ORDER ENTRY SPECIAL ORDER PENINSULAR PAPER COMPANY

CUSTOMER# ORDER SHIP ORDER TERMS SHIP SALES ID ROUTE STOP ORDER#
DATE DATE TYPE VIA
      2/9/2004             Our truck        

SOLD TO NAME SHIP TO SHIP TO NAME CONTRACT #1

NUMBER
               
     

ADDRESS 1 CONTRACT #2
           

ADDRESS ADDRESS 2 PO #
                 

CITY STATE / ZIP CITY STATE ZIP CREDIT APPV.

                          

SPECIAL INSTRUCTIONS

1)     ______________________________________________________________________________________________________________

2)     ______________________________________________________________________________________________________________
ORDER ENTRY
COMMENTS:     _______________________________________________________________________________________

ITEM NUMBER DESCRIPTION QUAN U/M CODE PRICE TAX

Y/N
                  CS             Yes

     ____________________________________________________________________________________________P.O. COST      _____

     _________________________________________________________________________________________LOADED COST     _____

     __________________________________________________________________________DEVIATED/LAST/SPECIAL COST     _____

ITEM NUMBER DESCRIPTION QUAN U/M CODE PRICE TAX

Y/N
                  CS             Yes

     ____________________________________________________________________________________________P.O. COST      _____

     _________________________________________________________________________________________LOADED COST     _____

     __________________________________________________________________________DEVIATED/LAST/SPECIAL COST     _____

ITEM NUMBER DESCRIPTION QUAN U/M CODE PRICE TAX

Y/N
                  CS             Yes

     ____________________________________________________________________________________________P.O. COST      _____

     _________________________________________________________________________________________LOADED COST     _____

     __________________________________________________________________________DEVIATED/LAST/SPECIAL COST     _____

SIGNED: NAME & TITLE:                                     _

PLEASE PRINT
SPECIAL ORDER MERCHANDISE IS NOT RETURNABLE (other than that found to be defective in manufacture.) The above signed customer or authorized agent of
same hereby acknowledges that the order placed herein is a “special order” for goods to be specifically ordered, manufactured, printed, cut or in some way modified for
the customer’s needs, thereby rendering them unsuitable for sale to others. Therefore, the above signed customer, in consideration of the acceptance of this “special
order” by Peninsular Paper Company, agrees to be responsible in the event of cancellation of this order by the customer for all costs incurred by Peninsular Paper
Company in the handling and filling of the order through the date that Peninsular Paper Company receives and acknowledges the written cancellation of this “special
order”. The above signed customer further acknowledges and agrees that in the event cancellation is requested after ordering, manufacturing, printing, cutting, or
modifying of the goods is completed that customer will be responsible for the entire costs reflected on this order including all costs of collection of monies due from this
order including a reasonable attorney’s fee.
All prices, quotations, and/or contracts subject to contingencies of transportation, strikes, acts of God and any other unavoidable accidents or causes beyond our control.
All quotations are based on immediate acceptance and subject to change without further notice.
ORDER ENTRY SPECIAL ORDER PENINSULAR PAPER COMPANY
All claims must be filed within 24 hours. Merchandise accepted for return after 15 days subject to restocking charge. Any merchandise accepted for return is accepted for
credit or exchange only; No Cash Refunds. Accounts not paid within 30 days subject to 1 ½% per month service charge on unpaid balance. MINIMUM BILLING $75.00.
Should it become necessary to collect monies due resulting from this sale, you hereby agree to pay all costs of such collection, including a reasonable attorney’s fee.
MAIL REMITTANCE TO P.O. BOX 1197, TAMPA, FL 33601