. --
Amber Village 4.3E214 AyUmERHKU
AMER
, 80F, '
my .1HE0 11
AM
432 6th Ave
New York R.Y. 10011
Tel : 212.477.5880 Fax
: 212.253.7200
ragAl molars
08/07/11 6144 PM
#5057 Delivery 204** ******4009
Sylvia SALE
8/7/2011 BATCH: 000655
IHU:000021
Name:Epstein Jeffrey S
ASUTH: 122106
Tel :2125051969 BASE
Add :69 Prince #3F1
TIP
CC#371565781434009
Exp[1014] TOTAL
2 rkling larca
7 R.
VossTri ca $14.00
1 R. Soho $16.00
1 ut Rice $16.00
1 Cocon vermicoli $6 :8
$4.
1 Mach Shrimp Tem
3 Sorbetto-Coconutpura
1 Sorbetto-
$f8 008
$21.00
elm. aoNN
sSUER A
EEIENT t r
1 Tiramisu Mange $7,00
$7.00
Sales Tax: 45OO$1 COPY
$895
Total: $109.95
EFTA00649269