Delivery Ticket ufra771/6971-e/e- /
age:/ 94•.?/74, 1
LEITOYS Delivery Ticket
SUPPLY €3;STONE
• Mtosonry,t'tactei.and 71e Supplies
r• lati ,cC 1; Order Number: 0040009
Order Date: 1/12/2017
Customer Number: KI
4333 E.LOOP 820 S •
FORT WORTIi,TX 76119
(817)451-8032
Sold To: Ship To:
KEMCO, INC KEMCO, INC
2420 GLENDA LN 2420 GLENDA LN
DALLAS,TX 75229 COPPELL JOB
DALLAS,TX 75229
R...rhe)ce,
Customer P.O. Ship Date F.O.B. Terms Salesperson
JIMMY 1/12/2017 JRW 10TH FOM LB
Item Number Unit Ordered Shipped Back Order
SPECIAL EACH 42
SPEC MIX PCLN 80#SM400
LOT 19937
Z-PALLETR EA e/ I 1
PALLETS FOR BIG BAG PRODUCTS }
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/ENERGY EACH 1
ENERGY SURCHARGE
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SIGNATURE 1 CL
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