HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9154484STATE
CO
DEALER ORDER NO.:
Construction Utility Forestry Government
STATE PURCHASER IS
BUSINESS INDIVIDUAL
NEW DEMO RENT USED
MARKET USE CODE:
PURCHASER ACCT.:
CITY
PURCHASER TYPE:
ZIP CODE
City of Fort Collins
17-7476
STREET OR RR
(5) ADDITIONAL FEES
COUNTY
NAME (First, Middle, Last)
STREET OR RR Add purchaser to Mailing list (Check One or More)
STATE
CO
ZIP CODE
EMAIL ADDRESS
Date of Order:
07/10/15
NAME (First, Middle Initial, Last) DEALER ACCOUNT NO
Customer Purchase Order for John Deere Construction and Forestry Products - USA
80524
CASH
Fort Collins
CITY CITY
PURCHASER NAME AND ADDRESS (First Signer) DEALER NAME AND ADDRESS
DEALER NAME
ZIP CODE COUNTY
4 Rivers Equipment, LLC
STREET or RR
125 John Deere Drive
PHONE NUMBER
Fort Collins
TYPE OF SALE
LEASE TIME SALE
PURCHASER NAME AND ADDRESS (Second Signer)
NO: _______________________________________________________
PIN or Serial Number
CITY STATE
DELIVERED CASH PRICE
1 00027182
EXTENDED WARRANTY IS COUNTY CODE
LOCATION OF FIRST
WORKING USE
COUNTY
QTY (Hours of Use)
Top cap with Pins to fit Case 590SM
EQUIPMENT (Give Model, Size & Description)
(8) CASH WITH ORDER
$8,713.33
QTY PIN OR SERIAL NUMBER AMOUNT
$0.00
$8,713.33
(6) SUB-TOTAL
Purchaser (First Signer) Signature
Purchaser (Second Signer) Signature
Dealer Representative Signature
Salesperson Signature
DELIVERED WITH OPERATOR'S MANUAL ON:
The undersigned purchaser(s) (the “Purchaser”) hereby orders the product(s) (the “Product”) described above from the Dealer. The Dealer shall not be liable for failure to provide the
Product or for any delay in delivery if such failure or delay is due to the Dealer’s inability to obtain such Product from the manufacturer or supplier or other cause beyond the Dealer’s
control. The cash price shown above is subject to the Dealer receiving the Product from the manufacturer or supplier prior to any change in price by the manufacturer or supplier and
is also
subject to any new or increased taxes being imposed upon the sale of the Product after the date of this Purchase Order.
DISCLOSURE OF REGULATION APPLICABILTY: When operated in California, any off-road diesel vehicle may be subject to the California Air Resources Board In-Use Off-Road Diesel Vehicle
Regulation. It therefore could be subject to retrofit or accelerated turnover requirements to reduce emissions of air pollutants. More information is available on the California Air
Resources Board website at
http://www.arb.ca.gov/msprog/ordiesel/ordiesel.htm
The Purchaser understands that its rights in connection with this purchase are limited as set forth in this Purchase Order. Notice is hereby given that
4 Rivers Equipment, LLC has assigned its rights under this sale to 4 Rivers Equipment Exchange, LLC to sell the rental equipment described herein
and, if applicable, to purchase trade-in property described herein.
Purchaser’s signature below acknowledges the Purchaser has received a copy of the Standard Warranty, Version _______(Initials)_______ and understands its terms and conditions
IMPORTANT WARRANTY NOTICE: The Standard Warranty for new John Deere construction and forestry products is set forth in a separate document provided by the dealer. Please read the Standard
Warranty carefully before signing. No express warranty is made unless specified in the Warranty Statement. PUCRCHASER’S RIGHTS AND REMEDIES PERTAINING TO THIS PURCHASE ARE
LIMITED AS INDICATED IN THE STANDARD WARRANTY AND PURCHASE ORDER. WHERE PERMITTED BY LAW, NO IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS IS MADE.
Use of John Deere Data Services, if applicable, and all rights and obligations of John Deere and the Purchaser (or "Customer" as identified in the applicable agreement), are governed
by the terms and
conditions outlined in the Warranty Statement and the applicable John Deere Construction & Forestry Company Subscriptions & Data Services Dealer Agreement and/or Customer Data Services
agreements available at www.JohnDeere.com/Agreements. Purchaser agrees to be bound by these terms and conditions if Purchaser activates or otherwise uses any of the Data Services. If
Purchaser
does not agree to these terms and conditions. Purchaser must not activate or otherwise use the Data Services.
TERMS & CONDITIONS VERIFICATION STATEMENT
DELIVERY ACKNOWLEDGEMENT
Purchaser Signature:
Doug Groves
Bret Bollmeier
Date
Date
Date
Date
(2) TOTAL TRADE-IN ALLOWANCE
(3) BALANCE (1-2) $8,713.33
(7) RENT APPLIED
(4) SALES TAX
On Order
New price for HP1100 w/o top cap is $11,950
2014 Indeco HP1100 Hydraulic Hammer
EMAIL ADDRESS
New
PHONE NUMBER
$6,963.33
1 $1,750.00
SOCIAL SECURITY IRS TAX ID EIN
Accepted Rejected _____(initials)
(1) TOTAL CASH PRICE
TRADE-IN (Model, Size, Description) (Hours of Use)
$0.00
ACKNOWLEDGEMENTS: Purchaser offers to sell, transfer, and convey the items(s) listed as "Trade In" to the Dealer at or
prior to the time of delivery of the above product(s), as a "trade-in" to be applied against the cash price. Purchaser
represents that each "trade-in" item shall be free and clear of all security interests, liens, and encumbrances at the time of
transfer to the Dealer except to the extent shown below. The price to be allowed for each "trade-in" item is listed o this
document. The Purchaser promises to pay the balance due (line 9) shown hereon in cash, or to execute a Time Sale
Agreement (Retail Installment Contract), or a Loan Agreement for the purchase price of the Product(s), plus additional
charges shown thereon, or to execute a Lease Agreement, on or before delivery of the equipment ordered herein. Despite
delivery of the product(s) to the Purchaser, title shall remain with the Seller until one of the foregoing is accomplished. The
Purchaser and the Dealer agree the this Purchase Order is not a security agreement and that delivery of the Product(s) to
the Purchaser pursuant to this Purchase Order will not constitute possession of the Products by the Purchaser, as a debtor,
for the purposes of the purchase money security provisions in any statutes relating to personal property security of its
equivalent. Purchaser understands that its rights in connection with this purchase are limited as set forth in this purchase
order.
$8,713.33
(9) BALANCE DUE (6-(7&8))