Case File
efta-efta00559239DOJ Data Set 9OtherDS9 Document EFTA00559239
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00559239
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
NO
(
-
%
1.% / 1( I/I/
'‘At
11/1 I
NOBILIS CREDIT CARD AUTHORIZATION
Tel:
Fax:
Ship/Waive CFA: Waive
Hold for CFA Approval:
Date: 1/9/13
Nobilis Customer Number: 1=
Account Name:
Pattern Number:
Order Total:
Koala/ 49517
Quantity: 25 yards
3, 195.00
Ship to:
Brice Gordon/LSJ/St. Thomas
Tropical Shipping
sm:
VISA
MASTERCARD
AMERICAN EXPRESS
X
Credit Card tt:
Expiration Date:
Name on Credit Card:
Billing Address of card: 9 E 71st St
Zip Code required:
SIGNATURE:
New York, NY
EFTA00559239
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