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PURCHASE ORDER AMENDMENT

Tax No. 32033216394 in Texas


Tax No. 20180326-M in Arizona PO#
Charge Tax
NCM8076 9525 Derrington Road
Houston, TX 77064
Subject to Arch. & Eng. Approval (713) 939-1986

Confirming Order Amendment # 1

TO: Vendor Name Date:


Project Name:
Project Number:
Bldg Address:
Attn: Bldg Code: (if applicable)
Phone: Fax:
Date Required:
Email:
SHIP TO: TDIndustries, C/O SHIP VIA: Best Way Available
9525 Derrington Road
F. O. B. Destination
Houston, TX 77064
(713) 939-1986 Shipping Terms: FFA (Full Freight Allowed)
Payment Terms: NET 25th Prox.
IMPORTANT: Order Number Must Appear Plainly on All Packages, Invoices, Packing Lists and Shipper's Receipts.
Provide with Invoice, The Original Bill of Lading, Express Receipt and Prepaid Transportation Receipt (if applicable).

Do Not Partial Ship Copies of O&M's Required by:


Partial Ship, See Below Copies of Test and Balance Report(s)
Ship on Open Bed Truck Required by:
NOTIFY: Hours Before Delivery Terms and Conditions Previously Agreed to on
Purchase Order Dated:
Manufacturer's Wiring Diagram(s) Required by:
Copies of Submittal Data Required by: Insurance Certificate Required by:

Qty. Description and/or Tag Number Task Code GL Code U/M Unit Price Extended Price
1 add taxes M - 1 - EQM - 7240 $ 383.25 $ 383
- - - $
- - - $
- - - $
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- - - $
- - - $
- - - $
- - - $
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- - - $
Previous Purchase Order Amount $ 4,645.
Amendment Amount $ 383
Total Amount This Purchase Order $ 5,028.
Provide all items per Plans and Specifications of Work

Warranty IF YES, Details:

TDIndustries Purchase Order Amendment page 1 of 6 pages


TERMS AND CONDITIONS APPLY

TDIndustries Purchase Order Amendment page 2 of 6 pages


Project Manager Signature Senior Project Manager Signature

Printed Name Printed Name

Date Date

Business Unit Manager Signature President Signature

Printed Name Printed Name

Date Date

Chief Executive Officer Signature

Harold F. MacDowell
Printed Name

Date

TDIndustries Purchase Order Amendment page 3 of 6 pages


9525 Derrington Road
Houston, TX 77064
(713) 939-1986

(if applicable)

Best Way Available


Destination
FFA (Full Freight Allowed)

NET 25th Prox.


on All Packages, Invoices, Packing Lists and Shipper's Receipts.
xpress Receipt and Prepaid Transportation Receipt (if applicable).

Extended Price
$ 383.25
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 4,645.38
$ 383.25
$ 5,028.63
Plans and Specifications of Work

TDIndustries Purchase Order Amendment page 4 of 6 pages


ND CONDITIONS APPLY

TDIndustries Purchase Order Amendment page 5 of 6 pages


TDIndustries Purchase Order Amendment page 6 of 6 pages

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