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VENDOR DEMCO, INC. PO Box 7488 Madison, Wisconsin 53707-7488 Phone: (800) 356-1200 Fax: (800) 245-1329 www.demco.com

CUSTOMER INFORMATION Requested by: Daytime Phone Number: Shipping Address: Candace Smith 706-768-1051 Smith 314 Woodcrest Dr Clarkesville GA 30523

SHOPPING LIST List Name List ID Last modified: Total line items: Total weight: Facilities Plan 001516222 10/22/12 8 429.00 lbs Merchandise total amount: $3,840.66 Estimated shipping & handling: $497.76 Estimated sales tax: $303.69 Total amount: $4,642.11

This PO Requisition reflects the contents and pricing of your Web cart or list as of the above date. Actual prices are determined at time of order entry. Any tax, shipping, or handling will be added to your invoice. If you place your order by mail or fax please include a copy of this document.

Qty 2 2 2 1 1 1 1 2

Description Reading By the Book Carpet 13'4"W x 8'4"D Rectangle Overstuffed Bean Bag Chair 107" Circumference, Pink Overstuffed Bean Bag Chair 107" Circumference, Blue Overstuffed Bean Bag Chair 107" Circumference, Green Overstuffed Bean Bag Chair 107" Circumference, Purple Overstuffed Bean Bag Chair 107" Circumference, Yellow Overstuffed Bean Bag Chair 107" Circumference, Red (A) Loveseat with Vinyl Upholstery 32 1/2"H x 56"W x 30"D

Product No. Unit Unit Price WP12113060 EA WP14116110 EA WP14116120 EA WP14116130 EA WP14116140 EA WP14116160 EA WP14116170 EA WF12144260 EA $467.48 $50.39 $50.39 $50.39 $52.99 $50.39 $50.39

Subtotal $934.96 $100.78 $100.78 $50.39 $52.99 $50.39 $50.39

$1,249.99 $2,499.98

Merchandise subtotal Shipping & Handling Tax

$3,840.66 $497.76 $303.69

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Demco.com Shopping List Printer Friendly

http://www.demco.com/CGI-BIN/LANSAWEB?PROCFUN+...

Order Total

$4,642.11

DEMCO PO BOX 7488, Madison, WI 53707 800.279.1586 webmaster@demco.com

2012 DEMCO, INC. All rights reserved.

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