DS9 Document EFTA00283688

MATOT commercial grade lift solutions ORDER SCHEDULE VERIFICATION DATA SHEET To: Richard Barnett Company: From: Scott Holat Email: NES, LLC We would again like to thank you for ordering Matot equipment. We have received the approved prints for the below- mentioned job. At this time we have placed your unit into our production schedule and have ordered any special components that are required. We ask that you verify the following information, which is on file, or assist with information needed to correctly ship your order. This information is mandatory before any shipment is sent to you. Your job will NOT ship until all information is received. The estimated ship date for your order is during the week ending: ❑No PO on file! Please send. Your PO Number: Contract Number: Matot Job Number: 131752 Project Name: Shelf for Matot Job 21808 Your freight will be shipped in one of the two following manners Freight Collect (The receiver is responsible for all freight, freight charges and freight claims once it leaves our dock) Third Party Billing (The receiver is responsible for all freight and freight claims once it leaves our dock. The third party payor is responsible for all freight charges) Step 1: Provide Billable Party 1. Send Freight Bill To: Company Name: Address: Address: City: State: Zip: Step 2: Provide Freight Carrier 2. Provide your preferred freight carrier UPS COD If you do not have a preferred freight carrier choose either ABF, YRC. FLO for the NY area only. Step 3: Provide the Ship to Address [Check If The Ship To Address Is The Same As The Freight Bill To Address Ship To: Company Name: NES, LLC (NO P.O. BOX NUMBERS) 24-hour delivery notice phone number: Signature: Comments: Ship UPS COD. Lift Gate Required C/O: Richard Barnett Address: City: State: Zip: Name: Richard Barnett Please return this form via email or fax to as soon as possible. EFTA00283688