Revision "B", last modified 04/01/05

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PRODUCT INVOICE
from
ADAPTICOM INC.
P.O. Box 91461, Raleigh, NC 27675-1461 (919/870-0608) (fax 888-767-7501) (Tax ID 56-200-5946)

TO:
ACCOUNTS PAYABLE CENTER
IBM de México, Manufactura y Tecnología, S.A. de C.V.
Camino a El Castillo # 2200
El Salto, Jalisco México.
C.P. 45680
RFC IMM-970102-5L8

IBM Purchase Order: 2600143669 (Vendor: 1000116631)

INVOICE # RECIPIENT INVOICE DATE PAYMENT DUE DATE
000-355
Veronica Gutierrez
May. 01, 2001
June 15 2001
ITEM
DESCRIPTION OF SERVICES
QUANTITY
PRICE EA.
TOTAL
1
HiPot Fail Inducer, Model HPFI-120
ONE
1
$03,500.00
$03,500.00






TOTAL AMOUNT DUE
$03,500.00

Packaging Details:

Country of Origin: USA
Terms: Net 45. Freight, Taxes and Shipping Charges Collect

PLEASE REMIT PAYMENT TO:

Adapticom Inc.
P.O. Box 91461
Raleigh, NC 27675-1461

Adapticom Approved by: Adapticom President,
Invoice Form, Revision F. 02/10/99

Comments to:
Engineering Services

http://www.adapticom1.net/mailto


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