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w { INVOICE Portable Restrooms of the Carolinas <br /> 212 Bulb Avenue <br /> RECEIVED Ll I Wpb on.corR Tel:Gastonia, <br /> 919)32-94492 <br /> PHASE 1ov .F X21 a Invoice: 848922 <br /> Invoice Date: Aug 31,2011 <br /> INITIAL_. Rage#: 1 <br /> PO Number: <br /> Terms: NET 10 DAYS <br /> MORLANDO CONSTRUCTION <br /> $604 CLIFF CAMERON DR-STE 155 <br /> CHARLOTTE,NC 28269 <br /> Quantity Description Rental Period Unit Price Extension <br /> (l)PIEOPAONT FOOD&AGRICULTURE.PROCRS`ING j <br /> SOD VALLEY FORGE RD <br /> HILLSOOROUGH,NC <br /> t DELIVERY $6,O0DT' <br /> DEl1JER 1 ROLL OFF TRASH CONTAINER ON 8-29-110 IjI ti'v'{)Fii4 Cl12bEft#14117$2 <br /> STATE(4.75%) 4,75% $265 <br /> COUNTY(2%) 2.00% $1,20 <br /> Invoice Total $04.05 F <br /> i <br /> i <br /> i <br /> i <br /> S <br /> M <br /> i <br /> i{ <br /> Current 84 40-99 90-12t1 t2t1+ Project Balance Due <br /> $330.23 $0.00 $4,00 $0.00 0.00 $330.23 <br /> TEAR OFF HEADER AND RETURN LOWER PORTION WITH YOUR PAYMENT <br /> MORLANDO CONSTRUCTION <br /> Customer#: 018632-000001 <br /> n a i I�fk" , Invoice#: 848922 <br /> Invoice Date: Aug 31,2011 <br /> �arattt•�'� PO Number: <br /> PtI HYA•lON <br /> Invoice Total $0445 <br /> Payment Terms. NET 10 DAYS <br /> Portable Restrooms of the Carolinas <br /> 292 Bulb Avenue <br /> Gastonla,NC 28052 Payment Enclosed: $ <br /> Credit Card# Decline Darnade Wavier CharMs: <br /> I understand by declining that I am accepting 109%responsibility for all rental <br /> Expiration -.___ CSC#: Auto Bill units per the Terns amd Conditions on the back of this Invoice. <br /> Signature t Signature <br />