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Cca - KP - Newb (1) - 1657918971

The document is a credit card authorization form filled out by a customer authorizing Kitchen Pro Cabinetry to charge their credit card for $250 from estimate number 25442. The form contains the customer's billing and shipping information as well as their credit card details and signature.

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akgalaxy46
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901 views1 page

Cca - KP - Newb (1) - 1657918971

The document is a credit card authorization form filled out by a customer authorizing Kitchen Pro Cabinetry to charge their credit card for $250 from estimate number 25442. The form contains the customer's billing and shipping information as well as their credit card details and signature.

Uploaded by

akgalaxy46
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DocuSign Envelope ID: 855FA899-4C4F-426A-B395-42C00CB1C7BB

8920 Quartz Ave.


Northridge, Ca 91324
Phone (877) 210-6361

Credit Card Authorization


Visa, MasterCard & American Express

Billing Info: Shipping Info:


Company: SCAAA Company: -

Billing Name: SCAAA Shipping Name: Minseok Kwon

Billing address: 12400 Wilshire Bl S1450 Shipping address:11375 Gladwin Ave

City, State, Zip: Los Angeles, CA 90025 City, State, Zip: Los Angeles, CA 90049

Phone Number: 310-446-6170 Phone Number: 310-446-6170

I Authorize Kitchen Pro Cabinetry to charge my card for the amount of


$____________
250
from Estimate: ___________
25442

Visa Credit Card ___________________________


4312281009564544

CVV ______
_
767 EX 10 OCT / 2026

Signature: _______________________________ Date: _____________


07/15/2022

I would like to have my order by (special notes):


ASAP

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