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DocuSign Envelope ID:56179lF5-6FFD-46E3-AOFD-87C8199343E4 <br /> 9. 29076 <br /> iDEiNSDiV CONCRETE CQNIPAIlY <br /> "O/V <br /> .fir 514 SURGIN DR <br /> LEXINGTON, W 27292 <br /> LEXINGTGN DIVISION SWALE <br /> 514 BURGIN DRWE•LRXINWON,NC 27202 Stare. 46IG a Oi10A00 2 <br /> Match #: 003 RRK: 826912GD465B <br /> 03:'15:38 <br /> T MTRET NO. 304A. 7 09126iia GEC,if <br /> SC'_❑TO: Invoice #: 304457 <br /> Trans ID: 30S269441583419 <br /> CREDIT CARD SALES APPR CODE. 026740 4�ianuai Can <br /> LE I�IITCI� VISA <br /> ALL. M GH SALES AIRE FINAL REMIT TO: a�.•�. •Hk.� <br /> SHIM'TO: 00000 JOHNSON CONCRETE COMPANY i, �28.63 <br /> X PROOFING NG !FXINGTON DIVISION A�i1 OUNT <br /> J I ICI REVELLE P.O.E=1037 APPROVEDSAIwISSURV,NO 28145 <br /> CUSTOMER ORDER NO, ACCOUNT NO, cugTOMER Opp`{ <br /> DESCRIPTIONQUANTITY <br /> LE5 LEH i SH TYPtE N SOFT WHITE 23. 50 587 51'' <br /> REF J'CC PC 05-9337 - <br /> ALL GASH SALES �]IRE FINAL <br /> � I <br /> I <br /> TRUCK NO. SU8 TOTAL <br /> TIME CUSTOMER PIC YARD PICK UP SALES TAX 5 c <br /> NL. 7 r�Q+.� .�.7.. 13 <br /> PRODUCT RECEIVED IN 0000 COl•DITION TOTALS <br /> e G3 <br /> Enna By f]rivc�r <br /> JOHNSON CONCa E€E ASSUMES NO RESPONSIBILITY FOR SECURING OF Wkm <br /> lr"FOFIWLI0^_ T-NEAE WILL BE A 25°o RltSTOCKINC FEE. <br />