EFTA00520931.pdf

kravet inc. KRAVET I LEE JOFA I BRUNSCH\MG & FILS I GP&J BAKER Payment Authorization Form Basic Information Date: / cc? 17 p S Account Name: C Z it z 'a Account #: i 0/ g 3 17 9 Business Phone: Mobile Phone: Email: Order/Invoice ft Amount SO ti 99 ..2g 4 3/ Frig?. o4 Comments/Special Instructions Payment Information @Card Type: CrArnig,-t_ic a Ad E x ro -?..a.49 Name on Card: EPP/26Y — 9 .7a/ Ai Credit Card # Security Code: Expiration Date: Billing Zip Code: / 0 0 c24 Total to Charge: S / 49 7 OCheck Payment (Complete Below) Bank Name: Check#: Banking Account #: Routing #: Check Total: $ Customer Signature Approval & Authorization I authorize the of the information provided & permission to (barge to my credit/debit card for agreed upon purchases/payments. I understand that my fullcredit card information is not stored by Brevet inc. or its subsidiaries but is tokenized to eliminate risk of a security breach. NOTICE TO U.S. CUSTOMER ABOUT MECTRONK CHECK CONVERSION: When you provide a cheek as payment, you authorize us either to use information from your check to make a one-time eleCUOnk fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial Institution. "DO NOT MAIL YOUR PHYSICAL CHECK TO US*• • Kravet Inc. 1225 Central Ave S. Bethpage NY • Please Save this form and submit to EFTA00520931  Proforma Invoice NKkravet Sales Order Number Order Date 9938631 08/14/2018 225 Central Avenue South Bethpage, New York 11714 Shipped Via Payment Terms FedEx International Economy PROFORMA Bit To: Purchase Order No. Department No. EM081418 JSC INTERIORS,LLC ve .com age 1 of 1 Slip To: C/O RICHARD KAHN LSJE, LLC 575 LEXINGTON AVE.-4TH FL 6100 Red Hook Quarter B3 New York, NY 10022 St. Thomas 00802-1348 United States Virgin Islands, U.S. This ceolorma Invoice was delivered via email to: Customer Number: 10183179 FOR PROPER CARE WE RECOMMEND PROFESSIONAL CLEANING- PLEASE CHECK PRICES BEFORE PLACING ORDERS. TO Place Orders: ALL CLAIMS MUST BE MADE WITHIN 30 DAYS AFTER RECEIPT OF GOODS. NO CLAIMS ALLOWED AFTER GOODS ARE CUT. Customer Service: PRICES SUBJECT TO CHANGE WITHOUT NOTICE. ALL GOODS ARE SHIPPED AT THE RISK OF THE PURCHASER. FOR EXACT YARN CONTENTS PLEASE REFER TO OUR LATEST WHOLESALE PRICE UST. Fax: Pattern Color Brand Quantity Unit of Unit Extended Measure Price Price 4402 101 KRAVETCOWTRACT 60.0 YARD 24.95 1,497.00 KRAVET CONTRACT.4402-101.0 THANK YOU FOR YOUR ORDER. WE DO NOT HAVE THE STOCK. WE WILL SPECIAL ORDER THESE GOODS FROM OUR SUPPLIER UPON RECEIPT OF PAYMENT. TO PAY BY CREDIT CARD CALL Shipping charges and sales lax aro oslimated and will be confirmed at time of invoice. Subtotal: 1,497.00 Shipping and Handling: 0.00 Sales Tax: 0.00 Order Total: 1.497.00 Amount Paid: 0.00 Amount Due US 5 : 1,497.00 IMPORTANT - Please detach and NWT 11113 portico b ensure proper cmdlt. Be sure to Include your customer number on your check. NOTICE TO U.S. CUSTOMER ABOUT ELECTRONIC CHECK CONVERSION: When you provide a check as payment. you authorize us either to use Information from your check to make a oneime electrode fund trans* from your account or to process the payment as a check transaction. When we use Informal:an from your cheek to make an otsctrorie kind venal, funds may re withdrawn from your account as soon as the same day WO MONO your payment. and you wit not receive your chedi back kom your festecial rektutcn. Customer*: 10183179 Sales Order N: 9938631 Order Date: 08/14/2918 Company: JSC INTERIORS,LLC 1,497.00 Subtotal Shipping and Handling 0.00 Sales Tax 0.00 Remit to: Order Total 1,497.00 Amount Pald 0.00 Kravet, Inc. Amount Due US $ 1,497.00 P.O. Box 9413 Amount Enclosed New York, NY 10087.9413 EFTA00520932