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Agfty <br />ENDLESS <br />OPPORTUNITY <br />AGFINITY MEAD AGRONOMY <br />360 3rd St - PO Box 627 <br />Mead, Co 80542 <br />970-535-4450 <br />BILL TO: 0000104505 <br />L G EVERIST INC <br />6254 CTY RD 26 <br />LONGMONT CO 80504 <br />FOR CHEMICAL EMERGENCY, SPILL, LEAK, FIRE, <br />EXPOSURE OF ACCIDENT CALL CHEMTREC, DAY OR <br />NIGHT, 1-800-424-9300 <br />SHIP TO: 0000104505 <br />L G EVERIST INC <br />INVOICE NUMBER: K06266 <br />INVOICE DATE: 5/12/2015 <br />SHIP DATE: 5/11/2015 <br />DUE DATE: 6/25/2015 <br />DISCOUNT DATE: <br />LICENSE #: <br />6254 CTY RD 26 EXPIRATION DATE: <br />LONGMONT CO 80504 SALESPERSON: C46 <br />PAGE 1 <br />ITEM# <br />LOC <br />DESCRIPTION <br />EPA# <br />QUANTITY <br />UOM <br />UNIT PRICE <br />TOTAL PRICE <br />C217856 <br />411 <br />CORNERSTONE 5 PLUS 30 GAL <br />42750-59-1381 <br />60.0000 <br />GAL <br />21.00000 <br />$1,260.00 <br />C217807 <br />411 <br />BRASH 2.5 GAL <br />51036-308-9779 <br />60.0000 <br />GAL <br />43.89000 <br />$2,633.40 <br />MAY 12 2015 <br />FED./ST. TAX #'S: <br />DELIVERY #: <br />P.O. #: 408 Scott <br />DELIVERED BY <br />RECEIVED BY <br />IF CASH OR CHECK PAYMENT IS RECEIVED BY <br />A DISCOUNT OF $0.00 APPLIES. PAY $4,084.18 <br />Cost -Cod <br />INVOICE AMOUNT <br />$3,893.40 <br />PLUS SALES TAX <br />$190.78 <br />INVOICE TOTAL <br />$4,084.18 <br />LESS PREPAYMENTS <br />$0.00 <br />LESS PAYMENTS <br />$0.00 <br />LESS DISCOUNTS <br />$0.00 <br />AMOUNT DUE $4,084.18 <br />FINANCE CHARGE OF 1 3/4% PER MONTH (ANNUAL RATE OF 21%) WILL BE ADDED TO UNPAID INVOICES ON THE 25TH DAY OF THE FOLLOWING MONTH <br />CUSTOMER COPY <br />