BID FORM - ¾-TON TRUCK WITH UTILITY BODY
Bidder Name: Dow Leon Moses, Inc.
Business Address: 2G/12 COLOSA tROY
City/State/ZIP: SUBA Cure
Phonel306142,00 Email: murry e daulewismaters com
Contact Person: Murry LEwis.
PRICE SCHEDULE
Description
Base Vehicle Price
Utility Body Price
Dealer / Documentation Fees
Sales Tax $ $323.15
Registration / Title / License Fees $ 130.75
Delivery Charges S
TOTAL BID PRICE (DELIVERED) $ 69,891.90
LESS $ 500 AM REBATE
VEHICLE INFORMATION TOTAL # 609,39190
MakeL
Model:
Model Year:
Drivetrain:
Guaranteed Delivery Time (≤ 10 working days): LES
CERTIFICATION AND NON-COLLUSION
By signing below, the bidder certifies authority to bind the company, compliance with specifications, inclusion of all costs, guaranteed delivery within ten (10) working days, non- collusion, and validity of the bid for sixty (60) calendar days.
Authorized Signaturep-
EDic
Printed Name: WHIRRi
nate: 371/20
Date: