HomeMy WebLinkAboutPolk City Directories-11/21/2011 (2)#1384522
POLK !�
CITY
DIRECTORIES
-An hnalmntescd5Inoc rmo
(866) 478-8104
Please fax your signed contract to: (866)
1384522 90'
5204-21
Waterloo, IA
14102809
Market Number
Market Name
Customer Number
Company Name CITY OF WATERLOO
Bill to Address
715 Mulberry St
Waterloo IA 507035783
Remit to
infogroup
1020 East 1st Street
Papillion, NE 68046-7611
735-4758
f7 I9 " 11756 Sales Rep Number
Sales Rep Name
Customer Phone #
Customer Fax #
Ship to Address
Source Code
Tax Exempt #
Page 1 of 1
INVOICE/
SALES CONTRACT
Order Number 1384522
(Please include this number on your check)
10012988
WINTER, JOHN
(319) 291-4323
715 Mulberry St
Waterloo IA 507035783
TFIRI 1
Please Attach if Applicable
PRODUCT CODE
CLASS CODE
DESCRIPTION
UST UNIT PRICE
QUANTITY
ACTUAL PRICE
100
City Directory
265.00
8
2120.00
8
Bundle Shipping
10.00
8
80.00
Credit Card #
P.O. Number
Subtotal
Tax
Total Order Amount
NOTIFICATION OF COPYRIGHT/PROPRIETARY RIGHTS
2200.00
Due Upon Sale
COPYRIGHT® 2003 CITY DIRECTORIES, INC. infoTYME ISA REGISTERED TRADEMARK OF CITY DIRECTORIES, INC. ALL RIGHTS RESERVED. infoTYME AND
THE DIRECTORY ARE PROPRIETARY PRODUCTS OF POLK CITY DIRECTORIES AND ARE PROTECTED BY COPYRIGHT AND TRADE SECRET LAWS AND
INTERNATIONAL TREATY. COPYRIGHT LAWS PROHIBIT MAKING ADDITIONAL COPIES OF infoTYME OR THE DIRECTORY FOR ANY REASON OTHER THAN
ONE COPY OF infoTYME O r Y FOR BACKUP PURPOSES.(SEE "2. LICENSE RESTRICTIONS" ON THE REVERSE)
I HAVE READ AND A -' 0 THE TERMS ONDI •ONS OF THE LICENSE AGREEMENT ON THE REVERSE SII • F IS C TRA T.
Signature Salesperson Signature
Signer's Title
°4-96r
T RLOO
Date 11 / / 2t1
Money Order/Check Amount $ .00
Money Order/Check Amount $ .00
IN ER, JOHN
1nfoTYME Received (customer initials)
Money Order/Check Amount $ .00
Money Order/Check Amount $ .00
http://as400d.intra.infousa.com:11111 /PolkCitySales/SalesContract?USER=JOHNWIN&... 11/17/2011