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UUb I QMtK1VUKUHAbtH NAM t CUSTOMER NUMBER ORDER DATE
<br />City Of South Bend - Central Services Division 04-09-2019
<br />D/B/A . . . . ...........
<br />ACQOUN MANAGER CUSTOMER PO #
<br />City Of South Bend - Central Services Division Mit 8entry
<br />STREET ADDRESS WRITTEN BY CUSTOMER JOB i
<br />1045 West Sample Street Mike Gentry
<br />CITYI STATE zip DUNTY
<br />South Bend Indiana 46619 �t. Joseph
<br />CELL PHONE I BUSINESS PHONE BUSINESS FAX E-MAIL
<br />574-235-1751
<br />NO DELIVERY OF GOODS TO BE MADE UNTIL FULL SETTLEMENT IS RECEIVED
<br />. ......... . ........ ................... . ..... . . ..... . ..........................
<br />DELIVERY TO BE MADE ON OR BEFORE OR AS SOON AS POSSIBLE
<br />..... 5ELIVERY ADDRESSDIFFFRF. . . .... . . . ........... . ..... ............ ......... .
<br />T17 _q1- FROM ABOVE) STATE ZIP
<br />QUANTITY. . . ............... . ............... ........ . . . ...... ......
<br />NEW USED I RENTAL YEAR HOURS MAKE, MODEL, DESCRIPTION SERIAL NUMBER CASH PRICE
<br />. ... .. E&CHITEM
<br />2019 0 Case 621 G Wheel Loader XT Parallel T4F C-H-A, AM/FM B-tooth, TBA
<br />$ 188,124.00
<br />4-Spd Trans, Limited Slip Diff., Rev fan-cooling,STD Steer, Weighlog 3030 scale, $
<br />ght, Paper Ser./Parts Manuals (2 sets)
<br />J-stick. Sid Fndrs, 20,5R25 L3 Radial, Cold Wthr Pkg, H-ct$
<br />. ............
<br />MirrorRH/LH RV
<br />, RC, Skid Plate Trans Grd, R-frame side curs, EST Electronic Ser. Tool. $
<br />.... ....... ... ....... . ....
<br />R-LED Beacon, Hal Lghts, 3.0 Cu. Yd, Pin on GP Bkt w/BOCE. 60/9000 Premier Ext Warr.
<br />$ . ..........................
<br />TRADE-IN EQUIPMENT 188,124.00
<br />'RADE-IN SHIP TO: El Bolingbrook F-1 McHenry ❑ Schererville TRANSPORTATION TO BE PAID BY: F—ICUSTOMER 51MCCANN
<br />---------DESCRIPTION......... ............... . . TRADE NET TRADE . . ..................... . ........... ...
<br />YEAR HOURS . ..... . .............AMT OWING OWED TO WHOM NOTE#
<br />MAKE MODEL SERIAL# ALLOWANCE --ALLOWANCE
<br />200'2 Case, 621D, JEE0135226 40,000.00 40,000.00
<br />. . . . ................
<br />.......... .. . ........... .
<br />0.00
<br />0.00
<br />TOTAL TRADE ALLOWANCE E40:�100000 0.00 40,000.00
<br />Purchaser hereby bargains, sells and convoys unto Seller the above described Trade-in Equipment and warrants and certifies it to be free and clear of lions, encumbrances, and security Interests I habove.
<br />ITHER-FEES, 1. SELLING PRICE $ 18 8, M5sh
<br />own wn
<br />1. Doc Fees $ 0.00 2. TRADE ALLOWANCE (per above) $ 40,000.00
<br />2. License & Title $ 0.00 3. NET PRICE (1-2) $ 148,124.00
<br />3. Extended Service Contract $ 0.00 4. LOCAL SALES TAX 0.00% $ 0.00
<br />4. Physical Damage Insurance $ 0.00 5. AMOUNT OWING city Rate $ 0.00
<br />. ..........
<br />5. Total Other Fees (1+2+3+4) $ 0.00 6. FREIGHT $ 0.00
<br />RENTAL CR 7. OTHER FEES (per left column) $ 0,00
<br />. ...........
<br />1. #Months 8. TOTAL PRICE (3+4+5+6+7) $ 148,124.00
<br />2. Monthly Rental Rate $ 0.00 9. CASH WITH ORDER $ 0.00
<br />3. Total Rental (1x2) 0.00 10. RENTAL CREDIT (per left column) $ 0.00 ......
<br />4. % Credit Granted 0.0% . ........................... 11. BALANCE ON DELIVERY (8-9-10) $ 148J 24.00
<br />If purchased within:
<br />0-30 days ........ 100% applied
<br />31-60 days ......... 90% applied
<br />61 & after ........... 85% applied
<br />5. Rental Credit (3x4) $ 0.00
<br />'LEASE SEE REVERSE SIDE FOR TERMS AND SIGNATURE
<br />TERMS: X CASH ON DELIVERY
<br />E__1 RETAIL INSTALLMENT CONTRACT (Terms Subject to Credit Approval)
<br />If retail contract, indicate desired length of contract years
<br />If retail contract, indicate desired interest rate %
<br />ALL TERMS SUBJECT TO CREDIT APPROVAL
<br />PAGE 1 OF 2
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