FORESTWOOD FARM, INC.

P.O. BOX 310728

BIRMINGHAM, AL 35231-0728 INVOICE
Phone: (205) 252-4139 Fax: (205) 324-1054

SOLD TO: SHIPPED TO:

DLA AL SCHOOLS BEAR EXPLORATION CENTER

DFAS BSM PO BOX 182317 2525 CHURCHILL DR
SPE300-21-DSA52 MONTGOMERY, AL 36111
COLUMBUS, OH 43218

Customer No. Customer Purchase Order Salesperson Truck/Route Order Date Delivery Date Terms Invoice No.

YAL003 Verbal 40037 08/31/21 09/01/21 NET 10TH,MONTH 1105307

Item Qty. Qty. Billing Unit Extended
Line Number Ordered Shipped UOM X Description Units Price Amount
1 490 1.00 1.00 CASE ___ ORANGES 113/125 CT CASE 40# 1 34.45 34.45
Country of Origin: UNITED STATES, Farm raised

2 400H 3.00 3.00 HALF ___ APPLES RED 113/125 CT 1/2 CASE 3 30.25 90.75
Country of Origin: UNITED STATES, N/A

3 608E 2.00 2.00 BAG ___ CARROTS WHOLE 5LB BAG 2 4.95 9.90
Country of Origin: UNITED STATES, N/A

4 3601 1.00 1.00 CASE ___ SALAD ROMAINE 4/5LB CASE 1 22.17 22.17
Country of Origin: UNITED STATES, N/A

5 1447 1.00 1.00 CASE ___ SPRING MIX 3LB CASE 1 11.67 11.67
Country of Origin: UNITED STATES, N/A

6 315CP 1.00 1.00 CASE ___ TOMATOES GRAPE 12/1 CUSTOM PACK 1 20.40 20.40
Country of Origin: UNITED STATES, N/A

7 3610E 1.00 1.00 QRTR ___ CAULIFLOWERETTES 3LB BAG 1 10.10 10.10
Country of Origin: UNITED STATES, N/A

8 3030 2.00 2.00 QRTR ___ CUCUMBERS 5LB BAG 2 5.62 11.24
Country of Origin: UNITED STATES, N/A

9 3614E 2.00 2.00 QRTR ___ CELERY STICKS 5LB BAG 2 12.07 24.14
Country of Origin: UNITED STATES, N/A

10 3616 1.00 1.00 CASE ___ LETTUCE SHREDDED 4/5LB CASE 1 20.09 20.09
Country of Origin: UNITED STATES, N/A

The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section 5(c) of the Perishable Agricultural Commodities Act,
1930 (7 U.S.C. 499e(c)). The seller of these commodities retains a trust claim over these commodities, all inventories of food or other products derived from these commodities,
and any receivables or proceeds from the sale of these commodities until full payment is received.

Number of PCS. 15 Total WGT. 128.00 Invoice Total ($) 254.91

Customer's Signature:_________________________________
In case of default of payment, Customer agrees to pay all cost of collection and legal fees

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