1246 JSC INTERIORS LLC DEUTSCHE BANK TRUST OO RICHARD KAHN COMPANY AMERICAS 575 LEXINGTON AVE . 4TH FL NEW YORK. NEW YORK 10154 8/26/2016 NEW YORK. NY 10022 1.103.210 8 II PAY TO ORDER THE Hermes of Paris $ "3%114.00 A OF Thirty-Nine Thousand One Hundred Fourteen and 00/100""""""""*".""*""""*""*""""*"`"""`"*" DOLLARS I Hermes of Paris Lo son MEMO AVMORIZED SIGN/MAE 000 1•2460 I:02100 L033I: OS wit 29S 79?Ein° JSC INTERIORS LLC et° mcHAR°11fettles of Paris 8/26/2016 1246 39,114.00 DB ckg 42957978 39,114.00 JSC INTERIORS LLC 1246 mRicHARDElfthlties of Pans 8/26/2016 39,114.00 DB ckg 42957978 39,114.00 notwx2 an* 1400-328-0304 www.dokixoNems.com di 16 A0747t SIXRXI0 12/10/2014 15'47 EFTA00804288
HERMES PARIS HERMES FURNITURE ORDER FORM DATE OF PURCHASE 8/25/16 STORE Hermes Palm Beach ACCOUNT NUMBER CUSTOMER NAME BRIM ADDRESS JSC Inter ors,Inc J CUSTOMER CONTACT INFO sloe MARK REFERENCECODE NAME OF MK CODE rwgp .1 Etoupe H920019M Metiers Collection Chair Cenobite 3 Walnut-Smooth Bullskin 1 6,050 H920018M Metiers Collection Desk Canaletto 3 Etoupe Walnut-Smooth Bullskin 1 20,900 H750003MW Desk Lamp 1 Gold Natural Barenia 1 9,950 ,Panographe Subtotal Furniture 36,900 ESTIMATED LEAD TIME 5-7 weeks Subtotal Transport $2.214 CONFIRMATION NUMBER Sale Tax Grand Total $39,114 50% Deposit Balance Due ”9.114 WENT SIGNATURE €(- a_ cc") /c( c The client hereby agrees unconditionally upon the penal' terms of sale attached to the reverse side of this order form. Conditions of Furniture Sales 50% deposit rewired upon placement of furniture order (excluding o-ansportatron fee), balance to be paid poor to delivery. Thansportation fee is 6% of the retail subtotal of the order with a cap of $5000. EFTA00804289
r o g V6Z6 89/8 OLLL IHOIN83A0 AiIHO121d v0£:0L onv 6Z - NOW m 1112.1O3.O1in O 544.0/1:%A.IN. tzi rig -, at O After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non-delivery.misdelivery.or rrisinformation, unless you declare a higher value, pay an additional charge. document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, inclucfing intrinsic value of the package, loss of sales. income interest, profit, attorney's fees, costs, and other forms of damage whether direct, inddental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits. see current FedEx Service Guide. EFTA00804290


