Ombrellificio Adriamare di P. Graziani s.n.c

Via <u>Tamigi</u>
Tel. Fax

## CONFIRMATION ORDER

CUSTOMER: Sara ███████
PAYMENT TERMS: Cash in advance
ORDER DATE: 04/10/2011
INVOICE ADRESS: Sara ███████
SHIP TO: Brice ███████
6100 Red Hook Quarters Suite B-3
St Thomas, USVI 00802
████████████████

SEA or AIR: SEA
LOOSE or PALLET: PALLET

Bank ██████████████████████████████████████████
Iban ███████████████████████
Swift ██████████

<table><tr><th>PIECES</th><th>ITEM N°</th><th>VALUE</th><th>PRICI </th></tr><tr><td>03</td><td>Wooden beach sun bed with canopy, 0149</td><td>E</td><td>205,00</td></tr><tr><td></td><td>SHIPPING COST TO St.Thomas</td><td>E</td><td>600.00</td></tr><tr><td></td><td>Total cost of order</td><td>E</td><td>1215.00</td></tr></table>

This order is confirmed: 
Signature: 
Name: 
Date: 04/10/2011

COMPANY LOGO/LETTERHEAD/STAMP

Web site: www.ombrellificioadriamare.it E-mail: