Ht ill artefacto Credit Card Holder’s Authorization August 12, 2018 EREREY E ned hereby authorize Artefacto to charge my credit card as follows: ° Visa MasterCard \“ Amex > Number: ¢ Expiration Date: hm — e Security code: e Inthe amount of: _$ 2¢, ego Re Gere “Obs: cle 20S 7 On fee Rn Fee 7e p URChases 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 asitAppearsonCard: /EF REY E PSTEY av” Billing Address: 29 & 7/S4 City: Wet TORK _ State: AY \ _ ~ Zip: too 21 —_ ~\ | | \ ) 0g fi3 fie an ol Date 17651 Bi iy) Phoned EFTA00524155