Acceptance of Purchase Quote: OM-00088371
By signing below, you (I) warrant that you are an suthorized representative of your company, {i!) agree thai the Therme Scientific Portable
Analytical Instruments inc. Terma and Conditions of Sale attached herete (the “Terms and Conditions”) shalt supersede eny preprinted terms
and corditions, in their entirety, contained in any purchase order that your company lecues and ({il) the Terns and Conditions shall exctusively
gavorn the transaction(s) contemplated hereby
Signature of authonzed company represertative Date Phones
Print Name Tithe Email
Model # Amounl + S&H Purchase Order Number
E-mail to: painales opa@thermofisher.com Fax to: 1-877-680-2566
Order Processing Address: Remit check Payment To:
dave.massingham@thermotisher.com Thermo Sclentific Portable Analytical Inatruments inc
Thermo Scientific Portable Analytical Instrumente Inc PO Box 418018
2 Radciltf Read Boston, MA 02241-415918
Tewksbury, MA 01876
Payment Details
Mathod of Payment Sales Tax Application
Ct Nei 30 {Attach Credit Application & Cradit References) O Yes Apply Sales Tax
DC) creat card no
C1 check + #0, you must provide a copy of your tax exempion certiicate along with your purchase order.
DO Wire Transier
“Plesse cantact your cuslomer service representative with your credit card information. (09 not send any credit card info via emall or fax.)**
Address Verification
Please make corrections it necessary below.
Bill te: Ship to:
70 E Hollis S1 70 E Holis 51
Nashua. New Hampshire 3060-6307 Nashua, New Hampshire 3060-6307
United States United States
Additional Options / Accessories
Piease use the space below to nole any additional options and/or accessories yau wish to add from the attached sheets that are nol included in the above
quotation.
When applicable, commodities, technology, or software to be provided In furtherance of this order shall be axported from ihe United States in
accordance with applicable U.S export laws or regulations, Diversion contrary to US law prohibited, Uniese otherwise agreed to in writing, Thermo
Scientific Portable Analytical Instruments inc. terms and conditions shall apply and take precedence.
apne, PhermofFisher Page2/s
SCIENTIFIC
