INVOICE
Number    40834-1
Date    4/22/2024
Rep    Judith Wilkin

INVOICE TO

Mental Health
Accounts Payable
510 S. Vermont Ave. 15th Floor
Los Angeles CA 90020
SHIP TO

Department of Mental Health
Cynthia Prado
(24054041-1)
3303 N. Broadway 4th Floor, ECM (Enhanced Care Management)
Los Angeles CA 90031

Ship Via FOB Customer Order No. Terms Client ID PST Number
Our Discretion Factory PD-MH-24054041-1  Due on Receipt 2083689  

QTY Shipped Description Unit Price Extension


2
5
5
9
3



3
2
7
4
3



2
5
5
9
3



3
2
7
4
3







86





 
Port Authority Ladies Dry Zone UV Micro-Mesh Polo.
Color : Deep Black
Size : S
Size : M
Size : L
Size : XL
Size : 2XL

Port Authority Dry Zone UV Micro-Mesh Polo.
Color : Deep Black
Size : M
Size : L
Size : XL
Size : 2XL
Size : 3XL

Port Authority Ladies Zephyr Full-Zip Jacket.
Color : Black
Size : S
Size : M
Size : L
Size : XL
Size : 2XL

Port Authority Zephyr Full-Zip Jacket.
Color : Black
Size : M
Size : L
Size : XL
Size : 2XL
Size : 3XL

DECORATION:
Decoration Method : Embroidery
Decoration Location : Left Chest
PMS : Full color logo
Decoration Size : See Virtual Proof for size and placement.
Design Name : DMH Text Block

Setup Charge : Free- has digitized tape

COMMODITY CODE: 037-78-00-0000000/ LINES 1-20
FREIGHT BELOW:
COMMODITY CODE: 962-86-00-0000000/ LINE 21
 


$20.98 
$20.98 
$20.98 
$20.98 
$22.98 



$20.98 
$20.98 
$20.98 
$22.98 
$22.98 



$27.48 
$27.48 
$27.48 
$27.48 
$30.98 



$27.48 
$27.48 
$27.48 
$30.98 
$32.48 







$0.00 





 


$41.96 
$104.90 
$104.90 
$188.82 
$68.94 



$62.94 
$41.96 
$146.86 
$91.92 
$68.94 



$54.96 
$137.40 
$137.40 
$247.32 
$92.94 



$82.44 
$54.96 
$192.36 
$123.92 
$97.44 







$0.00 





 
Terms & Conditions
All claims for shortages or damaged goods must be made in writing within seven days of receipt of goods or invoice. Thank you for your business! Please send payment to: Imagen, Inc. 421 E Route 66 Glendora, CA 91740
GST / HST Registration Number:
Artwork
Freight
Sub-Total
Tax
US
TOTAL
Deposit
Balance Due
$0.00
$56.96
$2,200.24
$203.59
$0.00
$2,403.83
$2,403.83
$0.00
Imagen, Inc., 421 E Route 66, Glendora, CA, United States  91740
Tel : (626) 593-9618   Fax :
Website : www.imagenagency.shop   Email : info@imagenagency.com