artefacto Credit Card Holder’s Authorization October 23, 2018 L, hereby authorize artefacto to charge my credit card as follows: . Visa Master Card. Amex e Number #: e Expiration Date: e Security code: e Inthe amount of: $2,613.63 e For Sales Order #:__PO 106861/55 and 106811/55 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 Appears on Card: Billing Address: City: State: Zip: Signature Date 19915 Biscayne Bivd. Aventura, FL 33180 hoe aS ; : ras EFTA00521202