Vendor Name. Craftsman Industrial Received By: (ADL Recv. Dept.) -------------------------------------------- --------------------------------------- [X] Suggested Source ____________________________________________ Shipped Via: _______________________________________ [X] Mandatory Source ____________________________________________ Date Delivered to Recipient: _______________________ [_] Vendor Contacted ____________________________________________ Accepted By:________________________________________ 000-000-0000 (Print / Legible Signature of Recipient) -------------------------------------------- CONTACT'S NAME PHONE NUMBER FAX NUMBER ------------------------------------------------------------------------------------------------------------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PURCHASE ORDER No. Xxxxxx X Xxxxxx INVOICE TO: Xxxxxx X. Xxxxxx, Inc. 00 Xxxxx Xxxx, Xxxxxxxxx, XX XXX 00000-0000 . Telephone 000-000-0000 . Telefax: 000-000-0000 -------------------- SHIP TO DATE OF ORDER LOCATION SEE 20 ACORN PARK NO COPY TO RECEIVING MARKED [_] BELOW [X] XXXXXXXXX, XX 00000-0000 [_] NECESSARY ------------------------------------------------------------------------------------------------------------------------------------ FOR USE ON GOVERNMENT CONTRACT NUMBER PRIME SUB TO ARRIVE ON OR BEFORE SHIP VIA F.O.B. PPD TERMS SHIP PT. [_] DESTINATION [_] ------------------------------------------------------------------------------------------------------------------------------------ ___ ___ [_] MASSACHUSETTS SALES/USE TAX STATUS ____________________________________________________________________ ____________________________________________________________________ . VENDOR REGISTRATION NO. 041549700 ____________________________________________________________________ ____________________________________________________________________ [_] TAXABLE, ADD IF REGISTERED MASS. VENDOR [_] EXEMPT, FOR RESALE, CERTIFICATE FURNISHED ATTN: [_] EXEMPT, FOR MFG, USE, CERTIFICATE FURNISHED -------------------------------------------------------------------- [_] EXEMPT, NOT TAXABLE BY MASS. LAW ___ ___ [_] OTHER
Appears in 1 contract
Samples: Purchase (Nuvera Fuel Cells Inc)
Vendor Name. Craftsman Industrial Date Received: _________________________________ ------------------------------------------------ [_] Suggested Source ________________________________________________ Received By: (ADL Recv. Dept.) -------------------------------------------- --------------------------------------- ----------------------------------- [X_] Suggested Mandatory Source ________________________________________________ Shipped Via: ___________________________________ [_] Vendor Contacted _____ [X] Mandatory Source ____________________________________________ Date Delivered to Recipient: __________________ ______ [_] Vendor Contacted ____________________________________________ Accepted By:_____: ___________________________________ 000-000-0000 CONTACT'S NAME PHONE NUMBER (Print / Legible Signature of FAX NUMBER: Recipient) -------------------------------------------- CONTACT'S NAME PHONE NUMBER FAX NUMBER ------------------------------------------------------------------------------------------------------------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PURCHASE ORDER No. Xxxxxx X Xxxxxx INVOICE TO: Xxxxxx X. Xxxxxx, Inc. 00 Xxxxx Xxxx, Xxxxxxxxx, XX XXX 00000-0000 . Telephone 000-000-0000 . Telefax: 000-000-0000 -------------------- --------------- SHIP TO DATE OF ORDER LOCATION SEE 20 ACORN PARK NO COPY TO RECEIVING MARKED [_] | | BELOW [X] | | XXXXXXXXX, XX 00000-0000 [_] | | NECESSARY ------------------------------------------------------------------------------------------------------------------------------------ FOR USE ON GOVERNMENT CONTRACT NUMBER PRIME SUB TO ARRIVE ON OR BEFORE SHIP VIA F.O.B. PPD TERMS SHIP PT. [_] DESTINATION [_] ------------------------------------------------------------------------------------------------------------------------------------ [___ ___ [_] MASSACHUSETTS SALES/SALES / USE TAX STATUS ___________________________________________________________________ __ ____________________________________________________________________ . VENDOR REGISTRATION NO. 041549700 ____________________________________________________________________ ____________________________________________________________________ [__] TAXABLE, ADD IF REGISTERED MASS. VENDOR _______________________________________________________ [__] EXEMPT, FOR RESALE, CERTIFICATE FURNISHED ATTN: ------------------------------------------------------- [__] EXEMPT, FOR MFG, . USE, CERTIFICATE FURNISHED -------------------------------------------------------------------- __ __ [__] EXEMPT, NOT TAXABLE BY MASS. LAW [___ ___ [_] OTHER
Appears in 1 contract
Samples: Purchase (Nuvera Fuel Cells Inc)
Vendor Name. Craftsman Industrial Date Received: _____________________________________ -------------------------------------------- [_] Suggested Source ____________________________________________ Received By: (ADL Recv. Dept.) -------------------------------------------- --------------------------------------- [X_] Suggested Mandatory Source ____________________________________________ Shipped Via: _______________________________________ [X_] Mandatory Source Vendor Contacted ____________________________________________ Date Delivered to Recipient: _______________________ [_] Vendor Contacted ____________________________________________ Accepted By:________________________________________ 000-000-0000 CONTACT'S NAME PHONE NUMBER (Print / Legible Signature of Recipient) -------------------------------------------- CONTACT'S NAME PHONE NUMBER FAX NUMBER NUMBER: ------------------------------------------------------------------------------------------------------------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PURCHASE ORDER No. Xxxxxx X Xxxxxx INVOICE TO: Xxxxxx X. Xxxxxx, Inc. 00 Xxxxx Xxxx, Xxxxxxxxx, XX XXX 00000-0000 . Telephone 000-000-0000 . Telefax: 000-000-0000 -------------------- ------------- SHIP TO DATE OF ORDER LOCATION SEE 20 ACORN PARK NO COPY TO RECEIVING MARKED [_] BELOW [X[ ] XXXXXXXXX, XX 00000-0000 [_] NECESSARY ------------------------------------------------------------------------------------------------------------------------------------ FOR USE ON GOVERNMENT CONTRACT NUMBER PRIME SUB TO ARRIVE ON OR BEFORE SHIP VIA F.O.B. PPD TERMS SHIP PT. [_] DESTINATION [_] ------------------------------------------------------------------------------------------------------------------------------------ ___ ___ [_] MASSACHUSETTS SALES/USE TAX STATUS ____________________________________________________________________ ____________________________________________________________________ . VENDOR REGISTRATION NO. 041549700 ____________________________________________________________________ ____________________________________________________________________ [_] TAXABLE, ADD IF REGISTERED MASS. VENDOR ATTN: [_] EXEMPT, FOR RESALE, CERTIFICATE FURNISHED ATTN: -------------------------------------------------------------------- [_] EXEMPT, FOR MFG, . USE, CERTIFICATE FURNISHED -------------------------------------------------------------------- [_] EXEMPT, NOT TAXABLE BY MASS. LAW ___ ___ [_] OTHEROTHER FOLD ------------------------------------------------------------------------------------------------------------------------------- ITEM NO QUANTITY CATALOG NO. DESCRIPTION PRICE ------------------------------------------------------------------------------------------------------------------------------- 46 1 T-65919 Rollaway ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------- THIS ORDER SUBJECT TO CONDITIONS OF SALE ON FACE AND REVERSE SIDE. TOTAL ---------------------- __________________________________________ 1. ACKNOWLEDGE THIS ORDER IMMEDIATELY, GIVING PRICE AND FULL DELIVERY INFORMATION. BUYER'S SIGNATURE ONLY 2. SHOW ORDER NUMBER ON ALL INVOICES, PACKAGES, SHIPPING PAPERS AND CORRESPONDENCE. 3. WHERE FREIGHT CHARGES ARE APPLICABLE, PLEASE REPAY AND ADD. __________________________________________
Appears in 1 contract
Samples: Purchase (Nuvera Fuel Cells Inc)
Vendor Name. Craftsman Industrial Date Received: _____________________________________ -------------------------------------------- [_] Suggested Source ____________________________________________ Received By: (ADL Recv. Dept.) -------------------------------------------- --------------------------------------- [X_] Suggested Mandatory Source ____________________________________________ Shipped Via: _______________________________________ [X_] Mandatory Source Vendor Contacted ____________________________________________ Date Delivered to Recipient: _______________________ [_] Vendor Contacted ____________________________________________ Accepted By:________________________________________ 000-000-0000 CONTACT'S NAME PHONE NUMBER (Print / Legible Signature of Recipient) -------------------------------------------- CONTACT'S NAME PHONE NUMBER FAX NUMBER NUMBER: ------------------------------------------------------------------------------------------------------------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PURCHASE ORDER No. Xxxxxx X Xxxxxx INVOICE TO: Xxxxxx X. Xxxxxx, Inc. 00 Xxxxx Xxxx, Xxxxxxxxx, XX XXX 00000-0000 . Telephone 000-000-0000 . Telefax: 000-000-0000 -------------------- ------------- SHIP TO DATE OF ORDER LOCATION SEE 20 ACORN PARK NO COPY TO RECEIVING MARKED [_] BELOW [X_] XXXXXXXXX, XX 00000-0000 [_] NECESSARY ------------------------------------------------------------------------------------------------------------------------------------ FOR USE ON GOVERNMENT CONTRACT NUMBER PRIME SUB TO ARRIVE ON OR BEFORE SHIP VIA F.O.B. PPD TERMS SHIP PT. [_] DESTINATION [_] ------------------------------------------------------------------------------------------------------------------------------------ ___ ___ [_] MASSACHUSETTS SALES/USE TAX STATUS ____________________________________________________________________ ____________________________________________________________________ . VENDOR REGISTRATION NO. 041549700 ____________________________________________________________________ ____________________________________________________________________ [_] TAXABLE, ADD IF REGISTERED MASS. VENDOR ATTN: [_] EXEMPT, FOR RESALE, CERTIFICATE FURNISHED ATTN: [_] EXEMPT, FOR MFG, . USE, CERTIFICATE FURNISHED -------------------------------------------------------------------- [_] EXEMPT, NOT TAXABLE BY MASS. LAW ___ ___ [_] OTHER
Appears in 1 contract
Samples: Purchase (Nuvera Fuel Cells Inc)