Fawcett HDPM-5 Pail Mixer - Manual (Page 9)

FAWCETT CO., INC.
PHONE: 330.659.4187
3863 Congress Pkwy. FAX: 330.659.6991
Richfield OH 44286 E-MAIL: [email protected]
ORDER FORM
Person Placing Order : ____________________________________ P.O. # : ______________________
Phone # : ________________________ FAX # : __________________________
SHIP TO: BILL TO:
Attention Attention
Location Location
Street Address Street Address
City State Zip City State Zip
Req. Date Requesitioner
Ship Via Buyer
F.O.B.
Terms
Richfield, OH NET 30 Days
Quantity Item Description Unit Price Total
Subtotal
Sales tax will be added to deliveries in the state of Ohio
unless a tax exempt certificate is on file.
Tax
Shipping
Miscellaneous
All orders are F.O.B. shipping point. Shipping charges
will be added to invoice.
Balance Due