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a E INVOICE. Portable Restrooms of the Carolinas <br /> 6 4 212 Bulb Avenue <br /> 'rant Gastonia,NC 28052 <br /> Wt 40n.com Tel:(919 49 <br /> 9))232-94 <br /> Invoice#: 840699 <br /> Invoice Irate: Jul 27,2011 <br /> Page#: 1' i <br /> PO Number: <br /> Terms: NET 10 DAYS <br /> MORLANDO CONSTRUCTION <br /> 8604 CLIFF CAMERON OR-STE 155 <br /> CHARLOTTE,NC 28269 <br /> G)uantity Deserlpt!nn Remits Period Unit Price Extension <br /> ;1}PIEDMONT FOOD 8 AGRICULTURE PROCESSING <br /> i <br /> 5)0 VALLEY FORGE RO <br /> HILLSBOROUGH,NC Or,,(JCQ <br /> I j <br /> 1 HAULING FEE $115 CQ j $1 t5-DO <br /> 1 LANDFILL FEE $210 35 $210 35 <br /> SWITCH 1 ROLL OFF TRASH CONTAINER ON 7.25-11 ON WORK OR EPLO 145-319 <br /> i <br /> Invoice Total $325.35 <br /> APPROVED <br /> PHASE lE t) I <br /> FAX E1) ,. <br /> WIT 10 <br /> Curran) 3D•6D 6D-8D eD•1ZD 12d+ Project Balance Due <br /> $383.23 $KI.DD 5 O,DD i O.Q4 !DAtI $383.23 <br /> TEAR OFF HEADER AND RETORN 4OWI R PORTION WITH YOUR PAYMENT <br /> MORLANDO CONSTRUCTION <br /> Customer#: 018632-000001 <br /> Invoice#: 840599 <br /> Invoice Date; Jul 27,2011 <br /> ° <br /> PaRltTA"+ti PO Number: <br /> rn..ldH <br /> Invoice Total $'32.5.35 <br /> Payment Terms: NET 1Q DAYS <br /> Portable Restrooms of the Carolinas <br /> 212 Bulb Avenue <br /> Gastonia,NC 28052 Payment Enclosed: S <br /> Credit Card# Decline Damaw Wavier Chases: <br /> I understand by declining that 1 am accepting 1DD%responsibility rag all rontal <br /> Exptratlon ; f CSC#; Auto Bill unfla par the Terns amd Conditions on the back of this invoice. <br /> Signature c Signature ; <br />