Page 001/001 Sales Order 105169/55 08/1872018 one 17651 BISCAYNE BLVD i iit Phone Number: Price is valid! untit dhe last day of the current month. i —— uc LO, 11193785 B. Home na Cel na READY-TO-ORDER MANNY Isqé lic Delivery Date Unit Price Discount Sub Total 00119616 100 6.00 CALIFORNIA ARMLESS CHAIR (CTX835WO) - VO37 WHITE TEXTURE 24°X 19°X367H - AS. Obs.: << RESERVA LOCAL REMOTO READY TO ORDER >> FULL PAYMENT Sub Total Comercial Desc. “231.00 |/0% 08/18/2018 int. D. Furniture 103.95 % 2,218.97 - CREDIT CARD Ship. & Handling Sales Tax 7.00% Total Typing on 08/18/2018 Printed by EZEQUIEL In 06/20/2018 (16:03) EFTA00520902

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artefacto Credit Card Holder's Authorization August 23, 2018 Tetey Eps) f- a hereby authorize artefacto to charge my credit card as follows: SA ° Visa e Number #: e Expiration Date: e Security code: e Inthe amount of: $ ae. ¢ ForSales Order #:_/° S165 A IMPORTANT NOTE: PLEASE ATTACH A COPY OF YOUR DRIVER'S LICENSE. By signing below, | acknowledge the charges described here on. Payment in full to be made when billed or in extended payment in accordance with standard policy of issuing card Company. Name as it AppearsonCard: 3 /A@ RFR EY Cpe Tbr Billing Address: geEUSF City: New Vere State: “ye Tip: Je af Date 19915 Biscayne Blvd. Aventura, FL 33180 EFTA00520903