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17J9005P <br />6056 LIGHT GRAY - PREMIUM EXTERIOR FLAT <br />'cAG= \C. i � -T -. <br />��. -' -r. INVOICE DATE C $ . <br />BF�130 g <br />FORREST PAINT CO. <br />ST02 <br />1!068576 1 <br />J <br />32510 1011/2011 <br />1011 SkKinley Sum POST OtFICE BOX 22110 <br />1.60 <br />GAL <br />El' .E .NE, OREGO\ 9'402 LISA <br />1541)3i2 -1821• F-Ornde Kill 344 -413; <br />_ <br />e. t? r <br />17J9001L <br />6056 LIG11T i^IRAY - .PREMiUM EXTERIOR FLAT <br />1.00 <br />22.95 <br />22.95 <br />1741 Sond, Cen,d Arenue <br />OREGOWMANDATED RECYLE:FEE WATER GAL <br />�_- _��� B• <br />KE \T, WASI 11\GTON 98012 LISA <br />0.75 <br />1TWO0167354 <br />WOOSTER R712 1/2" PRO -VALUE 6PK <br />1253) 954-63 • F-,imik 12531854 -89'9 <br />821 <br />8.21 <br />1TAER005062 <br />Spokane ]mlwr, ial Park <br />1.00 <br />4.46 <br />4.46 <br />\orth 3808 S"Iti- Road Building, N -17 <br />SUNNYSIDE ACETONE QUART 84032 <br />1.00 <br />5.65 <br />sPOKANE, WASHINGTON 99216 USA <br />1TWO0106384 <br />WOOSTER P3974 FACTORY SALE BRUSH 4" <br />1.00 <br />1509) 924-3 Fac,i.ite f lift 9244 <br />3.41 <br />iTTR1537423 <br />2 -PRO 800 ROLLER FRAME 9" <br />JOHN BROWN <br />1.73 <br />JOHN BROWN <br />1TW00008616 <br />EMPLOYEE <br />1.00 <br />EMPLOYEE <br />10.39 <br />S <br />S <br />H <br />o <br />o EUGENE OR 97402 <br />P <br />EUGENE <br />Phone: 5413421821 <br />T <br />OR <br />97402 <br />T <br />O <br />O <br />DATE SHIPPED PURCHASE ORDER NO. SHIP VIA <br />F.O .B. <br />TE g P V 1O, NET 30 <br />BUYER DATE IFfflfGV ?i LOCATION <br />SALESPERSgND <br />TERRITORY <br />ITEM NO. DESCRIPTION <br />QUANTITY <br />ORDERED <br />nuANTITY OUANT^Y <br />BACK ORD. Sar�"E� <br />UNIT PRICE EXTENSION T <br />17J9005P <br />6056 LIGHT GRAY - PREMIUM EXTERIOR FLAT <br />5.00 <br />21.04 <br />105.20 <br />ECOWT5GAL <br />OREGON MANDATED RECYLE FEE WATER 5 <br />1.00 <br />1.60 <br />1.60 <br />GAL <br />17J9001L <br />6056 LIG11T i^IRAY - .PREMiUM EXTERIOR FLAT <br />1.00 <br />22.95 <br />22.95 <br />ECOWTGAL <br />OREGOWMANDATED RECYLE:FEE WATER GAL <br />1.00 <br />0.75 <br />0.75 <br />1TWO0167354 <br />WOOSTER R712 1/2" PRO -VALUE 6PK <br />1.00 <br />821 <br />8.21 <br />1TAER005062 <br />AERVOE 5062 ANTI - VANDLE SPRAY <br />1.00 <br />4.46 <br />4.46 <br />1TTR1701037 <br />SUNNYSIDE ACETONE QUART 84032 <br />1.00 <br />5.65 <br />5.65 <br />1TWO0106384 <br />WOOSTER P3974 FACTORY SALE BRUSH 4" <br />1.00 <br />3.41 <br />3.41 <br />iTTR1537423 <br />2 -PRO 800 ROLLER FRAME 9" <br />1.00 <br />1.73 <br />1.73 <br />1TW00008616 <br />WOOSTER 8616 4 GAL BUCKET <br />1.00 <br />10.39 <br />10.39 <br />PavmentTVe Check or Credit Card <br />VISA CC #: 65807 <br />Customer Signature for Receipt or Credit Card <br />Another Quality Product From Altec 1800) 333 -5180 <br />Subtotal 164.35 <br />Tax 0.00 <br />Total 164.35 <br />Amount Exp Date AuthCode <br />164.35 1202 033150 <br />Forrest Paint's liability relating to goods (for breach of warranty, strict liability negligenoa or othemise) is limited <br />exclusivefyto replacemenlof the goods or refund of their price. Forrest Paint isnot liable for incidental or <br />consequential damages. Forrest Paint MAKES NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR <br />A PARTICULAR PURPOSE. Forrest Paint will not pay any amount beyond the purchase price of the paint. No <br />other exp ss warranties maybe oreated unless they are in wiling. 1 agree lo repayment in accordance Wth <br />FOR REST PAINT terms of 1% 10 days, Net 30, and 4 a service charge of 1 1V2 %per month on de}iquent <br />accounts. In the event of legal action, I agree to reimburse FOR REST PAINT for costs of collection, Including <br />reasonable atlorney tees and court costs. <br />^VOICE NO. <br />PLEASE REMIT <br />THIS AMOUNT <br />PFW100LZ (11i0B) <br />