GRACIOUS HOME PAGE 1 Gracious Home 1210 Third Ave @ East 70th St New Y Tel: Receipt* 1-201602-028229-00 Receipt Date: 2/18/16 Sales Assoc: TIEN N. BOLD TO CUSTIMMA, 0747495 pm. TO MINER' SHULAK, K SHULAK, K 9 EAST 71 ST STREET 9 EAST 71 ST STREET NEW YORK, NY 10021 NEW YORK, NY 10021 Tel: Order ShloPed Backorder Cancel Unit Invoiced Lines Item* Description Units Units Units Units Price Amount 1 01250457 8.060.6/0 30 AIR-CLEAN 4PK 1.00 1.00 .00 .00 18.95 16.95 • 2 01069961 NEPA AIRCLEAN 50 (SF-NA50) 1.00 1.00 .00 .00 49.95 49.95 • 3 01302179 COMPLETE C3 BRILLIANT BRONZE 1.80 1.00 .00 .00 1699.00 1,499.88 Merchandise Total 1,567.90 Shipping L Mangling 15.00 Misc. Charge .00 Sales Tax 140.00 Invoice Total 1,723.38 Previously Pala .00 Payments 2/18/16 American Express XXXXXXXXXXX1088 1,723.38 0010000 Due .00 CUSTOMER Sh/eVis I GMT Precious Nese Truck Tracking 0 SIDE MARKS , PICK WILL BE LEO DELIVERY INFORMATION, v • Delivery Items LEO WILL PICK UP UMCIOUSNOmEtOm EFTA00521729