INVOICE FOR SERVICES
from
ADAPTICOM INC.
P.O. Box 91461, Raleigh, NC 27675-1461 (919/870-0608)
TO:
Kiss USA, Inc.
2 Harbor Park Drive
Port Washington, NY 11050
516-621-9799
Attn: Jay Park
INVOICE #
RECIPIENT
INVOICE DATE
PAYMENT DUE DATE
000-415
Jay Park
November 3, 2004
December 3, 2004
ITEM
DESCRIPTION OF SERVICES
QUANTITY
PRICE EA.
TOTAL
1
Blow Dryer Testing and Report
One
1
$2,400.00
$02,400.00
TOTAL AMOUNT DUE
$2,400.00
PLEASE REMIT PAYMENT TO:
Adapticom Inc.
P.O. Box 91461
Raleigh, NC 27675-1461
Adapticom Approved by:
Adapticom President,
Invoice Form, Revision F. 02/10/99