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.

00 1.97 TOTAL PRICE $10.00 $100.00 $100.00 GIFT ACT FEE 10000498390002200022 1. Account PRODUCT ORGANIZER SKU # 00005420470001100004 QUANTITY 1.00 GA $27.17 $24.95 $5.0000 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 $10.95 10000498430001800022 1.97 $130.0000 EA $5.95 $5.0000 EA $100.0000 VISA GC $100 10000498430001800022 1.00 $100.com .95 VISA GC $100 10000498430001800022 1.xxxxxx4911 PO BOX 183175 COLUMBUS OH 43218-3175 Invoice #: 5011846 cont.0000 EA $5.95 $5.00 GIFT ACT FEE 10000498390002200022 1.77 $0. xx .0000 EA $5.0000 EA $100.0000 INT PAINT 00009278200001500002 1.00 $738.94 Please pay from this invoice.00 $130.INVOICE Remit payment and make checks payable to: HOME DEPOT CREDIT SERVICES DEPT. Page 3 of 6 1-800-685-6691 myhomedepotaccount.96 $167.95 SUBTOTAL TAX SHIPPING TOTAL $714.76 EA $100.0000 EA INT PAINT 00009284800001500002 6.

Page 4 of 6 1-800-685-6691 myhomedepotaccount.com .

xxxxxx4911 PO BOX 183175 COLUMBUS OH 43218-3175 INVOICE Invoice #: Account Page 5 of 6 5011846 cont.Remit payment and make checks payable to: HOME DEPOT CREDIT SERVICES DEPT. xx . 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 .