Debit Memo DM 11/11/2019

Please send this document to this e-mail address.

ap_cam.invoices@continental-corporation.com
TO ORIGINATOR:
ORIGINATOR 1. Supplier´s return authorization or credit memo number is
Legal entity Continental Automotive Mexicana S de R.L de C.V REQUIRED before processing debit memo.
2. P.O. lines MUST be fully received, and invoice entered in
Location SLP system to enable AP to process debit memo.
3. It is REQUIRED that supplier receives copy of this form.
TRANS ACTION DETAIL 4. If debit memo is not related to material return; please attach to
this form document that confirms supplier’s agreement of the
19/11/2019 PO #
Today’s date N/A charges.
(only one)
TO SUPPLIER
N/A Credit
Orig. inv. # N/A 1. AP processing of debit memo is from this form only and not
Inv. #
from supplier credit invoices.
2. No payments are issued until debit memo is fully consumed
COMMENTS
___________________________________________________________
___________________________________________________________
___________________________________________________________
SHIPPING and ACCOUNT INFORMATION FOR RETURN PRODUCTS
Vendor No. 981133
Name ITT, Italia
CURRENCY USD
PROFIT CENTER 32104-020

Attn: COST ELEMENT

COMPANY
1700 GL ACCOUNT N09011
CODE
DESCRIPTION TABLE 1: FOR P.O. LINE ITEMS
Item P.O. Qty. Material number Short text Net price Line total
Line #
1 N/A N/A 26-5105-0716-2-00 Brake pads 6.19 6.19
2 N/A N/A 26-5105-0720-2-00 Brake pads 12.24 12.24
3 N/A N/A 26-5105-0719-2-00 Brake pads 535.36 535.36
4 N/A N/A 26-5105-0718-2-00 Brake pads 17.92 17.92
5 N/A N/A 26-5105-0721-2-00 Brake pads 239.40 239.40
6 N/A N/A 26-5105-0717-2-00 Brake pads 2.99 2.99
7 N/A N/A 26-5105-0720-2-00 Brake pads 6,316.99 6,316.99
8 N/A N/A 26-5105-0719-2-00 Brake pads 12.24 12.24

9 N/A N/A 26-5105-0716-2-00 Brake pads 40.22 40.22

10 N/A N/A 6-5105-0720-2-00 Brake pads 218.44 218.44

11 N/A N/A 26-5105-0715-2-00 Brake pads 68.07 68.07

Sub-Total
DESCRIPTION TABLE 2: FOR MISCELLAN EOUS ITEMS
Item Description Line total
1 Expedite cost 3565.00

GRAND TOTAL 3565.00

SIGNATURES REQUIRED
Requestor Omar Reyes Esqueda
Coordinator Cesar Medina

Comments: Aplicar nota de crédito bajo las cuentas proporcionadas

Debit-Memo (1/09) Distribution: 1.AP CFCM Silao 2. Supplier 3. Requestor 4. Originator file copy 5. Shipping Dept. (for returns)