INVOICE NUMBER DATE

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Please have your 8253713 08/24/22
1-800-230-3030 1-800-709-1079 invoice number ready.
SummitRacing.com PowerSportsPlace.com
CUSTOMER NUMBER PAGE
• 1200 Southeast Avenue • Tallmadge, OH 44278 • 330-630-0250 24546590 1
• 960 East Glendale Avenue • Sparks, NV 89431 • 775-352-8787
• 20 King Mill Road • McDonough, GA 30253 • 770-288-3200
• 2200 E. Interstate 20 • Arlington, TX 76018 • 682-375-2700
MARK NOORDMANS MARK NOORDMANS
S 3682 EAGLE ROCK RD S 3682 EAGLE ROCK RD
O H
L I
D MIDDLEBURG FL 32068 P MIDDLEBURG FL 32068

T T
O O

Qty. Part Number Part Description Status* Unit Price Extended Amt.
1 FMS-M6582FR3VBL CAM COVER 3-VALVE 4.6L/5.4 SHP 355.99 355.99 USD T
1 OSC-2819 RADIATOR RFS 187.99 0.00 USD T
1 KNN-77-2556KP AIR INTAKE D/S 449.99 449.99 USD T

** PART VALUE SUB-TOTAL ** 805.98 USD

Explanation of Status: Shipping Charge 130.50
Thank
P/U = Picked up from store CAN = Canceled SHP = Has shipped Sales Tax (7.5%) 70.24
RFP = Ready for Pickup RFS = Refused VTS = Waiting for vender to ship You!
Total 1006.72
B/O = On back order RDY = Ready to be shipped D/S = Has shipped from vender
INVOICE INCLUDES ITEMS SHIPPING FROM MANUFACTURER.
Method of Payment:
Visa -5021 1208.81
Refund (Code: OR) 0.01
Refund CC-5021 202.09
YOU CAN TRACK YOUR ORDERS FROM OUR WAREHOUSE TO YOUR DOOR: Refund CC-5021 130.50
GO TO WWW.SUMMITRACING.COM AND CLICK THE ORDER STATUS LINK.

** Invoice reprinted on 09/07/23 **