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SCE Sample Invoice - Customized Solutions <br />Vendor Name <br />&Address <br />Customer Name <br />&Address <br />Itehrvzedbslof <br />egoipmentNlrh <br />OUanbly,Model, <br />Make, Teal <br />Desailkon & <br />UnilPdce <br />me......muu...... w................................................................l <br />MpodmlNotes: <br />• IfCustomer isnot Payee (rebate isdirectedtoVendor orother 3rd Pary): <br />Payment Release Authorization in Section 8 of applcalionmust be completed & contain <br />Cudomefssignature. <br />• Mutiofe=cunMnstallationlaeelians: Adaci Ne Mm'6pleAanw.rSpimdsheer <br />avalable for download oo-bne at www.sco.mmlousihesslems'appdoxnloadbbn <br />..................................................».......................................: <br />25B-37 <br />Ipurchase Dale <br />Indicate <br />Basecase <br />(Old Equipment) <br />(or attach on <br />separate sheet) <br />If Vendor is <br />RebalePsyee, <br />Tatal Rebate <br />Amount <br />deducedhem <br />salesprue <br />1 Marked Nd or <br />Jf <br />contain Tens <br />Joe Smith Comiumy <br />123 East Main Street, Anylown, CA 90000 <br />Tel: 123.456.7898 Fax: 123.456.7899 <br />Sold To: <br />Invoice: <br />Name <br />Nmtage Swplu cmia Date. <br />2'1910 <br />Address: <br />4561Vesihimnsom Invoice dl: <br />12345 <br />CitylSlate2p: <br />An3vbesq CA99999 <br />Conal <br />4ebn Bmnm <br />wadd• <br />"doDesercon <br />Ore Cast <br />Toss]20 <br />RP:19876 <br />Gmeral Inc. <br />8'4 -tamp TS Int High Bay Futmes(21611� <br />U.00 <br />4,OW.00 <br />80 <br />1`503111 <br />General Inc <br />T5 lamps for High Bal FNums(541V) <br />10.00 <br />SW.00 <br />HO'ALTO <br />20 <br />RJA-2354 <br />Cseneml Inc. <br />Units for High Bay IdAw <br />40.00 <br />=00 <br />5 <br />Q345 -BB -1 <br />General Inc. <br />Compaq Fluonscmt F-Tmms CA) <br />60.00 <br />3WW <br />Bus cs: <br />- Nlmwe 4116: Replrce 8' 2-IampT12 <br />Vey High Ouyul Flror Fixhues (430 <br />Waa, Aladd d14564' byGmed Inc) <br />- hlmaure LCI Replace Imande cent <br />FILM O3%V) <br />Materials <br />3.90000 <br />Tax <br />48675 <br />Installation <br />3.00RW <br />Involce Total <br />93S673 <br />Less Edison Rebate <br />-2583.00 <br />Total After Rebate <br />6.801.73 <br />PAID <br />me......muu...... w................................................................l <br />MpodmlNotes: <br />• IfCustomer isnot Payee (rebate isdirectedtoVendor orother 3rd Pary): <br />Payment Release Authorization in Section 8 of applcalionmust be completed & contain <br />Cudomefssignature. <br />• Mutiofe=cunMnstallationlaeelians: Adaci Ne Mm'6pleAanw.rSpimdsheer <br />avalable for download oo-bne at www.sco.mmlousihesslems'appdoxnloadbbn <br />..................................................».......................................: <br />25B-37 <br />Ipurchase Dale <br />Indicate <br />Basecase <br />(Old Equipment) <br />(or attach on <br />separate sheet) <br />If Vendor is <br />RebalePsyee, <br />Tatal Rebate <br />Amount <br />deducedhem <br />salesprue <br />1 Marked Nd or <br />Jf <br />contain Tens <br />