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* REPRINT * 200502026 PAGE 1 <br />* DEBIT MEMO * <br />TAX DEBI'�L�E MAIL YOUR CHECK TO: <br />� <br />;0430 O O p p AMBASSADOR STEEL <br />1401 N. 15TH AVE.,E NEWTON, IOWA 50208 75 REMITTANCE DR -STE 1572 <br />(641) 792 -7142 CHICAGO IL 60675 -1572 <br />SOLD TO SHIP TO <br />Customer No. 010 6 7 0 9 <br />DICON CORPORATION WALMART /DICON CORPORATION <br />11506 NICHOLAS STREET WALMART (PROTO 195) <br />OMAHA NE 68154 HIGHWAY 34 & LOCUST <br />GRAND ISLAND NE 66801 <br />Our Contract No. <br />0504096 / 001 <br />CIJ O>t er:No. <br />F.O.B. <br />Ship Via <br />�` c�0' <br />Sh d <br />Invoiced <br />Invoice Number <br />ALMART ( #195) <br />PESTINATION <br />CUSTCMER PICKUP <br />P <br />2/22/04 <br />2/22/04 <br />0577417 <br />DESCRIPTION <br />OUANTITY SHIPPW <br />UN T TRICE <br />EXTENSSM-N <br />PIECES.sNIPft% <br />UNIT OF MEASURE <br />ORIG INV # - 0576794 DATE - 110304 <br />IS TAXABLE AT it CITY TAX ON <br />$18145.00 OF MATERIAL <br />ARLIST DESCRIPTION <br />* ** Merchandise Total * ** <br />Frei ht <br />T ' <br />Sales Tax <br />Casth•Diseount <br />invoice Total <br />31 <br />05500 <br />210 <br />.01000 <br />181.45 <br />C=, 0 uou"t C+ s <br />n eSoT ken id Sy" 0 /00 /00 <br />181.4-5 <br />Term8: <br />ORIGINAL INVOICE <br />Service chame of 1 1/2% Per -1K" 4+ added to A invoices 90 dava past date on Invoice. <br />TRUE HAPPINESS DEPENDS UPON A PERSONAL RELATIONSHIP WITH GOD. <br />Ambassador Steel Corporate Headcruarters : 1610 S. GRANDSTAFF DRIVE AUBURN. INDIANA 46706 <br />Please refer Billing questions to the Credit Department Tel. (260) 327 -3075 • Fax (260) 925 -7010 <br />