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Current Sales Tax Rates will be applied at the time of Invoice and tax rate is based on the Ship To location <br />Grand Total <br />List Price Total <br />Total Contract Discounts Amount <br />Total D&ount <br />Trade In Discounts <br />Tax + S&H <br />USD 1,976.40 <br />Pridng Summary Totals <br />USD 2,196,00 <br />USD -219.60 <br />USD 0,00 <br />USD 0.00 <br />USD 0,00 <br />GRAND TOTAL FOR THIS QUOTE <br />LSD 1,976.40 <br />Please provide a company issued Purchase Order that inClUdes Billing and Shipping Address, <br />PO must refer encepaymenttertins of Net 30 days. <br />- OR — <br />Recluified !if no 113w,cl,iiase order k, pvcnd,cleid <br />Billing Address same as address on quote <br />Account Name <br />Address <br />City <br />State Zip Code <br />Accounts Payable Contact Information <br />ACCOUntS Payable Contact <br />Accounts Payable Email <br />Authorized Customer Signature <br />Name <br />Title <br />..... ....... ... <br />Optional information: <br />Special Ship to Address <br />Shipping Address same as Bilfing Address <br />Account Name <br />Address <br />City <br />State Zip Code <br />Accounts Payable Phone Number <br />Customer is Tax Exempt? Yes No <br />Signature <br />0 <br />Cornments <br />For Multiple End Users, please attach a supporting docurnentwith End User name, physical location, prodUCttyPe and qUamitV <br />TO Update any customer information, please complete form at w WW PIVIS Reference Number EF/009930011139314 <br />Quote Wunber: 00125663 <br />