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�v� I UWltNn1UKUr1A1'=K NAMt <br />City Of South Bend - Central Services <br />CUSTOMER NUMBER <br />ORDER DATE <br />04-09-2019 <br />....Division <br />DIWA <br />City Of South Bend - Central Services Division <br />ACP.OUNT MANAGER <br />Mike Gentry <br />CUSTOMER PO # <br />STREET ADDRESS <br />1045 West Sample Street <br />rFTEN BY <br />Dike Gentry <br />CUSTOMER JOB # <br />CITY[ <br />South Bend <br />STATE <br />Indiana <br />ZIP <br />ZIP <br />46619 <br />4TY <br />?tuNJoseph <br />CELL PHONE <br />BUSINESS PHONE <br />FAX .............. <br />_T E-MAIL <br />574-235-1751 <br />j-huda Lflsouthbendig,gov <br />NO DELIVERY OF GOODS TO BE MADE UNTIL FULL SETTLEMENT IS RECEIVED <br />.......... .A_ ........... . . ......... <br />DELIVERY TO BE MADE ON OR BEFORE OR AS SOON AS POSSIBLE <br />'Iff-F-CR-ERY Xt55ffFS_S TfFIMFFERENT FROM ABOVE) . ........... <br />. ....... <br />.CITY, STATE . .... ....... <br />ZIP - - - ­ . .............. <br />QUANTITY <br />USED I RFNTA-1 <br />YEAR <br />.............. . . <br />HOURS <br />MAKE, MODEL, DESCRIPTION <br />. .... .................. <br />SERIAL NUMBER <br />ASH PRICE <br />2019 <br />0 <br />Case 621G Wheel Loader ZBar T4F C-H-A, AM/FM B-tooth, <br />TBA <br />$ 208,789.00 <br />4-Spd Trans, Limited Slip Diff.. Rev fan-cooling,STD Steer, <br />Weighlog 3030 scale, <br />$ <br />J-stick w11 Aux,, Sid Fndrs, <br />20.5R25 L3 Radial, Cold Wthr Pkg, H-ctght, <br />........... <br />Paper Ser./Parts Manuals (2 sets) <br />. ........... <br />$ <br />RH/LH RV Mirror, RC, Skid Plate Trans Grd, R-frame side cvrs, R-Beacan, <br />EST Electronic Ser. Tool,.$ <br />..................... <br />HIghts. CNH/JRB CP11, 3.0 Cu..Yd, GP Bkt WBOCE, P-Forks, GppIr GkI 106. <br />60/9000 Premier Ext Warr, <br />$ . . . ............. <br />TRADE-IN EQUIPMENT <br />s 208,789:00� <br />'RADE-IN SHIP TO: El Bolingbrook El McHenry 1:1 Schererville <br />TRANSPORTATION TO BE PAID BY: OCUSTOMER WMCCANN <br />YEAR <br />HOURS <br />HOU <br />. . . . ...................... <br />DEaQRPJIQN <br />MAKE MODEL §�ERI <br />F��CCase, <br />TRADE <br />ALLOWANCE <br />AMT OWING <br />IG <br />NET TRADE <br />ALLOWANCE <br />........... ......... . <br />D TO WHOM <br />. .......... <br />NOTE # <br />2002 <br />4832 <br />621 D JEE01 35226 <br />40,000.00 <br />40,000.00 <br />................................ . <br />......... <br />0.00 <br />... . - <br />0.00 <br />TOTAL TRADE ALLOWANCE40,000.00 <br />40,000.00 <br />Purchaser hereby bargains, sells and convoys unto Seller the above described Trade-in Equipment and warrants and cerlifies It to be free and clear of lions, encumbrances, and security Interest I shown above. <br />interests as w , <br />)THER 11 <br />1. SELLING PRICE 208 00 <br />1. Doc Fees $ 0.00 <br />2. TRADE ALLOWANCE (per above) $ 40,000.00 <br />2. License &Title $ 0.00 <br />3. NET PRICE (1-2) $ 168,789.00 <br />3. Extended Service Contract $ 0.00 <br />4. LOCAL SALES TAX 0.00% $ 0.00 <br />4. Physical Damage Insurance $ 0.00 <br />5. AMOUNT OWING city Rate $ 0.00 <br />5. Total Other Fees (1 +2+3+4) $ 0.00 <br />6. FREIGHT $ 0.00 . .......... <br />IENITAL CREDj:r..Q_A1_(ZULATION <br />7. OTHER FEES (per left column) $ 0.00 <br />1. #Months <br />8. TOTAL PRICE (3+4+5+6+7) $ 168,789.00 <br />2. Monthly Rental Rate $ 0.00 <br />9. CASH WITH ORDER $ 0.00 <br />3. Total Rental (1x2) $ 0.00 <br />10. RENTAL CREDIT (per left column) $ 0.00 <br />4. % Credit Granted 0.0% <br />................................................... . . . <br />11. BALANCE ON DELIVERY (8-9-10) $ 168.789.0) <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 />El RETAIL INSTALLMENT CONTRACT (Terms Subjectto 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 I OF 2 <br />1$,,'w <br />Im"halla <br />"lddsson <br />11ofirigbfook <br />chtcano <br />CII <br />McHenry <br />walcooda <br />Schoterviilte <br />R4,,i a2r, RoNvMit"i P"j, <br />250 E NcWilh Fforlag,',i Rd <br />2350 S Laf',n St, <br />001 %Von"O 137flaSt, <br />4 10? 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