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<br />.1 L\tr.. \.J~...."....,.A. <br /> <br />~'~V/~VVV ~,~~ rl'~ <br /> <br />L.' vvv <br /> <br />TO:Unknown COMPANY:SIGN XPRESS <br /> <br />c;UI'PLlER <br /> <br />SIGN XPRESS <br />10821 CANAL STREET <br />LARGO, FL 33777 <br />United States <br /> <br /> Purchase Order . <br /> PURCHASE ORDER NO r~~SION I PAG; <br /> 743315 THIS PURCHASE ORDER NUMBER MUST APPEAR ON ALL INVOICES. <br />PACKING LISTS. CARTONS AND CORRESPONDENCE RELATED TO THIS ORDER <br />SHIP TO <br />See Line Item (s) Below <br />for Actual Ship To Location <br />BILL TO <br />Humana Inc <br />Accounts Pa~able Deport <br />PO Box 7400 3 <br />Louisville,KY 40201 <br />United States <br /> <br />HUMANA@ <br /> <br />G~idance when you need it most <br /> <br />500 West Main Street <br />Louisville, KY 40202 <br />502-580-8880 <br /> <br />CUSTOMER ACCT NO I SUfOlOR9908 DATE OF ORDERI8UYER REVISED DATElTIME <br /> 10-APR-08 C Brandenbur <br />F'AYMENT TERMS SHIP ~A DELIVERY TERMS <br />Net 45 UPS FOB Destination <br />FREI GHT TERMS REQUESTOR/DELIVER TO CONFIRM TOrrElEPHOr--l: <br />Prepaid and Add Johnson, Ms. Donna C DEROSE (727) 545-9785 <br />ITEM PART NUMBER/DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION <br /> This Purchase Order is issued for the est i me ted ollar Amoun for Goods or <br /> Services (GIS), and Hun ana does nc t commit 1 o pa the stated amount except <br /> as hereinafter set for h . Paymen (s) will ~ e re eased only e s GIS are <br /> provided and correctly submitted nvo ices bE come payable. A ter all <br /> anticipated invoices he ve been rec eived and baid against thi:~ PO, it will be <br /> closed and any Dollar ~ mount rema ning will e c ncelled wi t no further <br /> obligation by Humana. <br /> All prices and amounts on this or er are eXI= "'essc d in US de llar <br /> Please formally accept this order by: <br />1 NEEDED: 4 , 745 . 00 N <br /> 11-APR-08 <br /> Zephyrhills new sign <br /> for front of building <br /> Invoice #2255 <br /> o SHIP TO: <br /> 5401 W Kenned~ Blvd ~ 161 <br /> Tampa,FL 3360 <br /> United States <br /> Total 4 ,745 . 00 <br />THIS ORDER EXPRESSLY LIMITS ACCEPTANCE TO THIS FORM. THE ATTACHED TERMS AND CONDITIONS. AND ANY OTHER Ths Ptrchase Order has been electronically approved by: <br />HUMANA DOCUMENT YOU SIGN ANY ADDITIONAL TERMS SET FORTH IN ANY SUPPLIER COMMUNICATION ARE HEREBY <br />REJECTED ~~~.~ <br /> Chief Proct.rement Officer <br />