mmerdal ( 'uni Sltf/emcm J.PMorg ACCOUNT NUMBER BILLING DATE DUE DATE NEW BALANCE 7328 05/31/16 84729 CLO 001 02 015216 • NNNNNNNNNNNN EVANGELINA M QUIHUIS PIMA COUN 1> W CONGRESS 11 TH FL BOS DISTRICT 5 TUCSON 85701-1317 06/14/16 11•• 1••1.1.1 ...111111111ll ...11..11 .... 111...1 ••11.11 .... 1 .. 11 0.00 UNT NO. X 7328 BILLING DATE: 051/16 DUE ÚTE: &/14/16 ·ACCOUNT SUMMA- Pvio Balanca I Paymenʦ, Cd I (+) Cha11, Ch Debiʦ I (+) Finance Chaas I (+) Faas 0. I 0. I 27.0 I 0.00 I 0.00 CURRE TRANSACTIONS (, OUTSTANDING DISP 0. + ST DUE AMOUNT 0.00 POST TN TNSACTION DETAIL 005 004 STLES 877267755 NJ REF NO: 241@07612510234177070 AUTH NO: 015878 CUOMER ID LOCAL TAX INCL NAL TAX INCL OTHER T 715554571⌨1 9.71 1 0. o 0.00 MERCHA VAT ID CUOM VAT/GSTID SUMMMMCD DISU FREIG VAT REG# ORDER DA 0.00 0. 0.00 018 DENAON RY SHIP FROM 85701 85353 EM COMM.E EM DESCRIPTION UN UN VATAX 2 0龭5 CRE CEIFICATION 10.00 PK 8.79 0.00 HOLDER 3 0281>3 PERF LEGAL PAD 8.5X14 2. DZ 8.41 0. WHT 4 夼5 PAPERMA FLAIR MED 1.00 DZ 9.SS 0. RED12 5 X71S1 POST- 21N DUR TAB PRIME 1.00 PK S.O 0. e 0892149 F-301 RT BP BOLD BLACK 3,00 PK 5.49 0. 2PK 8 05 STAPS 8771267755 NJ REF NO: 24164078128105974177071 AUTH NO: 071895 This Is NOT a bill. Your company will submit payment r your account. Payments or crits received aſter billing data ae ll apr on n month s1ament. FOR INQUIRIES AUT YOUR ૌOUNT, PLEE L 1o-2nso OR WRITE US: CERCIAL CARD SOLUTIONS, PO BOX 2>, ELGIN, IL <121·2030. FOR DD i CALL: 100-955060 ENTER PAYMENT AMT DO NOT Y EDIT LIMIT: 2,. [ (=) N- Balan I Payment Due I 0. I NOT Y � TOTAL 0. CHARGES CREDS NOTES 120.02 - 4.12 - Do n duct any amount that Is shong in dispute on ur ment, this amount has alady n ducted fm the amount due. ---�; ·oo .,.;,.,u,_ooh,�d;,_oh__ Page 1 of2 ��-�