Original Invoice
Remit To
Sold To
Customer Order No.
Date
Terms: 30 Days Net
F.O.B. Shipping Point
Page
Invoice No.
Shipped To
Cust. Acct. No.
Salesman
Direct all correspondence pertaining to this order to the Fitcher location identified on the reverse side of this sheet by the number entered above.
Quantity
Unit
Catalog Number
Description
Unit Price
Total
2
EA
601
DIMETHYLAMINE ANHYD 100G
4.80
9.60
2
EA
2773
INDOLE 100G
7.75
15.50
25.10
37.80
$62.90
ACCOUNT CODE
DEPT. APPROVAL
ACCTG. APPROVAL
ACCTG. CHECK NO.
Due
THANK YOU
Pay Last Amount
We hereby certify that these goods were produced in compliance with all applicable requirements of Section 6, 7 and 12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the U. S. Department of Labor issued under Section 14, thereof. See Other Side For Tax Registration Numbers
Returnable containers are charged and must be paid for. Full price of returnable containers will be credited provided they are received in good condition, freight prepaid, tagged with shipper's name.
Printed in U.S.A.