HomeMy WebLinkAboutSharp HR Copier Replacement Contract - signedSelling Dealer Information Customer Information
Dealership Account Name
Account #Contact
Address Delivery Address
City, State Zip City State Zip
Phone Phone
Email Email
DEALER PO #Customer PO # (if applicable)21-001847
Unit Price Price Extension
$5,008.00 $5,008.00
$1,332.00 $1,332.00
$435.00 $435.00
$573.00 $573.00
$195.00 $195.00
$304.00 $304.00
$98.00 $98.00
$90.00 $90.00
$0.00
$0.00
$0.00
$0.00
TOTAL $8,035.00
X X
End User PO Attached End User Billing Address Leasing Company - select one
(Customer signature required if PO isn't attached)DLL-151338
Great Am-152388Payment (please select ONE)TIAA-675460
Bill End User US Bank-709932
Financed Order Wells Fargo-151473
CIT-153843
Other
Dealer Ship To Information (specify if different from above)
Ship to Dealer City State
Acct #
Send PO to:SNAPCustomerService@sharpsec.com
Order Status:All Other Inquiries: (incl RAs and reships)
For Order Information, visit: https://b2b.sharpamericas.com Contact BreAnne Laurel
Tech Data Inquiries, email: ISCS.Sharp@techdata.com (201) 529-8576
(EMAIL MUST INCLUDE SHARP ORDER NUMBER)Laurelb@sharpsec.com
Qty
1
1
1
1
1
1
1
1
MXFR62U
ARD5133NT
Installation
MX4071
MXFN30
MXFX15
MXDE27N
MXRB25N
425.282.5253 253-288-3162
Sharp Sourcewell Contract Purchase Order
Sharp Contract # 083116-SEC
11/01/2016 - 10/19/2020
SBS NW City of Auburn
611007 Melissa Bailey
374 UPAND DRIVE 25 WEST MAIN STREET
TUKWILA WA 98188 Auburn, WA 98002
DARRELL.SHERROD@SHARPUSA.COM mbailey@auburnwa.gov
Purchase Order Information
Model #
ADDITIONAL INFORMATION
DEALER & CUSTOMER SIGNATURE REQUIRED PRIOR TO ORDER PLACEMENT
Dealer Printed Name Customer Printed Name
Dealer Signature & Date Customer Signature & Date
YES NO
21-001847
Ashley Riggs
SOURCEWELL PO BLANK 2021
Final Audit Report 2021-11-05
Created:2021-11-05
By:Melissa Bailey (mbailey@auburnwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAAVIDK4YTNWK45CvvkcbkvCXvf_6bafQ_s
"SOURCEWELL PO BLANK 2021" History
Document created by Melissa Bailey (mbailey@auburnwa.gov)
2021-11-05 - 9:09:44 PM GMT- IP address: 38.94.96.2
Document emailed to Ashley Riggs (ariggs@auburnwa.gov) for signature
2021-11-05 - 9:10:40 PM GMT
Email viewed by Ashley Riggs (ariggs@auburnwa.gov)
2021-11-05 - 9:53:09 PM GMT- IP address: 67.183.177.115
Document e-signed by Ashley Riggs (ariggs@auburnwa.gov)
Signature Date: 2021-11-05 - 9:53:38 PM GMT - Time Source: server- IP address: 67.183.177.115
Agreement completed.
2021-11-05 - 9:53:38 PM GMT