EFTA00521642.pdf

GRACIOUS HOME PAGE 1 Gracious Home 1210 Third Ave 0 East 70th St New York, NY 10021 Tel: 212-517-6300 Receipt* 1-201602-028229-00 Receipt Date: 2/18/16 Sales Assoc: TIEN H. BOLD TO CUSTOMERL 0747495 ;sir TO CUSTOMER' SHULAK, K SHULAK, K 9 EAST 71 ST STREET 9 EAST 71 ST STREET HEW YORK, NY 10021 NEW YORK, NY 10021 Tel: 646-243-8517 Lines Item* Dm ccccc Tien Order Shipped Units Units Sectorder Cancel Unit Units Units Price Invoiced Amount 1 01250457 SAGS.G/N 30 AIR-CLEAN 4PK 1.00 1.00 .00 .00 18.95 10.95 • 2 01069961 NEPA AIRCLEAN 50 (3F-NASO) 1.00 1.00 .00 .00 49.95 49.95 • 3 01302179 COMPLETE C3 BRILLIANT BRONZE 1.80 1.00 .00 .00 1499.88 1,499.00 • Merchandise Total 1,567.90 Shipping I Handling 15.00 Misc. Charge .00 Sales Tax 140.46 Invoice Total 1,723.38 Previously Paid .00 Payments 2/18/16 American Express XXXXXXXXXXX1088 1,723.38 Balance Due .00 CUSTOMER P011' Sh/PV1I, I GMT Gracious NH* Sting Tracking a SIDE RMS ' PICK WILL OE LEO DELIVERY INFORMATION' • • Delivery Items LEO WILL PICK UP UMCIOUSMOwEtON EFTA00521642