HomeMy WebLinkAboutPolk City Directories-11/21/2011#1384521
POLK
CITY Remit to
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INVOICE/
SALES CONTRACT
DIRECTORIES (866) 478-8104 infogroup
_,n
1020 East 1st Street Order Number 1384521
Papillion, NE 68046-7611 (Please Include this number on your check)
Please fax your signed contract to: (866) 735-4758
Market Number
Market Name
Customer Number
Company Name
Bill to Address
1384521°)\ 59411-1756
4192-22
Cedar Falls, IA
14102809
CITY OF WATERLOO
715 Mulberry St
Waterloo IA 507035783
Sales Rep Number 10012988
Sales Rep Name WINTER, JOHN
Customer Phone # (319) 291-4323
Customer Fax #
Ship to Address 715 Mulberry St
Waterloo IA 507035783
Source Code TFIRI
Please Attach if Applicable
Tax Exempt #
PRODUCT CODE
CLASS CODE
DESCRIPTION
UST UNIT PRICE
QUANTfTY
ACTUAL PRICE
100
City Directory
265.00
2
530.00
8
Bundle Shipping
10.00
2
20.00
Credit Card #
P.O. Number
Subtotal
Tax
Total Order Amount
NOTIFICATION OF COPYRIGHT/PROPRIETARY RIGHTS
550.00
Due Upon Sale
COPYRIGHT® 2003 CITY DIRECTORIES, INC. InfoTYME ISA REGISTERED TRADEMARK OF CITY DIRECTORIES, INC. ALL RIGHTS RESERVED. /nfoTYME AND
THE DIRECTORY ARE PROPRIETARY PRODUCTS OF POLK CITY DIRECTORIES AND ARE PROTECTED BY COPYRIGHT AND TRADE SECRET LAWS AND
INTERNATIONAL TREATY. YRIGHT LAWS PROHIBIT MAKING ADDITIONAL COPIES OF infoTYME OR THE DIRECTORY FOR ANY REASON OTHER THAN
ONE COPY OF infoTYME (Y FOR BACKUP PURPOSES.(SEE "2. LICENSE RESTRICTIONS" ON THE REVERSE)
1 HAVE READ AND A TO THE TERM, AN MONS OF THE LICENSE AGREEMENT ON THE REVERSE SID OF TI IS CO
ti14
Signature
Signer's Title
CITY OF WATERLOO
Date / ( / A)1
Money Omer/Check Amount $ .00
Money Order/Check Amount $ .00
Salesperson Signature
INTER, JOHN
infoTYME Received (customer initials)
Money Order/Check Amount $ .00
Money Order/Check Amount $ .00
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