6 MAY 2014 ORDER FORM

UNDERCOVER EYEWEAR
SM: SMOKE LENS
3813 BRANCH ROAD, FORT WORTH, TX 76109
CL: CLEAR LENS
5/6/14
DATE:
LOCKED
PHONE: 817-595-2555 FAX: 817-595-2566
WWW.UNDERCOVEREYEWEAR.COM
INV #:
QUANTITY
1.5
2.0
2.5
ND: NIGHT DRIVING YELLOW
BR: HIGH-CONTRAST AMBER
NAME / STYLE #
COST
RETAIL
TOTAL
BI-FOCAL SHIELDS
3.0
10.00 19.99
0.00
SR206 BF SM0KE SAFETY
10.00 19.99
0.00
SR206 BF CLEAR SAFETY
10.00 19.99
0.00
PCR48 BF/T NEW
10.00 19.99
0.00
4814 BF/T GASKET NEW
10.00 19.99
0.00
NAME:
PO#
SHIP TO:
TERMS:
SM
PHN:
CL
ND
GASKETS
BR
BILL TO:
BLU
FAX:
QTY
DISPLAY
COST
SHIP
TOTAL
DISPLAYS
QTY
STYLE #
COST RETAIL
TOTAL
SPORTS SHIELDS
QTY
STYLE #
COST RETAIL
RED 4728RV/8847RV/STANDARDRV
TOTAL
POLARIZED SERIES
10.00 19.99
0.00
4728FB / STANDARD FogBloc
10.00 19.99
0.00
4728C / STANDARD COLORS
10.00 19.99
0.00
0.00
UE0190S NEW
7.50 14.99
0.00
UE034 POL
9.00 17.99
0.00
4728 / STANDARD
0.00
UE088HD
7.50 14.99
0.00
UE6191/6091 POL
9.00 17.99
0.00
UE4600 PLATINUM
0.00
UE1079HD
9.00 17.99
0.00
8332RVP POL
10.00 19.99
0.00
4855 / FLAME GASKET
7.50 14.99
0.00
0.00
UE2092HD
9.00 17.99
0.00
8653P NEW
10.00 19.99
0.00
4855C / FLAME COLOR
10.00 19.99
0.00
10.00 19.99
10.00 19.99
0.00
NEW
7.50 14.99
0.00
10.00 19.99
0.00
N/C DISPLAYS FOR UE MERCHANDISE ONLY
2116HD
10.00 19.99
0.00
8655P NEW
0.00
48171 L.A.
QTY
UE2405HD
7.50 14.99
0.00
CORDS
3.00
5.99
0.00
46232 NEW GRANDE NO FOAM
9.00 17.99
0.00
UE2405RV
9.00 17.99
0.00
LANYARDS
4.00
7.99
0.00
42259 / NEW STANDARD
7.50 14.99
0.00
STYLE #
COST
RETAIL
TOTAL
WOMENS
SAFETY SERIES
UE016RG FTOVR
6.00 11.99
0.00
UE2407 GLITTER
7.50 14.99
0.00
UE5033HD TR90
UE2408 GLITTER
7.50 14.99
0.00
UE2715 RSTN
6.00 11.99
0.00
STINGRAY/2853G
6.00 11.99
0.00
UE52055W NEW
9.00 17.99
0.00
UE001
7.50 14.99
0.00
UE006M
7.50 14.99
0.00
NEW
9918C / BOXCAR JELLOSHOT
10.00 19.99
0.00
10.00 19.99
0.00
UE17S SM__
7.50 14.99
0.00
9902 / SLEEK
UE6016S NEW
7.50 14.99
0.00
UE18S SM__CL__
7.50 14.99
0.00
UE6033S NEW
7.50 14.99
0.00
0.00
SPORTS WRAPS
AVIATOR / METAL
10.00 19.99
0.00
7.50 14.99
0.00
9918F/BOXCAR FLEECE FOAM
10.00 19.99
0.00
9918FB / BOXCAR FogBloc
10.00 19.99
0.00
9918 / BOXCAR
7.50 14.99
0.00
10.00 19.99
0.00
7.50 14.99
0.00
UE034
7.50 14.99
0.00
UE1166M
7.50 14.99
0.00 TBD
NEW
UE2427 HDX / CARTRIDGE
0.00
T6017R LOVE WHT
10.00 19.99
0.00
UE0643
6.00 11.99
0.00
UE1387M
7.50 14.99
0.00 TBD
NEW
UE2436 HDX / SEMI-AUTO
0.00
UE6050R
10.00 19.99
0.00
UE075
6.00 11.99
0.00
4121 AVI
5.00
9.99
0.00 TBD
NEW
UE5062 HDX / XXXL FIT
0.00
7342 BLACK
6.00 11.99
0.00
UE1003 TR90
10.00 19.99
0.00
46357 SM
7.50 14.99
0.00
7342C COLOR
7.50 14.99
0.00
UE1007 TR90
10.00 19.99
0.00
46357 CL
7.50 14.99
0.00
7674
7.50 14.99
0.00
UE1018 TR90
10.00 19.99
0.00
46357 ND
7.50 14.99
0.00 JUN
NEW
UE2853 STRINGRAY NEW
7.50 14.99
0.00
7691
7.50 14.99
0.00
UE2406
7.50 14.99
0.00
0.00
NEW
7342F TRIBAL GASKET NEW
7.50 14.99
0.00
7694R
9.00 17.99
0.00
UE2406RV
9.00 17.99
0.00
7702R
9.00 17.99
0.00
UE2422 NEW
7.50 14.99
0.00
ASSTD BOYS
5.00
9.99
0.00
UE6000 FASHION GASKET
UE608W NEW
7709
7736R
0.00
SM
CL
ND
BR
WOMENS GASKETS
JUNIORS / MISC
12.50 24.99
0.00
9.00 17.99
0.00
7.50 14.99
0.00
UE27019
9.00 17.99
0.00
ASSTD GIRLS
5.00
9.99
0.00
8847A / SMALL STANDARD
9.00 17.99
0.00
10.00 19.99
0.00
PC52120
9.00 17.99
0.00
METAL AVIATOR
5.00
9.99
0.00
9902CR / SLEEK RHNSTN CLR
12.50 24.99
0.00
10.00 19.99
0.00
9.00 17.99
0.00
FOLDING OVAL / FG11
6.00 11.99
0.00
ROADIE / 4757
7.50 14.99
0.00
360 SHIELD / 4760/95144
7.50 14.99
0.00
7.50 14.99
0.00
UE6069SW
9.00 17.99
0.00
WAYFARER JR.
5.00
9.99
0.00
9902R / SLEEK BLK RHNSTN
7743
7.50 14.99
0.00
8332/3849
7.50 14.99
0.00
GIRLS FASHION
5.00
9.99
0.00
9902C / SLEEK COLOR
8017
9.00 17.99
0.00
8332RV/3849RV
9.00 17.99
0.00
JR8642P NEW
7.50 14.99
0.00
UE8380W NEW
7.50 14.99
0.00
UE0278 NEW
5.00
9.99
0.00
UE85009W NEW
7.50 14.99
0.00
UE001 CRACKLE
6.00 11.99
0.00
UE85228W RSTN
10.00 19.99
0.00
UE0620
7.50 14.99
0.00
7.50 14.99
0.00
JUN UE0618 NEW
7.50 14.99
0.00
SM TRANS CLR
20.00 39.99
0.00
SOFT TAIL / 4724
10.00 19.99
0.00
0.00
UE0719 NEW
7.50 14.99
0.00
TRANS CLR
20.00 39.99
0.00
CURVE / UE1536
10.00 19.99
0.00
0.00
UE1020 NEW
7.50 14.99
0.00
TRANS YLW
22.50 44.99
0.00
AERO
10.00 19.99
0.00
P1212/1139 NEON
7.50 14.99
0.00
AERO GOGL CLR
20.00 39.99
0.00
LRG FITOVER / UE8030/4822
12.50 24.99
0.00
UE66 TRANS SHLD
20.00 39.99
0.00
SMALL FITOVER / 4830
12.50 24.99
0.00
UE9022W NEW
3 LENS INTERCHANGEABLES
LIFESTYLE / RETRO
DAY/NIGHT TRANSITIONS
SM
CL
ND
GOGGLES
BR
4728 STANDARD
20.00 39.99
0.00
UE2417
7.50 14.99
0.00
9902R SLEEK
20.00 39.99
0.00
UE3302F
6.00 11.99
0.00
0.00
JUNIOR GOGGLE
9902CR SLEEK
22.50 44.99
0.00
UE33806F
6.00 11.99
0.00
0.00
FITOVER 6080 (NO STRAP)
SPECIAL
INSTRUCTIONS:
SALES REP
SUB TOTAL
SHIPPING
THIS IS YOUR INVOICE AND PACKING SLIP
SHIPPED
9.99
0.00
10.00 19.99
0.00
5.00
TOTAL PIECES SHIPPED
TOTAL

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