| PURCHASE ORDER# | _____________ | |||
| Customer Ship To: | ______________________________ | Date: | ___ /___/_____ | |
| Address: | ______________________________ | FOB: | _____________ | |
| Phone: | ______________________________ | SHIP VIA: | _____________ | |
| Fax: | ______________________________ | CONFIRM: | _____________ | |
| Authorized By: | ______________________________ | Salesman: | Larry Stock | |
| ITEM | QTY. | DESCRIPTION / PART NUMBER | P P C Part # | LIST PRICE | EXT. PRICE |
| 1 | Steering rack, rebuilt (exchange) | 03031C | 201.50 | 0.00 | |
| 2 | 1 | Seals, steering rack | 03031D | 10.40 | 10.40 |
| 3 | Seal, Steering Rack Input Shaft | 03032P | 7.23 | 0.00 | |
| 4 | 1 | Bushings,Bronze, steering rack | 03031P | 36.00 | 36.00 |
| 5 | 2 | Boot, steering rack end seal | 03030A | 20.64 | 41.28 |
| 6 | 2 | Clamp, steering rack boot, outer | 03030B | 2.43 | 4.86 |
| 7 | 2 | Clamp, steering rack boot, inner | 03030C | 6.71 | 13.42 |
| 8 | Rack pinion bearings | 03031F | 36.00 | 0.00 |
| TAXABLE | NONTAX | ||
| TOTAL PARTS | 105.96 | 105.96 | |
| TOTAL OTHER | |||
| SHIPPING & HANDLING | |||
| TAX ON PARTS-NV.@7.25% | 7.68 | ||
| TAX ON PARTS-CA.@8.25% | 8.74 | ||
| PURCHASE TOTAL-NV | 113.64 | 105.96 | |
| PURCHASE TOTAL-CA | 114.70 | 105.96 |