10/02/2023

OTIS MELBURN Due Date: 10/02/2023

3929 KEMPER LANE
Balance 2563.60 Payment
SALT LAKE CITY, UT 84104
Check Enclosed

spa
12K Model Town
Lhr2 Customer Id
Mkjgkj, Pakistan 5400
*29025*
Invoice: 3996

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Monday, October 2, 2023

Holding
spa
12K Model Town
Lhr2
Mkjgkj, Pakistan 5400

Phone: 555555555555
Fax: 888888888888888888888888888888888888
Email: Anum@dgnjg.com

OTIS MELBURN
3929 KEMPER LANE
SALT LAKE CITY, UT 84104
Shift Manager admin
Salesperson 1: admin

Created: 10/2/2023 12:14:18 PM Fun Pass

Completed: 10/2/2023 2:24:45 PM Customer Id:29025 Invoice: 3996
Register: qasimmachine Revenue Center: A/R Late Fees

Qty Part Number Description Price Discount Amount

1.00 MISC JOB/SUB-CONTRACTOR 2.00 2.00 $0.00
Main Warehouse
12.00 Zeera Plus THIS IS BAKERY ITEM 5.05 $60.60
Main Warehouse
11.00 YT35S TUNDRA 35 (SEAFOAM) 122.00 $1342.00
Main Warehouse
12.00 YYYYYYYY TEST 122.00 $1464.00
Main Warehouse
11.00 YRAMOGJ RAMBLER ONE GALLON JUG 0.00 $0.00
Main Warehouse

Sub Total $2866.60

State Tax $0.00
City/County Tax $0.00

Initials _________ Monday, October 2, 2023 Page 1 of 2

 Total $2866.60
Amount Paid $303.00
Balance $2563.60
Payments
Type Approval Code Id Numbers Amount Date of Trans Type Reference # Date Received Employee Name
Rewards Dollars FP
FP CustId
CustId 29025
29025 303.00 10/2/2023 P 42725 10/2/2023 admin

SPECIAL MESSAGE: hfuyer8gy

Initials _________ Monday, October 2, 2023 Page 2 of 2