Page 143 - Financial Workbook July

.. ORIGINAL

www.medline.com

07242017

SOLD TO: SHIP TO: Page 1 of 1
TOWNSQUARE CARE OF PURYEAR TOWNSQUARE CARE OF PURYEAR
220 COLLEGE ST 220 COLLEGE ST
PURYEAR, TN 38251-6441 PURYEAR, TN 38251-6441

SALES REP# SALES ORDER # CARRIER FREIGHT TERMS CUSTOMER# CURRENCY AMOUNT DUE
I
361 699429455 FEDEX GROUND MEDLINE 1681187 USD $1.20
j I I
Line Order Invoice Unit
No. Otv U/M Otv Item No I Description Code* Delivery# Price Amount
350 1.00 EA 1.00 MDS098015H 911675600 1.09 1.0
/HYDROGEN PEROXIDE,8O2

�

**
GROSS TAX AMOUNT FREIGHT TOTAL
1.09 0. 11 0.00 1.20

'Code
TE Tax Exempt
C Customer Freight

CUS"l"QM_ER $H�LL PAY THE FREIGHT CHARGES INDICATED ON THIS INVOICE. ALL CLAIMS OF SHORT SHIPMENTS, MIS-SHIPMENTS AND OTHER ERRORS IN DELIVERY SHALL BE
COMMUNICATED TO MEDLIN�EIN WRltTNGWITHIN lWO 111.SINtSS DAYS OF THE lfM:lCE DATE;OR THEY ARE DEEMED WAIVED. ALL CLAIMS FOR PRICING AND BILLING ERRORS
SHALL BE COMMUNICATED TO MEDLINE IN WRITING WITHIN 180 DAYS OF INVOICE DATE, OR THEY ARE DEEMED WAIVED.
EXPORT PROHIBITED CONTRARY TO U.S. FEDERAL LAWS. NO RETURNS WILL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION. (PH: 800-307-8386)
INTEREST WILL BE CHARGED AT THE RATE OF 1.5% PER MONTH ON PAST DUE BALANCE.
MEDLINE INDUSTRIES, INC. INCLUDES MEDLINE INDUSTRIES, INC. AND/OR ITS WHOLLY OWNED CONSOLIDATED SUBSIDIARIES, MEDLINE INDUSTRIES HOLDINGS, LP, A DELAWARE
PARTNERSHIP, AND MEDCAL SALES, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, AS APPLICABLE. 00l SS5P
Billing Inquiries: 1-800-388-2147, AIR Svcs Rep: Christie Pylypiw x7704128

www.medline.com
Customer # 1681187
REMIT TO: Invoice # 1831799869
Medline Industries, Inc. Invoice Date 07/26/2017
Dept CH 14400
Palatine, IL 60055-4400 Sales Rep # 361
Payment Terms Net 30
Amount Due $1.20
BILL TO:
MDG2017 0001865 1 MB 0423 01 AMOUNT PAID $ _______ _
I 1 • 1 I 111111 1 • 1 I •I I 111 1 1 1 I I 1 I 1 •1 111 1 • I
1
e Detach and return this portion with your payment
1 1 I 1 • 1 I 1 11 1 I, I,,,, I I 11 11 I, I
TOWNSQUARE CARE OF PURYEAR
� 220 COLLEGE ST
PURYEAR, TN 38251-6441 D Check here for address change.
Indicate changes on the back of this form.
000168118718317998690726201700000001200000001090000001200000001206