2013-479 Health - Patterson Dental to procure and deliver the products & services as it relates to TRG Conseutive Training $1,400

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4 k. CUSTOMER ORDER P J` RS"N DENTAL ID: Branch: RALEIGH BRANCH Name:ORANGE COUNTY HEALTH DEPT Proposed By:Jim Hoye Address:300 W.TRYON ST. Rep Phone#:( } - P O BOX 8181 HILLSBOROUGH,NC 27278 Rep Cell Phone#: (919)614-5818 Rep Fax#:(919)8761.1153 Phone:(919)732 9361 Date Proposed:10/1/2013 Fax( ) Approc Install Date: Expiration Date: 12/31/2013 Mfr Mfr# Description fOtty Retail Price Sell Price Total EAGLESOFT TRMTW TRG-CONSECUTIVE TRAINING MN/TUE OR WED 1 600.00 600.00 600.00 EAGLESOFT TRTHF TRG-CONSECUTIVE TRAINING THUR OR FRI 1 800.00 800.00 800.00 Subtotal: $1,400.09 Freight Charges: $0.00 Estimated Sales Tax(7.5000°/4: $0.00 Total Investment $1,400.00 Less Downpayment: $0.00 Net Investment $1,400.00 The prices in this proposal will remain in effect until the earlier of the expiration date set forth above or a manufacturer price increase. 9 Customer is applying for credit with Patterson Dental Supply,Inc,a Minnesota corporation("Patterson' , Customers order will not be binding on Patterson,even if Patterson has signed below,until Patterson,in its sole discretion,approves Customers credit. Any sales tax and shipping/handling charges in this order are estimates.Patterson wil invoice,and Customer agrees to pay,all applicable shipping/handfing charges and taxes and other governmental charges. By signing below,Customer contracts for the products and services specified in this Order on the tams contained in the schedules identified below(the "Schedules").-Customer acknowledges receipt of a copy of this Order and the Schedules(together,"this Agreement'j.Customer agrees to be bound bythe terms of this Agreement,including the WARRANTY LIMITATIONS. Schedules ✓ General Terms and Conditions If your application for business credit is denied,you have the right to a written statement of the specific reasons for the denial. To obtain the statement,please contact the undersigned within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. Notice: The federal Equal Credit Opportunity Ad prohibits creditors from discriminating against credit applicants on the basis of race,color,religion,national origin,sex,marital status,age(provided the applicant has the capacity to enter into a binding contract);because all or part of the applicant*s income denies from any pubic assistance program;or because the applicant has in good faith exercised any right under the Consumer Credit Protection Ad_ The federal agency that administers compliance with this law concerning this creditor is FDIC,2345 Grand Avenue,Kansas City,MO 64108.