TAKARA BELMONT SALES ORDER KAzeE KAZE FOOTREST $45.00 $180.00 $0.00 $0,00 $0.00 $0.00 $0.00 SUBTOTAL I certify that | have reviewed and approved the above order as written DELIVERY and accept all equip: ‘Syd designs as stated. FREIGHT $92.00 \ SUB TOTAL ~ $272.00 © x | \ ‘ ih TAX $24.15 ‘SAME AS ABOVE (date) DESIGN FEE CREDIT ] (Please Sign and date on the line above, plus the Terms & Conditions) TOTAL $296.15 50% DEPOSIT $148.08, Please See Page 2 For our —— ——_ Terms & Conditlans of Sale. BALANCE JOR TO DELIVERY $148.08 Thank you! Page 1 EFTA00313952