INVOICE: 179697

Invoice Date: 01/03/2015

1-800-636-6680 Terms: UPON RECEIPT
www.nemont.net Due Date: 01/16/2015
Amount Due: $ 0.00

KIM BURTON
CHARLES BLACKDOG
PO BOX 216
POPLAR MT 59255-0216

Account: 7688975
Description: NEW ESN, CNTR W/DATA Page 1 of 1
Salesperson: KRISTEN CROWE
DESCRIPTION QUANTITY UOM UNIT PRICE AMOUNT TAX

CATALOG ITEM: 1P MG5A2LL/A

1.000 BOX 219.0000 19.00
APPLE IPHONE 6 64GB GRAY -200.00

Serial: DNPNVNZCG5MG

MESSAGES Subtotal: $ 19.00

Tax: $ 0.00
Total: $ 19.00
Amount Paid: $ -19.00
Amount Due: $ 0.00

RETURN BOTTOM PORTION WITH PAYMENT

Account: 7688975
Invoice: 179697
Due Date: 01/16/2015
Amount Due: $ 0.00

Amount Of Payment:

Remit To:

KIM BURTON NEMONT

CHARLES BLACKDOGPO PO BOX 600
BOX 216 SCOBEY MT 59263
POPLAR MT 59255-0216