EFTA01172059.pdf

LSJ, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802-1348 Tel: Fax: E-mail: Wire Transfer Request Form Date of Request: 12/5/11 Amount Requested: 51,080.00 Payee: Suc. J. Serralles Second, Inc PO Box 801201 Payee Coto Laurel Address: PR 00780-1201 Bank Name: Bank of America 100 West 33rd St Bank New York Address: Bank Account: NY 10001 Requested By: Purpose / Description: Quickbooks Memo - Agricultural Inspection Charges/Labor Cost of Cancelled Order Special Notes / Instructions: Note: !gala has confirmed content of in invoice from Spanish to English Charges related to cancelled Ixora Flowers and other material G / L Account Information: G / L Description: Landscaping G / L Number: 60155f Authorization EFTA01172059  SUC. J. SERRALLES SECOND, INC. POBOX 801201 Number: 11.113.2011 COTO LAUREL, PR 00780-1201 Polio: 1 USA on: 11/302011 Tel. (787) 280-2221 / Fax (787)260-2227 Sold LSJ. LLC Ship BRICE GORDON To: BRICE GORDON To: 6100 RED HOOK QUARTERS 8.3 6100 RED HOOK QUARTERS B-3 ST. THOMAS 00802 ST. THOMAS 00802 USV1 USV1 Reference • P.O. No. Customer No. Salesporson Snip Via Tams Code it -11.157 UPON Description/Comments Amount Gastos de man810 de matenales a fat 1.08000 Incluye furnipaci0n. ospeco0n y cargo de Tropical Growers pa carpi 1 v820n de kora, Due Date Amount Due Disc. Date Disc. Amount 12/52011 1.080 00 000 iLoo Cs Il3 ( Au etinChi IKOlo, flals2JS c). Oilkd er-l--.." , mitil None: Outribaski & i Tin ( L060 n- Lyl e 61 ' // Di CO 0 * eD Remit To: Subtotal before tams 1.080 00 SUC. J. SERRALLES SECOND. INC Total taxes 000 P.O. SOX 801201 Total amount 1.08000 COTO LAUREL. PR 00780-/201 Payment recast 000 USA Discount taken 000 Amount due 1,080.00 EFTA01172060