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    This invoice from See the Sea RX is for scuba diving equipment purchased by Kalki R. It includes an atomic frameless mask for $139.95, a pair of single vision glass lenses for $231, and a Scuba Pro Spectra Dry snorkel for $64, totaling $458.86 due upon receipt. The customer is asked to contact See the Sea RX with any questions about the invoice.

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    This invoice from See the Sea RX is for scuba diving equipment purchased by Kalki R. It includes an atomic frameless mask for $139.95, a pair of single vision glass lenses for $231, and a Scuba Pro Spectra Dry snorkel for $64, totaling $458.86 due upon receipt. The customer is asked to contact See the Sea RX with any questions about the invoice.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    13 views2 pages

    Example FSA

    Uploaded by

    Plover
    This invoice from See the Sea RX is for scuba diving equipment purchased by Kalki R. It includes an atomic frameless mask for $139.95, a pair of single vision glass lenses for $231, and a Scuba Pro Spectra Dry snorkel for $64, totaling $458.86 due upon receipt. The customer is asked to contact See the Sea RX with any questions about the invoice.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    See the Sea RX INVOI

    8700 Longpoint Rd suite 203


    Houston, Texas 77055
    Phone: 1 (800) 356-7190 INVOICE #
    Commodities code: 9004.10 99999

    BILL TO CUSTOMER ID
    Kalki R 99999

    DESCRIPTION QTY UNIT PRICE


    Atomic Frameless Mask (Medium) 1 139.95

    Single Vision Lenses (Glass 1.523) 1 pair 2 ea 231.00


    Scuba Pro Spectra Dry (non-FSA) 64.00

    Shipping
    Thank you for your business! SUBTOTAL
    TAX RATE
    TAX
    TOTAL

    If you have any questions about this invoice, please contact


    See the Sea RX
    INVOICE
    DATE
    09/19/2022

    TERMS
    Due Upon Receipt

    AMOUNT
    139.95
    231.00
    64.00
    0.00
    0.00
    0.00
    0.00
    0.00
    0.00
    0.00
    0.00
    0.00
    0.00
    0.00
    23.91

    458.86
    0.00
    0.00
    458.86

    questions about this invoice, please contact


    See the Sea RX

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