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INVOICE

Date Invoice No.


04/11/19 11055
gagedeng@aol.com

Bill To: Ship To


Jorge Lanzanova
Comfort Inn Moline
2600 52nd ave
Moline, IL 61265

Quantity
Item Description Price Each Amount
Enduro 100 10" Enduro Belt 2 62.50 125.00
adm Adminstration fee 5.00 5.00
Packing Packing 8.50 8.50
Shipping United Parcel Service 38.50 38.50
Out-of-state sale, Exempt from Sales Tax

Balance Due $177.00

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