Laserfiche WebLink
? Illii(i Itiisiiiccs Illacliincs, .1iic. <br />__?<1728 St. Clair Avenue, Cleveland, Ohio 44114 • 216/579-1300 <br />_? 81 Springside Drive, Akron, Ohio 44333 • 216/666-6600 <br />- <br />_ <br />? <br />? M__ - <br />?0460 <br />H:quipmcut, Supqph• & Illaiufcnnocc Ilydcr H'orm <br />BILL TO: Y" '?r1t?,1? ?II?L+4(? <br />ADDRESS: F?ZJ 6Z) L..'L lq16L5 <br />cinr: UU1?vA?cc? I/rctH7?'? STATE: G? ziP: Ll?f/?L3 <br />PHONE: <br />DATE <br />Stltl ORDER NO. CUST. P.O. NO. <br />SALEGS FjEy. <br />" <br />MGR. INITIALS <br />SHIP TO: <br />ADDRESS: <br />CITY: STATE: ZIP: <br />ATTENTION: A 5, ?, Tw <br />EQUIPMENT DESCRIPTION QUANTITY PRICE TOTAL <br />Sharp SF $01W Copier Olq'ew ? Demo ? Reconditioned <br />Lease Per Month Months <br />*eversing Automatic Document Feeder Included <br />X,$FIM Electronic Collator/21 Bin w/Stapler . -? ? ./LG•`jO p7/?? ' ?? <br />? Other: - <br />Less Sharp lYade-In <br />Sub.Total <br />SUPPLIES DESCRIPTION OUANTITY PRICE TOTAL <br />;?,Toner • ?? ,-;z <br />p'Developer <br />? Sharpfax 81/2 x11" Paper / 5,000 Sheets 52.00 <br />O Sharpfax 81/2 x14" Paper / 5,000 Sheets 65.00 <br />0 Sharpfax 11x17" Paper / 2,500 Sheets 56.00 <br />? Blue Color Kit <br />? Red Color Kit <br />? Brown Color Kit <br />O Staples . <br />SERVICE IS COVERED BY A MONTHLY METER PLAN AGREEMENT WHICH IS SUMMARIZED ON THE BACK OF THIS ORDER FORM <br />Purchaser agrees to purchase/lease items described above in accordance with the terms hereof. Purchaser shall execute any <br />documents and take any action necessary to complete any lease transaction described above and acknowledges that the lessor <br />of the equipment may be a third party leasing company. <br />Installation Date: / ??/A42 <br />Purchaser's Name: 14-tvH Date: ,:" 1,,731111 <br />Authorized Signature: Title: <br />This order is firm and ma not be revoked by pur aser unless Ohlo Bualneas Machlnes, lnc. tails to accept it within seven days <br />of the date of purchaser ign ture above. <br />Authorized Signature: <br />This order is not binding on Ohlo Buslness Mechlnea, Inc. unless and until signed by its president. No person other than the <br />president has the authority to alter the printed terms hereoi or to bind the company to any oral or written promise, representation, <br />or agreement. <br />Accepted: <br />ey: Title: Date: <br />Deatlnatton & ? <br />Pr+ep. Chergea <br />SubTotel <br />Tax <br />20% Min. Deposlt D ? <br />Balance <br />P.O. <br />? Current OBM Copier Customer <br />? Other OBM Customer <br />V-hlew Customer <br />.. , 519019e00:1