Laserfiche WebLink
Acceptance of Purchase <br />Quote: MN-00201451 <br />By signing below, you (1) warrant that you are an authorized representative of your company, (ii) agree that the Thermo Scientific Portable <br />Analytical Instruments Inc. Terms and Conditions of Sale attached hereto (the "Terms and Conditions") shall supersede any preprinted terms <br />and conditions, in their entirety, contained in any purchase order that your company issues and (iii) the Terns and Conditions shall exclusively <br />govern the transaction(s) contemplated hereby <br />a 111"v i <br />Signature of authorized comr rreprie DAkfi www <br />Print Name <br />Model # <br />E-mail to: 111I �µa4t �p,lau„e( Pi�eb tat Ye i�eaF:, wrnq t Fax to: 1-877 <br />Order Processing Address: <br />michael.nagle@thermofisher.com <br />Thermo Scientific Portable Analytical Instruments Inc <br />2 Radcliff Road <br />Tewksbury, MA 01876 <br />Payment Details <br />Method of Payment <br />❑ Net 30 (Attach Credit Application & Credit References) <br />Phone# <br />Email <br />Purchase Order Number <br />Remit check Payment To: <br />Thermo Scientific Portable Analytical Instruments Inc <br />PO Box 415918 <br />Boston, MA 02241-415918 <br />Sales Tax Application <br />❑ Yes Apply Sales Tax <br />❑ Credit Card ❑ No <br />❑ Check - If no, you must provide a copy of your tax exemption certificate along with your purchase order. <br />❑ Wire Transfer <br />—Please contact your customer service representative with your credit card information. (Do not send any credit card info via email or fax.) - <br />Address Verification <br />Please make corrections if necessary below: <br />Bill to: Ship to: <br />701 W Sample St 701 W Sample St <br />South Bend, Indiana 46601-2890 South Bend, Indiana 46601-2890 <br />United States United States <br />Additional Options / Accessories <br />Please use the space below to note any additional options and/or accessories you wish to add from the attached sheets that are not included in the above <br />quotation. <br />When applicable, commodities, technology, or software to be provided in furtherance of this order shall be exported from the United States in <br />accordance with applicable U.S export laws or regulations. Diversion contrary to US law prohibited. Unless otherwise agreed to In writing, Thermo <br />Scientific Portable Analytical Instruments Inc. terns and conditions shall apply and take precedence. <br />Thermo Fisher Page 3 / 7 <br />S C I E N T I F I C <br />