GRACIOUS HOME PAGE 1 Gracious Home Receipt# 1-201602-028229-00 1210 Third Ave @ East 70th St Receipt Date: 2/18/16 New York, NY 10021 Sales Assoc: TIEN H. Tel: 212-517-6300 SOLD TO CUSTOMER: 0747495 SHIP TO CUSTOMER: SHULAK, K SHULAK, K 9 EAST 71 ST STREET 9 EAST 71 ST STREET NEW YORK, NY 10021 NEW YORK, NY 10021 Tel: 646-243-8517 Order Shipped Backorder Cancel Unit Invoiced Lines Itemi Description Units Units Units Units Price Amount 1 01250457 BAGS,G/N 5D AIR-CLEAN 4PK 1,00 1,00 00 00 16.95 16.95 2 01089961 HEPA AIRCLEAN 50 (SF -HASO) 1,00 1,00 00 00 49.95 49.95 3 01302179 COMPLETE C3 BRILLIANT BRONZE 1.00 1.00 00 -00 «1499.00 1,499.00 Merchandise Total 1,567.90 Shipping & Handling 15,00 Mise. Charge +00 Sales Tax 140,48 Invoice Total 1,723.38 Previously Paid 00 Payments 2/18/16 American Express XXXXXXXXXXX1088 1,723.38 Balance Due oo CUSTOMER POM: ShipVie..... 1 GHT Gracious Home Truck Tracking # SIDE MARKS..; PICK WILL BE LEO DELIVERY INFORMATION: * = Delivery Items LEO WILL PICK UP GRACIOUSHOME.COM EFTA00521642