COMMERCIAL INVOICE
from
ADAPTICOM INC.
817 Darfield Drive, Raleigh, NC 27615
mail to: P.O. Box 91461, Raleigh, NC 27675-1461 (919/870-0608)
Bill To: IBMUK Ltd, Accounts Payable, Mailpoint F3M, P.O. Box 41, North Harbour, Portsmouth PO6 3AU
TO:
CONSIGNEE:
IBM UK LTD
Attn: M Ross, Ian (09Z)
Inverkip Rd, Spango Valley
GREENOCK,
Strathclyde,
PA16 0AH,
Great Britain
| Shipper | International Waybill # | Date Of Export | County of Mfg. | Country of Export | Destination Country | Destination Phone |
Panalpina | | Oct. 10, 2001 Wake Co NC | USA | United Kingdom | 44-01475-895088 | |
| INVOICE # | RECIPIENT | INVOICE DATE | PAYMENT DUE DATE |
| 000-364 | M Ross, Ian (09AZ), IBM UK Ltd. | Oct., 10, 2001 | Nov. 25, 2001 |
| ITEM | DESCRIPTION | COMPOSITION | QUANTITY | PRICE EA. | TOTAL |
1 | HPFI 120, Fail Inducer | electronic circuitry and ballast | One | 1.00 | $3,500.00 | $3,500.00 |
| | | | | | |
| | | | | | |
TOTAL AMOUNT DUE NET 45 | $3,500.00 |
PLEASE REMIT PAYMENT TO:
Adapticom Inc.
P.O. Box 91461
Raleigh, NC 27675-1461
I declare all information contained on this invoice to be true and correct.
Approved by: Adapticom President, _______________________ Date ___________
Commercial Invoice Form, Revision A. 09/10/01