20221027Gem State to Staff 47-53_Attachment 53-3_USA Blue Book532195.pdf

INVOICE
TEL: [phone]
FAX: [phone]
TOLL FREE: 1-800-493-9876
F.E.I.N: 52-2418852
Remit to:
P.O. Box 9004
Gurnee, IL 60031-9004
INVOICE NO.PAGE NO.
CUSTOMER NO.DATE
BILL TO: SHIP TO:
CUSTOMER P.O. NO.SHIP DATE SLP TERMS TAX CODE SALES
ORDER NO.WH FREIGHT SHIP VIA
USA STOCK NO.DESCRIPTION ORDERED SHIPPED BACK
ORDER U/M PRICE PER EXTENSION
THANK YOU for your business!
1.5% MONTHLY FINANCE CHARGE
ON AMOUNTS 30 DAYS PAST DUE
Discounts Apply to Merchandise Only
MERCHANDISE MISCELLANEOUS DISCOUNT TAX FREIGHT TOTAL
Should it become necessary to refer your unpaid balance to a collection agency, a collection fee, not to exceed 25% of the
balance referred; plus reasonable attorney’s fees; and court costs when necessary, will be added to the balance due.
Please Detach and Return Bottom Portion to Ensure Proper Credit to Your Account
****IMPORTANT*****
Please include this customer #
on the face of your remittance check
CUSTOMER NO.INVOICE NO.DATE TOTAL
REMIT TO: USABlueBook, P.O. Box 9004, Gurnee, IL 60031-9004
.003694.60 221.68.00 23.72 3940.00
FEDEXGRNDPREPAID5020728AIDNET 30CDM03/15/21GEM STATE
2
GEM STATE WATER
1920 W CANYON DR
COEUR D ALENE, ID 83815
USA
ATTN 0001 LESLIE RAYNER
1057397
GEM STATE WATER
PO BOX 3388
COEUR D ALENE, ID 83816
USA
03/15/211057397
1532195
1057397 532195 03/15/21 3940.00
61697 Subsite 830R/T Locator 1 1 0 EA 3694.60 EA 3694.60
w/ Passive Power