GRACIOUS HOME sxx; Gracious Home 1210 Third Ave @ East 70th St New Y Tel: SOLD TO CUSTOMER: 0747495 SHULAK, K 9 EAST 71 ST STREET NEW YORK, NY 10021 vo: Receipt# 1-201602-028229-00 Receipt Date: 2/18/16 Sales Assoc: TIEN H. SHIP TO CUSTOMER: SHULAK, K 9 EAST 71 ST STREET NEW YORK, NY 10021 Order Shipped Backorder Cancel Unit Invoiced Linet Item 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 Misc. Charge 00 Sales Tax 140,48 Invoice Total 1,723.38 Previously Paid +00 Payments 2/18/16 American Express XXXXXXXXXXX1068 1,723.38 Balance Due ,0o 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 EFTA00521729