57049***RECEIPT***
Date: 05/22/13
Receipt: 57049
Quantity Transactions Reference Subtotal
1 Op And Assy (1203) 13-4526 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK #43510166 $250.00 Chase Bank
Name: Chase Bank
712 Main St 4e
Houston, TX 77002
Clerk ID: JF Internal ID: 13-4526