freerecycling.com   Statement   Page 1   23.10.05

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                        Delivery: 23.10.05 by USPS          Tracking ID: 11111

 

 freerecycling-PO Box 6119-Laguna Niguel, CA 92607

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 Company Inc.                  Account: 22222

 Jim Customer            

 1000 Street             

 

 Town, WW 99999

 

 

 

            Recipient:     Jim Customer                 

            Payment by:    Check                        

            E-Mail:                                            

            Phone:         (999)999-9999      

            Fax:           (888)888-8888      

 

            Deliveries:    1

            Agent:         freerecycling Check     

            Unit:          Parcel         Freight Cost:  26.80 $

            Quantity:      1              Total Weight:  3.0 kg

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                 Type                               Qty   Price       Sum

            ──────────────────────────────────────────────────────────────────

            2437 HP C6614D  Type 20                   6    1.60      9.60 $

            2443 HP C8727A  Type 27                   3    1.60      4.80 $

            2444 HP C8728A  Type 28                   8    3.60     28.80 $

            2445 HP C6656A  Type 56                   7    1.60     11.20 $

            2449 LEXMARK 10N0016 Type 16              5    1.60      8.00 $

            2450 LEXMARK 10N0026 Type 26              2    1.60      3.20 $

            2371 LEXMARK 12A1980/85 Type 80          12    1.60     19.20 $

            2452 LEXMARK 18L0042 Type 83             22    1.60     35.20 $

 

            Items: 8     Total Qty: 65

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                                  Refund:                          120.00 $

 

                                  Total Refund:                    120.00 $

                                  Total Waste Management Costs:      0.00 $

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                                  Total Refund:                    120.00 $

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                                  23.10.05 Ursula     Check-No: