number

Invoice Enclosed
Print address changes on the reverse side.

Make Checks Payable to

HOME DEPOT CREDIT SERVICES
DEPT. xx - xxxxxx4911
PO BOX 183175
COLUMBUS OH 43218-3175

5011846

T04071-9196-1400-0002--0------P--0--0-0-0-------

--- -0

Page 2 of 6

Change of Address
Please print address changes in blue or black ink.

INVOICE

Remit payment and make checks payable to:

HOME DEPOT CREDIT SERVICES
DEPT. xx - xxxxxx4911
PO BOX 183175
COLUMBUS OH 43218-3175

Invoice #:

5011846 cont.

Account

PRODUCT
ORGANIZER

SKU #
00005420470001100004

QUANTITY
1.0000

INT PAINT

00009278200001500002

1.0000

EA

INT PAINT

00009284800001500002

6.0000

VISA GC $100

10000498430001800022

1.0000

GIFT ACT FEE

10000498390002200022

VISA GC $100

xxxx xxxx xxxx 4911

Transaction Date

02/13/14

Payment Due Date

03/19/14

UNIT
EA

UNIT PRICE
$10.97

TOTAL PRICE
$10.97

$130.00

$130.00

GA

$27.96

$167.76

EA

$100.00

$100.00

1.0000

EA

$5.95

$5.95

10000498430001800022

1.0000

EA

$100.00

$100.00

GIFT ACT FEE

10000498390002200022

1.0000

EA

$5.95

$5.95

VISA GC $100

10000498430001800022

1.0000

EA

$100.00

$100.00

GIFT ACT FEE

10000498390002200022

1.0000

EA

$5.95

$5.95

SUBTOTAL
TAX
SHIPPING
TOTAL

$714.17
$24.77
$0.00
$738.94
Please pay from this invoice.

Page 3 of 6

1-800-685-6691 myhomedepotaccount.com

Page 4 of 6

1-800-685-6691 myhomedepotaccount.com

Remit payment and make checks payable to:

HOME DEPOT CREDIT SERVICES
DEPT. xx - xxxxxx4911
PO BOX 183175
COLUMBUS OH 43218-3175

INVOICE
Invoice #:
Account

Page 5 of 6

5011846 cont.
xxxx xxxx xxxx 4911

Transaction Date

02/13/14

Payment Due Date

03/19/14

1-800-685-6691 myhomedepotaccount.com

Page 6 of 6

1-800-685-6691 myhomedepotaccount.com