Document 7RQpw98Xx0VMrRDB0p4kxMQyg

& CHEMICAL MANUFACTURERS ASSOCIATION 1300 Wilson Boulevard Arlington, VA 22209 (703)741-5000 m PURCHASE OBOE*'"" IMPORTANT Our order number must appear on all correspondence, invoices, packing slips, bills of lading, etc. no, 39705 w e . tr? -Jortpany N r1 . . LiOX J. \i 3 - N 0 R 14 c j j s H 1 P T O DATE QTY. UNIT (ea., dz.) ./ t / TAXABLE ACCT./JOB NO. YES NO CONFIRMING STOCK NO. DESCRIPTION ORDER ORIGINAL UNIT PRICE DATE REQUIRED TOTAL PRICE o .. s r or [j\ i\. d/iArk'id. ,'i , i L UiTP It 1 -> ^ ** a. C, 1 a Ci C 2,7i7 . Lo INSTRUCTIONS AND CONDITIONS 1 This order subject to terms and conditions printed on reverse side. 2. No charge for packing/ orl crating will >e accepted untesj- previously agreed uponr-1- -AVi,* ............ .............. 3. No substitutions fdrf items orcfered will be accepted unless previously approved by CMAT lii-*.--- , ------------------------ - 4. Notify us immediately if unable to ship order by date specified. it-. * By:--------- AUTHORIZEp SIGNATURE Does any portion of the isent a covered political expenditure? Yes Amount $ No XXXXX Date Required: Requested By: Has Shan G/L Account No: M2^l IVt/J '"5W I-"--- Approvals: Director (Up to $5,000): Vice President (Up to $ 10,0(Xty Carol Sfcack Executive Vice President (Over $10,000): President (Over $50,000): Additional Approval: Treasurer (Over $10,000): REQUISITIONING CMA 118689 + n r//f> v- ~o , _J INVOICE DATE Di/o/7 COMPAA/r REMIT TO: THD ~ED,S COMPANY D . . b D A 7 3 3 3 3 -- i\ CLEVELAND, JHI3 4h-192 \\ i*- n cessahy ro correspond on this bill RtrcR TO MIS NUMflE R CORRESPONDENCE OR OROfRS SHOULD Bfc SENT TO THE OFflCE SERVING YOU OR ONE GCON CENTER AVON LAKE. OH *4012 INVOICE NO. MGOldSO -01 DUE DATE r-- SOLD TO | CMty.ICaL *A*Ur ACT'JisDK ^ j ATTV: .i~ -AS SHAH ! 170 0 n Its Dl\ --LV? 1 a:jLI iE VA ^2209 AG SC PAYMENT TERMS --j-- NET 30 DAYS SHIP TO CHEMICAL *'ANUFACTU7ER5 ASSOC 1300 WILSON ?LVO ARLINGTON VA 222C9 ROUTING: SHIPPING MOIX LTL SHIP FROM UNSFCIF L2u SHIP DATE 12/12/9H CUST. CODE a '1143 "1 GDI SALES TAX PRICE BASIS ~ r. ^ tp SHIPPING CHARGES ARE TO BE CUST PO CHlLINS SALESMAN EXEMPTION CERTIFICATE 42 PRaArc 970109 DUNS 14-422-1033 7 ; REMARKS: NQ PKG PKGS. CODE PRODUCT DESCRIPTION CUSTOMER'S MATERIAL CODE % TOTAL SOUDS PRICE NET BILLED Tn -SILL YIl ,F TUT DP PDCKL1 'S CD GTS FDk C 9A VCM CYLINDtD DhlP^JD!. GDI ATTJ ,C He D DETAIL. j i1 iJ s. L T TDT3 L i AMOUNT^ L'SS 2, 737.16 ! S2,7?7.16 1 1I 1J 2543-1060-5227 @1995 Moore Business Forms. In*. All righls reserved 207 CMA 118690 INTEREST IS CHARGED ON PAST DUE ACCOUNTS AT 1.5% PER MONTH. OR SUCH OTHER MAXIMUM RATE ALLOWED BY LAW. certify tHat these goods were produced in compliance with all applicable requirements of Sections 6, 7, and 12 of the Fair Labor Standards ofl938 as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under Section 14 thereof IMPORTANT - If shipment shows any evidence of loss or damage notify agent before accepting it. If lo$$ or damage is discovered after delivery is taken notify agent immediately and in any event within fifteen days from date of delivery Confirm notice to agent in writing aid keep copy Agent's report of inspection is made m duplicate and consignee must obtain a copy thereof Failure to comply with the foregoing will invalidate ctaim against carrier, | FORM NO 4$3? Yfi trOlUo TO: interoffice memorandum Date: From: Dept: Tel No: 12-Dec-1996 06:46am EST OKEEFED OKEEFED@PED2 6@MRGATE@CLE BEELER, ED@A1 Subject: OUT OF POCKETS COSTS FOR CMA VCM CYLINDER SHIPMENT Ed, Following are the out of pockets costs we incurred to prepare and ship the VCM cylinder to Huntingdon Labs: - Lacy's Express (Ship cylinder from Dupont to Geon) - Lacy's Express (Ship cylinder to Huntingdon) $ 225.00 - Bickford Rubber (PO 15603263 - SS Flex Hose) $ 400.00 - Matheson Gas (PO 15602974 - Valve connections) - Westgate Sales (PO 15602989 - Cylinder valves) - Westgate Sales (PO 15603548 - Fuse plugs) - TE Warren (PO 15603824 - Crane) $ 180.00 $ 170.00 $ 297.60 $ 568.92 - Travel costs (3 trips to Huntingdon) - Misc valves and fittings from storeroom $ 235.64 $ 100.00 Total Sail if you have any questions or need more details. Dennis CMA 118691 r//\ COMPAA/r ONE GEON CENTER "AVON LAKE. OHIO 44012 RAGE CUSTOMER NUMBER 161646 01 STATEMENT DATE |JAN *7 . DIVISION CREDIT DEPT PHONE (216) 930-1818 11216) 930-1616 CHENICAL t - ATTNs OR ha 1100 MILSOH ARMHCTOM VA H601850 01/09/97 NET 30 02/07/97 COLLINS CERENT 2,737.16 A I *.5r CMA 118692 L'-rji V. I' GRAND TOTAL $ 2f737*16 TOTALS STATEMENT OF ACCOUNT OVER 90 DAYS