EFTA02695655.pdf

LSJ, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802-1348 Tel: Fax: 340-775-8108 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 601551 Authorization I EFTA_R1_02046831 EFTA02695655  SUC. J. SERRALLES SECOND. INC. POBOX 801201 Number: 11.113.2011 COTO LAUREL PR 00780.1201 PH», USA Date: 11,30r2011 Tel (7871260-2221 I Fax (787) 260.2227 Sold LSJ L LC Ship BRICE GORDON To: BRICE GORDON To: 6100 RED HOOK QUARTERS 83 6100 RED HOOK QUARTERS B.3 ST. THOMAS 00802 ST THOMAS 00802 USV1 USVI Reference • P.O. No. Customer No. Salesperson Ship Via Terms Code 11.11.157 UPON DoscnptioiVComments Amount Castes Oe rciane)0 cle nvcesaas a fires 1.080 00 InciLye lurragacOn .nspecciOn y Cargo 0e Tropical Growers PO1 Cargal 1 wagon Oe beasts Due Oats Amount Out Disc. Date Disc. Amount 12/5/2011 1,06000 000 ‘ LC1 0 e fLIQ.15 04, Glikid CH"----.../ (\fl.(160, (43 (Melt CarY2.1d to:a LLIH12:111 Rce4sFfreiLai.c_41ec)..Linfrik.,nLAciQl- iiiinie l: en,,,,clifik, Remit To: Subtotal batons taxes 1.08000 SUC J SERRALLES SECOND. INC Total tun 000 P O BOX 801201 Total amount 1.08000 COTO LAUREL. PR 00780.1201 Payment ~sal 000 USA Discount Haan 000 Amount du* 108000 r ,(r. igri4 EFTA_R1_02046832 EFTA02695656