LSJ, LLC 6100 Red Hook Quarters Suite 6-3 St. Thomas, VI 00802-1348 Tel: E-mail: Fax: 340-775-8108 Date of Request: Wire Transfer Request Form 12/08/11 Amount Requested: Payee: $2,584.00 Suc. J. Serralles Second, Inc Bank Name: Bank Account: Requested By: 'flank of America Purpose / Description: Payee Address: Bank Address: PO Box 801201 Coto Laurel PR 00780-1201 100 West 33rd St New York NY 10001 Quickbooks Memo: Purchase Jasmine/Citrus Fertilizer Special Notes / Instructions: G / L Account Information: G / L Description: Landscaping G / L Number: 6015Sf Authorization EFTA01110210 SUC. J. SERRALLES SECOND, INC. POBOX 801201 COTO LAUREL. PR 00780.1201 USA Tel (787) 260-2221 / Fax (787) 260-2227 Sold LSJ Lit To: 61C3 RED HOOK QUARTERS B-3 ST THOMAS 03582 USVI Number: Page: Dale: 12.012-2011 1 12/6/2011 Ship To: 6100 RED HOOK QUARTERS 8-3 ST THOMAS 00802 Roloronco - No. Customer No. Salesperson Ship Via Terms Codo ST THOMAS 11.11.157 UPON Item No. Description/Comments Quantity UOM Unit Price Amount 01.11-24 01.11.25 JASMINE SAMBAS -1 GAL PRODUCT OF PUERTO RICO CITRUS FERTILIZER 100N Due Date Amount Duo Disc. Date 253 00000 20 00000 Disc. Amount C U EACH 5 000000 66 700000 1.25000 1 334 03 12/152011 2 584 00 0C] Remit To: SUC J SERRALLES SECOND. INC P 0 BOX 801201 COTO LAUREL. PR 00780.1201 USA Invoice Subtotal before taxes Total taxes Total amount Payment resolved Dlacount taken Amount duo 2.584 00 000 2.584 00 0.00 0 00 2 584 00 EFTA01110211