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Little Gu y Press
Laser Checks • One-Write Compatible Checks 3-Per-Page Checks • Deposit Tickets • Business Envelopes Manual Carbonless Business Forms
207.655.9668
Voucher Style (LV1) *Top, middle or bottom formats *1, 2 or 3 part available 8½” x 11” Single sheet 1 Check per sheet We have hundreds of check templates to match your software title and version. If you do not see it here, we can produce what you need, by supplying us with your sample via fax or email.
Laser/Inkjet Pantograph & Color Choices *Not all colors shown below are available for all checks. Please see chart on next page for availability.
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207.655.9668
* 100% compatible guarantee with your customer’s software program. * LGP offers the most extensive standard pantograph and color selection available for basic imprint laser checks. * Digitally printed for increase accuracy and quality . * Shrinkwrapped for protection. * 100% compatible guarantee with your customer’s software program. * LGP offers the most extensive standard pantograph and c lor selection avail ble for b sic imprint laser checks. * Digitally printed for increase accuracy and quality . * Shrinkwrapped for protection. Peachtree and hundreds of other titles.
(207) 655-9668 (207) 655-9668
CLASSIC with screened vouchers only CLASSIC with screened vouchers only
THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON.
THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON.
PAYTOTHE ORDEROF PAYTOTHE ORDEROF
$ $
$ $
DOLLARS
DOLLARS
MEMO 3 Per Page (LC3) *No payment stub eliminates waste 8½” x 3½” check 8½” x 11” sheet 3 Checks per sheet Wallet (LW3) PAYTOTHE ORDEROF PAYTOTHE ORDEROF DOLLARS MEMO DOLLARS
MEMO
ORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCU AUTHORIZEDSIGNATURE AUTHORIZE SIGNATURE
MEMO
ORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCU AUTHORIZEDSIGNATURE AUTHORIZE SIGNATURE
STONE panto prints screen of black remaining prints in color, with white vouchers only THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON. STONE panto prints screen of black remaining prints in color, with white vouchers only
MARBLE-SKY with MICR white band & white vouchers only MARBLE-SKY with MICR white band & white vouchers only THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON. THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON.
THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON.
PAYTOTHE ORDEROF PAYTOTHE ORDEROF
$
$
$
$
DOLLARS
DOLLARS
MEMO
AUTHORIZEDSIGNATURE
AUTHORIZEDSIGNATURE
MEMO
AUTHORIZEDSIGNATURE
AUTHORIZEDSIGNATURE
All Marble-Sky pantographs have a thermochromic heat sensitive image.
AMERICAN FLAG prints in red and blue with white vouchers only AMERICAN FLAG prints in red and blue with white vouchers only
LINEN with VOID feature and screened vouchers only LINEN with VOID feature and screened vouchers only
THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON.
MEMO *Includes stub for permanent record 6” x 2 11 / 16 ” check 8½” x 11” sheet 3 Checks per sheet Check Combinations Available PAYTOTHE ORDEROF PAYTOTHE ORDEROF skcehC detnirpmI - IVL Top w/Lines Top w/Sig Line Mid w/Sig Line Bottom No Lines skcehC detnirpmI - IVL Top w/Lines Top w/Sig Line Mid w/Sig Line Bottom No Lines w/Lines w/Lines No Lines No Lines DOLLARS $ $ ORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCU AUTHORIZEDSIGNATURE AUTHORIZE SIGNATURE MEMO DOLLARS $ $ ORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCU AUTHORIZEDSIGNATURE AUTHORIZE SIGNATURE
THEFACEOFTHISDOCUMENTHASACOLOREDBACKGROUNDONWHITEPAPERANDORIGINALDOCUMENTSECURITYSCREENONBACKWITHPADLOCKSECURITYICON.
PAYTOTHE ORDEROF PAYTOTHE ORDEROF
$
$
DOLLARS
DOLLARS
MEMO
AUTHORIZEDSIGNATURE
MEMO
AUTHORIZEDSIGNATURE
skcehC detnirpmI - 3CL skcehC detnirpmI - 3CL w/Lines
skcehc detnirpmI - 3WL skcehc detnirpmI - 3WL
AVAILABILITY AVAILABILITY
w/Sig Line Only w/Sig Lin Only
w/Lines
CLASSIC Blue CLASSIC Blue
X X X X X X X X X X X X X X X X X X X X X X X X X
X X X X X X X X X X X X X X X X X X X X X X X X X
X X X X X X X X X X X X X X X X X X X X X X X X X
X X X X
X X X X X X X X X X X X X X X X X X X X
X X X X
X X X X
X X X X
Green Gre n Burgundy Burgundy P ple Yellow Brown Gray Purple Yellow Brown Gray
STONE Blue STONE Blue
X X X X X X X X X X X X X
Green Gre n Burgundy MARBLE-SKY Blue Burgundy MARBLE-SKY Blue
Green Gre n Burgundy P ple Teal Burgundy Purple
Teal LINEN LINEN Blue
Blue Green Gre n Burgundy Tan SPECIALTY Burgundy Tan SPECIALTY
X X
X X
American Flag American Flag
littleguypress.com
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MCD Manual Cash Disbursement Check with record. MPR Manual Payroll/Cash Disbursement Check - employee & business record. MCD & MPR Specifications 8¼” x 3” Check w/Ticket 9” x 12 7 / 8 ” Sheet 3 Checks per sheet *7-Ring Binders Available. TCC Travel Convenience Check. Perfect for those who need a business size check on the go. TCC Style/Color Options Bordeaux - Burgundy Executive - Blue
MCD Style/Color Options Executive - Blue Parchment - Yellow Tranquility - Green Marble Sky - Blue, Green, Purple, Teal, Yellow & Green
MPR Style/Color Options Bordeaux - Burgundy Executive - Blue
Parchment - Yellow Tranquility - Green
Parchment - Yellow Tranquility - Green
Security Features Protect our checks from fraud. Our checks are manufactured with special security features that make copying or altering easy to detect! Our checks exceed the standard set forth by the Check Payment system Association guidelines. We are licensed to use the security certification icon (“Padlock Icon”) on all our negotiable documents. Even though the CPSA calls for two standard security features on each check, we offer many more at no additional cost.
B. Security Pantographs Our custom check backgrounds are designed to limit reproducibility by scanning or photocopying, while also ensuring check readability. C. Padlock Icon This security symbol warns that the check is security protected and is found on both sides of the check, with a description of at least two of the security features on the back of the check to verify authenticity. D. “MP” Logo MP, which stands for MicroPrinting, is recommended by the Check Payment Systems Association (CPSA) and is used on all our checks.
E. MicroPrinted Signature Lines On each signature line of our checks, we print microscopic lettering in type that is too small to be reproduced by scanning or photocopying that reads “ORIGINAL DOCUMENT”. A. Warning Band Found in the border of the check this warning band indicates the security features of the check for easy identification. Not available in all manual check styles. F. Security Screen A security screen that reads “ORIGINAL DOCUMENT SCREEN” is found on the back of all our checks, listing all security features included on the check. This screen is unable to be photocopied clearly.
O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O C U M E N T O R I G I N A L D O I G I N A L D O C U M E N T O R I G I N A L D O C U M Warning: DONOTWRITE,STAMPORSIGNBELOWTHISLINE RESERVED FOR FINANCIALINSTITUTIONUSE*
•Tiny type on front and back of document fills in to form solid lineswhen scanned or photocopied.
•Copy resistant security pantograph on front of document discourages clear duplication.
•Warns receivers to be aware of detailed security features. • “OriginalDocument” text, andweave apttern visible on back of check,will not appear if scanned or photocopied.
•Prevents chemical “lifting” and alteration of imprint information.
Padlock design is a certificationmark of theCheck PaymentSystemsAssociation
*FEDERALRESERVEBOARDOFGOVERNORSREG.CC
MPMicroprint Absenseof the followingSecurityFeaturesmay indicatealteration SecurityPantograph WarningBands/MPPadlock Logos SecurityScreenBacker OffsetPenetrating Ink Imprint
ENDORSEHERE
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207.655.9668
Nebs ® or McBee ®
Deluxe ® or Safeguard ®
Standard McBee holes
Standard Safeguard holes
St n ard McBee holes
St n ard Safeguard holes
One-Write Pantograph Colors
Deluxe ® or Safeguard ®
Nebs ® or McBee ®
blue, gray, green, gold & rose
blue, green, rose & gold
Pegboards Available McBee Style: Navy Blue, Black, Brown
Safeguard Style: Navy Blue, Black, Brown, Green
Journals: Available for some One-Write checks in packages of 50 or 100 Pegboard - One write system checks Compatible with all Deluxe ® , Nebs ® , McBee ® & Safeguard ® round hole formats. Duplicate checks available.
littleguypress.com
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Multipart Deposit Slips: Printed with Account Number, Name & Address.
Personal Deposit (PDT) Indicate number of parts when ordering Size: 6¼” x 3 1 / 8 ”
BDT
D30
Order# DistributorBug
D25
Order# DistributorBug
Order# DistributorBug
D E P O S I T T I C K E T PLEASE BE SURE ALL ITEMS ARE PROPERLY ENDORSED. LIST EACH CHECK SEPARATELY Checks and other items received for deposit subject to the terms and conditions of this bank’s collection agreement. Deposits may not be available for immediate withdrawal.
D E P O S I T T I C K E T
D E P O S I T T I C K E T
BANK NAME BANKADDRESS1 BANKADDRESS2 ROUTING/TRANSIT
BANK NAME BANKADDRESS1 BANKADDRESS2 ROUTING/TRANSIT
DATE
DOLLARS CENTS
DATE
DATE
DOLLARS
CENTS
. . . . . . .
CASH
DEPOS IT T ICKET
DOLLARS
CENTS
CURRENCY
CURRENCY
ROUTING TRANSIT
CURRENCY COIN CHECKS COMPANY NAME LISTEACH SEPARATELY
BANK NAME BANK ADDRESS 1 BANK ADDRESS 2
x 100 x 50 x 20 x 10 x 5 x 2 x 1
COIN CHECKS LIST SEPARATELY
COMPANY NAME
CASH CHECKS
1 2 3 4 5 6 7 8 9
ADDRESS 2
ADDRESS 3
ADDRESS 1
PHONE #
1 2 3 4 5 6 7 8 9
ADDRESS 3
ADDRESS 2
ADDRESS 1
PHONE #
20 DEPOSITSMAYNOTBEAVAILABLEFOR IMMEDIATEWITHDRAWAL
DATE
COMPANY NAME
SUB TOTAL
ADDRESS 1
ADDRESS 3
ADDRESS 2
PHONE #
SIGNHEREONLY IFCASHRECEIVEDFROMDEPOSIT
LESSCASHRECEIVED
COMPANY NAME ADDRESS 1 ADDRESS 3 PHONE # ADDRESS 2
$
$ . COIN
Checksandother items received fordepositsubject to the termsandconditionsof thisbank’scollectionagreement. DistributorBug
PDT
Order #
TOTALCASH
10 11
TOTAL
ITEMS
CHECKS 1 2 3 4 5 6 7 8 9
TOTAL
ITEMS
12
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
10 11 12 13 14 15 16 17 $ . PreparedBy VerifiedBy PLEASE RE-ENTER TOTALHERE
TOTAL
ITEMS
TOTAL DEPOSIT
ROUTING/TRANSIT
BANK NAME
TOTAL
PLEASE RE-ENTER TOTALHERE
TOTAL
All manual deposit slips assembled in books, except 3 & 4 Part loose sets.
CHECKSANDOTHER ITEMSARERECEIVEDFOR DEPOSITSUBJECTTOTHEPROVISIONSOFTHE UNIFORMCOMMERCIALCODEANDANY APPLICABLECOLLECTIONAGREEMENT.
CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT TO THE PROVISIONS OF THE UNIFORM COMMERCIAL CODE AND ANY APPLICA- BLECOLLECTIONAGREEMENT.
VerifiedBy Bag # PreparedBy
Please Print
TOTAL PLEASEENTERTOTALHERE
PleasePrint
D30 17 Deposit entries. Indicate number of parts when ordering Size: 8¾” x 3¾”
D25 Cash breakdown & 9 Deposit entries. Indicate number of parts when ordering Size: 8¾” x 3¾”
Standard BDT 32 Deposit entries. Indicate number of parts when ordering Size: 8¾” x 3¾”
QBDT For use with Quickbooks ® or later.
CASH
DEPOSIT TICKET
Date
Computer Printable Deposit Slips Indicate number of
SUBTOTAL LESS CASH RECEIVED
Signature
SIGNHERE FOR LESSCASH
DATE:
TOTAL NUMBEROF DEPOSITED ITEMS
DEPOSITMAYNOT BE AVAILABLE FOR IMMEDIATEWITHDRAWAL ALL ITEMSRECEIVED FORDEPOSIT ARE SUBJECT TO THE RULES ANDREGULATIONSOF THE FINANCIAL INSTITUTION
deposit ticket
CASH:
CHECKS:
OTHER:
TOTALITEMS:
DATE:
TOTALDEPOSIT:
parts (1, 2 or 3) when ordering. Size: 8½” x 3½” slips 8½” x 11”sheet 1 slip per sheet
DEPOSITDETAIL
PTDT For use with Peachtree ® .
IMPORTANT:Both parts of this formmust be submitted to your bankwhenmaking a deposit. Printed inU.S.A.
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207.655.9668
Double Wi Use with Invoic Now availab As 5022SS with S
9308 8 7 / 8 x 4 1 / 8
1”
PH: 1-888-440-IBBI (4224) FAX: 1-877-513-IBBI (4224) E-MAIL: dibbotson@ibbionline.com WEBSITE: www.ibbionline.com
3 / 8 ”
3 1 / 2 x 7 / 8 ”
P
7 / 8 ”
Double Window Envelope
Use with Now As 5022SS P
9308 8 7 / 8 x 4 1 / 8
1”
3 / 8 ”
PH: 1-888-440-IBBI (4224) FAX: 1-877-513-IBBI (4224) E-MAIL: dibbotson@ibbionline.com WEBSITE: www.ibbionline.com
4 x 1”
3 / 8 ” Double Window Check Envelopes Our business envelopes are provided blank as they are compatible with your checks, invoices and statements to allow addresses to show through windows. Choose regular (gummed) or self- sealing style. All of our business envelopes (excluding 9308-Regular) hav a security screen inside. Our standard double windows envelopes are displayed below. 3 1 / 2 x 7 / 8 ” 4 x 1” Use with Invoices and Statements Now available in Self-Seal As 5022SS with Security Screen inside 3 / 8 ” 3 / 8 ” 7 / 8 ” 1 / 2 ” 3 1 / 2 x 7 / 8 ” 9308 8 7 / 8 x 4 1 / 8 1” 1 / 2 ” 5 / 8 ” 9379 8 3 / 4 x 3 5 / 8 3 1 / 2 x 7 / 8 ”
Use with Quickbooks/ Available in Reg
3 / 8 ”
3 / 4 ”
P
PLEASE CALL FOR PRICING
7 / 8 ”
5 / 8 ”
9308 8 7 / 8 x 4 1 / 8
3 / 8 ”
Use with Quic Available P
1”
9379 8 3 / 4 x 3 5 / 8
3 3 / 4 x 13 / 16 ”
3 / 8 ”
5 / 8 ”
4 x 1”
13 / 16 ”
3 1 / 2 x 7 / 8 ”
3 / 8 ”
1 / 2 ”
3 1 / 2 x 7 / 8 ”
3 / 4 ”
7 / 8 ”
5 / 8 ”
3 / 8 ”
Use with Peacht Available in Reg
DW-84 8 3 / 4 x 3 2 / 3
3 / 8 ”
13 / 16 ” Use with Quickbooks/Quicken LV1 and LC3 Available in Regular and Self-Seal 1 / 2 ” 3 3 / 4 x 13 / 16 ”
9379 8 3 / 4 x 3 5 / 8
3 / 8 ”
5 / 8 ”
3 7 / 8 x 1”
4 x 1”
3 1 / 2 x 7 / 8 ”
1 / 2 ”
3 / 4 ”
3 / 4 ”
P
PLEASE CALL FOR PRICING
5 / 8 ” 9308 (Regular) & 5022 (Self-Seal) For use with invoices & statements. 9308 does not include a security screen. 13 / 16 ” 3 3 / 4 x 13 / 16 ”
1 / 2 ” 9379 (Regular) & 9379-SS (Self-Seal) For use with Quickbooks ® & Quicken ® LV1 & LC3. 3 / 8 ” 3 7 / 8 x 1” 5 / 8 ” 4 x 1”
5 / 8 ”
Use with Available P
DW-84 8 3 / 4 x 3 2 / 3
3 / 4 ”
5 / 8 ”
3 / 8 ”
#1 Not availabl
4 x 1” Use with Peachtree and Most LV1 Available in Regular and Self-Seal 13 / 16 ”
WALLET 6 1 / 4 x 3 1 / 2 ”
DW-84 8 3 / 4 x 3 2 / 3
1 / 2 ”
7 / 8 ”
5 / 8 ”
3 7 / 8 x 1”
2 5 / 16 x 5 / 8 ”
1 / 2 ”
3 / 4 ”
P
PLEASE CALL FOR PRICING ”
5 / 8 ”
3 / 8
WALLET 6 1 / 4 x 3 1 / 2 ”
13 / 16 ”
3 1 / 8 x 7 / 8 ”
Not a P
4 x 1”
7 / 8 ”
3 / 4 ”
2 5 / 16 x 5 / 8 ”
5 / 8 ”
1 / 2 ”
SEL-DWE-07
3 / 8 13071 (Regular) For use with Wallet LW3 Checks. Not available in Self-Seal ” 3 / 4 ” 3 1 / 8 x 7 / 8 ”
WALLET 6 1 / 4 x 3 1 / 2 ” DW-84 (Regular) & DW-84-SS (Self-Seal) For use with Peachtree ® and most LV1. 13 / 16 ”
#13071 Not available in Self-Seal
7 / 8 ”
2 5 / 16 x 5 / 8 ”
SEL-DWE-07
1 / 2 ”
PLEASE CALL FOR PRICING
We also offer a wide variety of other types of envelopes in a variety of sizes, with 1-Color, Spot Color & 4 Color printing available. Call us today for all of your envelope needs!
”
3 / 8
3 1 / 8 x 7 / 8 ”
3 / 4 ”
SEL-DWE-07
Little Gu y Press
littleguypress.com
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Our variety of manual forms come Edge Clued or Snap-a-part with 2-5 parts. 1 or 2 sided printing is also available. Standard 20# Carbonless • Standard Color Sequence (2-4 Parts) White, Canary, Pink & Gold • Standard Color Sequence (5 Parts) White, green, Canary, Pink & Gold • Standard Ink Colors Black, Reflex Blue, 347 Green, 208 Burgundy, 032 Red & 185 Red (All other Pantone colors available at additional cost) • Additional Services Available - Wrap Around Covers - 1, 2, 3 & 4 spot color printing - Padding, Drilling & Numbering
900CENTER STREET AUBURN,MAINE 04210 TEL. (207) 782-2290ORFAX (207) 782-3056
RETAILBUYER’SORDER DATE
STOCKNO.
Richard&KathyRaubeson www.kandrautosales.com
SALESPERSON:
PURCHASER(S)NAME: ______________________________________D.O.B. _____________S.S. #_________________ CO-BUYER’SNAME:_________________________________________D.O.B. _____________S.S. #_________________ ADDRESS: _________________________________________________TELEPHONE (HOME):______________________ CITY:________________________STATE:_______ZIP: ___________TELEPHONE (BUS.): _______________________ LEGALRESIDENCE:___________________________________________________________________________________ PleasePrint IfDifferentFromAbove I/We hereby agree to purchase from youunder the termsand conditions specifiedbelow and on the reverse sidehereof, the following: o NEW YEAR MAKE MODEL VIN/SERIALNUMBER BUYERS ORDER Auburn 699CENTERSTREET, AUBURN • 784-2321 SALESMAN:
STOCKNO. DEL.DATE
TYPE CO-BUYER’SNAME:___________________________________________________LIENHOLDER: _________________________ ADDRESS: _____________________________________________________TELEPHONE (Home): _________________________ CITY:___________________________STATE:___________ZIP:____________TELEPHONE (Bus): _________________________ DATEOFBIRTH:_________________EMAILADDRESS:____________________________________________________________ DATEOFBIRTH:_________________ ❑ RETAIL ❑ FLEET ❑ WHOLESALE ❑ LEASE ❑ OTHER_______________ ORDERSUBJECTTOPRESENTANDFUTUREGOVERNMENTREGULATIONS. I hereby agree to purchase from you under terms and conditions specifiedbelow andon the reverse side hereof, the following: ❑ NEW ❑ DEMO ❑ USED MAKE__________ MODEL_____________ YEAR_______BODYTYPE _______________ COLOR__________________TRIM_______________ SER.NO___________________________________________________ MILEAGE_________________________ DEALER’SDISCLOSURE: Previous owner’sname: KEYNO. MILEAGE COLOR APPROX.DEL.DATE DEALERPRICE ACCESSORIES PURCHASER’SNAME:__________________________________________________________________DATE:________________ (PleasePrint)
o CAR o TRUCK o OTHER
o DEMO o USED o LEASE
CYL.
TRANS
o AUTO o STD.
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
PURCHASER(S)DISCLOSURE
USEDCARTRADE-IN: MAKE MODEL YEAR MILEAGE TYPE COLOR CYL. SERIALNO. PRINCIPALUSEOFVEHICLE: MECHANICALDEFECTSKNOWN:
TYPEOFDAMAGE IFANYKNOWN INCLUDINGANYTHATWASREPAIRED
349.00 INSURANCE INFO: Tel#: ____________________________________ Agency __________________________________ Policy# __________________________________ LISTPRICE . . . . . . . . . . . . . . . . . . . . $______________ ______________________________ .$______________ ______________________________ .$______________ ______________________________ .$______________ ______________________________ .$______________ ______________________________ .$______________ ______________________________ .$______________ ______________________________ .$______________ ______________________________ .$______________
BALANCEOWEDTO: ADDRESS
SUBTOTAL ______________________________________________ Address: _______________________________________ City:___________________________________________ State:______________________ Zip:___________ _____ Principaluseofvehicle:_____________________________ Howacquired: Trade-In ❑ Auction ❑ Repossession ❑ ❑ OtherDescribe:_______________ ______________________________________________ ______________________________________________ KnownMechanicalDefects: ________________________ ______________________________________________ PreviousDamage (ifknown):________________________ ______________________________________________ REGISTRATION + TITLE PURCHASEDISCLOSURE: Used car trade-in: Make____________ Model________________________ BodyStyle_________________________Yr. __________ Mileage_______________Color_________Cyl.________ SerialNo._______________________________________ Principaluseot vehicle____________________________ PlateNo._______________________________________ KnownMechanicalDefects: ________________________ ______________________________________________ PreviousDamage (ifknown):_______________________ ______________________________________________ DollarAmount$_________________ Have emission devices been removed or altered (if known) ______________________________________________ Purchaseracknowledgesabove information tobeaccurate. X _____________________________________________ Lienholder:_____________________________________ TOTALPRICE $ $ $ $ StateSalesTax: TemporaryPlate TitleFee ArbitrationFee OwnedonTrade ExtendedServicePolicy DEPOSIT 1.C.O.D. o 2.REBATE 3.FINANCE BalanceDue o o
USEDVEHICLEALLOWANCE PAYOFFOWEDONVEHICLE OTHERLIENS/ENCUMBRANCES NETALLOWANCE
LessTrade-In TradeDifference (Taxable)
TITLEMUSTACCOMPANYTRADE-IN
Purchaser(s)hereby certifiesandguarantees that theabove information regarding theused car trade-in is trueand completeand further states that title to the vehicle trade-in is NOT a salvage, rebuiltornotactualmileage tittle.
SUBTOTALTAXABLE DocumentAdministrative andFilingFee
399.00 $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ 1.00 33.00 1.00 $______________ $______________
33.00 1.00 1.SUB-TOTAL. . . . . . . . . . . . . . . . . . 2.RoweDiscount. . . . . . . . . . . . . . . . 3. Trade $_______________ 4. TotalTrade&Discounts . . (2+3) 5.SubTotal. . . . . . . . . . . . . . . . . . . . . 6.ExtendedServicePolicy. . . . . . . . . 7. ❑ Accept ❑ Decline. . . . . . . . . . . DocumentAdmin.andFilingFee. . . . . SUBTOTAL . . . . . . . . . . . . . . . . . . . . StateSalesTax. . . . . . . . . . . . . . . . . . TemporaryPlate. . . . . . . . . . . . . . . . . TitleFee. . . . . . . . . . . . . . . . . . . . . . . ArbitrationFee. . . . . . . . . . . . . . . . . . . Owed onTrade. . . . . . . . . . . . . . . . . . TOTAL PRICE. . . . . . . . . . . . . . . . . . DEPOSIT. . . . . . . . . . . . . . . . . . . . . . 1.C.O.D. ❑ . . . . . . . . . . . . . . . . 2.REBATE ❑ . . . . . . . . . . . . . . . . 3.FINANCE ❑ . . . . . . . . . . . . . . . . BalanceDue. . . . .. . . . . . . . . . . . . . .
Purchaser(s)Signature DEALER’S DISCLOSURE (USEDVEHICLEORDEMONSTRATORSALE) PREVIOUSOWNER’SNAME STREETADDRESS CITY,STATE,ZIPCODE PRINCIPALUSEOFVEHICLE HowAcquired: o Trade-In o Repossession o Auction o Other (Describe)
OTHER (Non-taxableAmount)
MECHANICALDEFECTSKNOWN
TYPEOFDAMAGE IFANYKNOWN, INCLUDINGANYTHATWASREPAIRED
“THE INFORMATIONYOUSEEONTHEWINDOWFORMFORTHISVEHICLE ISPARTOFTHECONTRACT. INFORMATIONONTHEWINDOWFORMOVERRIDESANYCONTRARYPROVISIONS INTHECONTRACTOFSALE.” USEDCARWARRANTY DEALERHEREBY__________DOES_________DOESNOTDISCLAIMALL IMPLIEDWARRANTIESOFMERCHANTABILITYANDFITNESSFORA PARTICULARPURPOSEONTHISVEHICLE. WARRANTY Thevehiclehasbeen inspected inaccordancewithTitle29,Section2502ofMaine law,and is in theconditionandmeets thestandards requiredby thatstatuteand the rulesand regulationspromulgated thereunder. SEEREVERSESIDEFORADDITIONALTERMSANDCONDITIONSAND IMPORTANTWARRANTY INFORMATION NOTICETOPURCHASER: 1.DONOTSIGNTHISAGREEMENTBEFOREYOURREAD IT. 2.YOUAREENTITLEDTOACOPYOFTHISAGREEMENT. IHAVEREADTHEMATTERONTHEBACKHEREOFANDAGREETO ITASAPARTOFTHISORDERTHESAMEAS IF ITWEREPRINTEDABOVEMYSIGNATURE. The front and back hereof comprise the entire agreement affecting this order and no other agreement or understanding of any nature concerning same has beenmade or entered into. If this order is canceled for any reasonwhatsoever, it is agreed that the deposit hereunder shall constitute liquidated damages and not be refundable. (I understand that this order cancels and supersedes any prior agreements.) I hereby acknowledge a receipt of a copy of this order, and that this offer shall not become binding until “accepted” by dealer or salesmanager. PURCHASER(S)SIGNATURE:___________________________________________________________________________________________DATE:__________________________ ACCEPTEDBY:______________________________________________________________________________BY: ______________________________________________ OVER (Dealer) (Name andTitle)
NOTICE TO BUYER: READ THIS CONTRACT BEFORE SIGNING. YOU ARE ENTITLED TO AN EXACT COPY AND BUYER AC- K WLEDGES RECEIPT OF COPY OF THIS CONTRACT AND CERTIFIES THE INFORMATION REGARDING TRADE-IN IS TRUE. IN THE EVENT OF A C DI SALE, THE PURCHASER SHALL NOT BE OBLIGATED TO CONSUMMATE THIS TRANSACTION, UNLESS COMPLETE CREDIT SALES DISCLOSURES AS REQUIRED BY LAW INCLUDING FINANCE TERMS, THE TERMS OF WHICH ARE SATISFACTORY TO THE PURCHASER, ARE MADE BY THE DEALER. PURCHASER’S DEPOSIT WILL BE RETURNED IN THE EVENT FINANCE TERMS ARE NOTSATISFACTORYTOPURCHASER. SEEREVERSESIDEFORWARRANTY INFORMATION Note: Ihave read thematteron thebackhereofandagree to itaspartof thisorder thesameas if itwereprintedabovemysignature. THISORDERNOTVALIDUNTILACCEPTEDBYDEALER PURCHASER’SSIGNATURE______________________________________________________DATE:____________________ ACCEPTEDBY:_______________________________________________________BUS.MGR _________________________
900CENTERSTREET AUBURN,MAINE 04210 TEL: (207)782-2290 FAX: (702)782-3056 www.kandrautosales.com Richard&KathyRaubeson
AUTOSALES AdSource
699CENTERSTREET,RT. 4NORTH AUBURN,MAINE 04212-0500 TEL. (207) 784-2321or 1-800-339-7693 WEBSITE:http://www.roweauburn.com
Date Rowe Auburn Used Vehicle Warranty 20 , Sales Pro
946-5572
MasterPlumber
Customer Information
DENISR.LEBRUN Plumbing Co.
CUSTOMER’SNAME (LAST)
(FIRST)
(MIDDLE INITIAL)
P.O.Box613 49GreyRoad Greene,ME04236-0613 “FullServicePlumbingSpecialists”
D.O.B.
SS#
Name
CUSTOMER’SADDRESS (STREET)
(CITY)
D.O.B.
Name
SS#
State H IGH T ECH F IRE P ROTECTIONCO . . ,I I N N C C P.O.Box156 • Minot,ME04258 Tel: (207)998-2551 BackflowDeviceTestReport Zip CUSTOMER’SPHONENUMBER (HOME) VEHICLE IDENTIFICATIONNUMBER VEHICLEMODEL CUSTOMER’SPHONENUMBER (WORK)
(STATE)
(ZIPCODE)
City
Address
VEHICLEPURCHASEDATE
ODOMETERMILESONSALEDATE
HomePhone
Work
Material/Labor Customer ___________________________________Serial # ________________________ Address ____________________________________ License# ______________________ Make ______________Year ________BodyType ______________Mileage __________ C o u n t r y s i d e A u t o B o d y and AutoRepair JimTurcotte - Owner Balance ServiceCall ∫ Estimate ∫ Tel: 782-7769 Fax:782-1060 3429HotelRoad,Auburn,ME 04210 Monday-Friday 8-5 ReneFoster - Owner Date _____________
Tel: 782-7769 Customer ___________________________________Serial# ________________________ Address ____________________________________ License# ______________________ Make ______________Year ________BodyType ______________Mileage __________ C o u n t r y s i d e A u t o B o d y and AutoRepair Jim Turcotte - Owner Fax: 782-1060 3429HotelRoad,Auburn,ME 04210 Monday-Friday8-5 ReneFoster - Owner Date _____________
Cell #
VEHICLEYEAR
VEHICLEMAKE
Trade Information
Type RoweAuburnUsedVehicleWarranty 6Monthsor 6,000MilesWhicheverComesFirst $100DeductiblePerVisit Parts and LaborCoverage for 6months or 6,000miles (whichever come first) from agreement date andmileage.Replacement partsmay be new, remanufactured, or replacement parts of like quality. Covered Items 1.Engine,CylinderBlock,CylinderHead(s) and all internal parts containedwith the engine including:Pistons;PistonRings;ConnectingRodBearings;Crankshaft;CrankshaftMainBearing;CamShaft;Camshaft Bearing;Cam Followers;TimingChain or Belt;TimingChainCover;TimingGears;Guides;Tensioners;Rocker Arms;Rocker Shafts;Rocker Bushings;CylinderHeadValves;ValveGuides;Valve Lifters;Valve Springs; Valve Seals; Valve Retainers; Valve Seats; Push Rods;Water Pump; 0il Pump and Oil Pump Housing; Harmonic Balancer; Oil Pan; Intake and Exhaust Manifolds; Valve Covers; Engine Mounts; Turbocharge /SuperCharger (factory installed only);Housing andAll InternalParts;Seals andGaskets. 2.Transmission: (Automatic or Standard) Transmission Case and all Internal Parts plus: Torque Converter; Flywheel / Flex Plate;Vacuum Modulator; Electronic Shift Control Unit; Transmission Cooler; TransmissionMounts;OilPan;Seals andGaskets. 3.TransferCase:TransferCase andAll InternalParts;Seals andGaskets. 4.DriveAxle: (Front andRear)DriveAxleCase;All InternalParts containedwithin theDriveAxle;LockingHubs;DriveShafts;Universal Joints;ConstantVelocity Joints;AxleBearings;Four-Wheel-DriveActuator; DifferentialCover;Seals andGaskets. 5.Cooling:EngineCoolingFan andMotor;FanClutch;BeltTensioner;Radiator;HeaterCore;Thermostat;BlowerMotor;HotWaterValve. 6.Tires are presented as being the acceptable size and type for the vehicle onwhich they are sold.All tires including the spare tire (usually of the temporary type) are agreed to be in good condition,meeting State ofMaine InspectionStandards at the time of sale.RoadHazardDamage orDefects arising at a later timemay ormay not be covered by the tiremanufacturer. Towing for covered repairswill be paid byRoweAuburnwhen Pre-Authorized byRoweAuburn.Licensed Loaner cars are provided on an as-available basiswhen overnight repairs are necessary. Any loaner car not returnedwithin 20 hours of return requestwill be cause for a rental charge of $5.00 per hour beginning at the 20th hour. All repairswill be performed by or Pre-Autorized byRoweAuburn’sServiceDepartment. In the event a covered repair has to be done at another facilitywithout being Pre-Authorized byRowe Auburn, paymentwill be at the discretion ofRoweAuburn. Thiswarranty isnot transferable ro subsequentowners. WHAT ISNOTCOVERED THISAGREEMENTDOESNOTPROVIDECOVERAGE: a.For any of the following parts: carburetor, battery, shock absorbers, standard transmission clutch assembly, friction clutch disc and pressure plate, throw out bearing,manual and hydraulic linkages;distributor cap and rotor, glass. Lenses, brake rotor and drums, exhaust and emissions systems,weather strips, trim,moldings, brightmetal; chrome, upholstery and carpet, paint, outside ornamentation, bumpers, body sheetmetal and panels, tires (except asmay otherwise be provided under theSchedule ofCoverageSection of thisAgreement). b.ForanyBreakdown resulting from collision, fire, theft, vandalism, riot,explosion, lightning,earthquake, freezing, rustor corrosion,windstorm,hail,wateror flooddamage resulting fromweather conditions, salt, environmental damage, contamination of fluids, fuels, coolants or lubricants. c.For anyBreakdown caused bymisuse, abuse, negligence, lack of normalmaintenance required by themanufacturer’smaintenance schedule forYourVehicle, or-improper servicing byYou after the effective dateof thisAgreement.ForanyBreakdown causedby sludgebuild-upor the failure tomaintainproper levelsof lubricantsand /or coolants,or failure toprotectYourVehicle from furtherdamagewhenBreakdown has occurred. d.For any repair or replacement of any covered part if aBreakdown has occurred or if thewear on that part has not exceeded the field tolerances allowed by themanufacturer. e. If any alterations have beenmade toYourVehicle orYou are using or have usedYourVehicle in amanner not recommended by themanufacturer including but not limited to, the failure of any custom or add-on part, all frame or suspensionmodifications, lift kits, oversized / undersized tires, trailer hitches, emissions and / or exhaust systemsmodifications, enginemodifications or snow plow installation. f. If your odometer has ceased to operate and odometer repairs have not beenmade immediately, or the odometer has been altered in anyway subsequent to purchase. g.For any liability for property damage, or for injury to or death of any person arising out of operation,maintenance or use ofYourVehiclewhether or not related to the parts covered.For loss of use, time, profit, inconvenience, or any other loss that results from aBreakdown. h.When the responsibility for the repair is covered by an insurance policy, or anywarranty from themanufacturer, such as extended drivetrain,major component or FullCoveragewarranties (regardless of the remainingmanufacturer’s warrnty whenYou purchased this vehicle), or a repir’s guarantee or warranty. Further, Coverage under this Agreement is similarly limited in the event of a Breakdown if the manufacturer has announced its responsibility through anymeans, including public recalls and factory service bulletins. i. IfYourVehicle is used for towing a trailer or anotherVehicle or object unlessYourVehicle is equippedwith factory-installed or factory-authorized tow package, or is used as a commercial unit, or is used for rental, taxi, limousine or shuttle, delivery, towing or road repair operations, construction, job site activities, hauling, police or emergency service, principally off-road use, racing or competitive driving, snow removal, route-work, service or repair. j.For anyBreakdown if the information provided byYou, or the repair facility, cannot be verified as accurate or is found to be deceptively inaccurate. k.ForBreakdowns that occur and / or repairsmade outside of theUnitedStates ofAmerica andCanada. l.For radios, cassette decks,Video andNavigationSystems,CD players, remote car starters, telephones, security systems, speaker systems or sound-enhancing equipment, unless covered bymanufacturer of said equipment. Ihave read thewarrantydescribed above and agree to its terms and conditions. __________________________ _________________ ___________________________ PurchaserSignature Date DeliverySalesperson Initial Test E P A I R S Final Test CheckValveNo.1 CheckValveNo. 2 1. Leaked _____________ o 2.ClosedTight _________ Cleaned ______________ o Replaced: Disc ______________ o Spring _____________ o Guide _____________ o PinRetainer ________ o HingePin __________ o Seat ______________ o Diaphragm _________ o Other,Describe _____ o _____________________ _____________________ _____________________ _____________________ _____________________ 1. Leaked ______________ o 2.ClosedTight __________ o Cleaned ______________ o Replaced: Disc ______________ o Spring _____________ o Guide _____________ o PinRetainer ________ o HingePin __________ o Seat ______________ o Diaphragm _________ o Other,Describe _____ o _____________________ _____________________ _____________________ _____________________ _____________________ ClosedTight _____________ ClosedTight_____________ The above report is certified tobe true: Model Color Vin# Payoff $ Month$ up to$ Make Miles CustomerName PRINT CustomerName PRINT Date Date
Year
Make
NameofPremises _________________________________________________________________________________
Mileage
ServiceAddress __________________________________________________________________________________
Lienholder
KnownDamageorMechanicalDefects
Loc tion ofDevi e ________________________________________________________________________________
Date
DownPayment $
Hours Material BLUE HILL GARAGE, INC. P.O.BOX 600 98MAINSTREET BLUEHILL,MAINE 04614 TEL.374-5575 Refinishing Hours Sublet Items
Model Device ____________________________ _______________________ ________________ _________________ manufacturer model size serialno. LinePressureat timeof test_____________ lbs. / Pressuredropacrossfirstcheckvalve_______________ lbs.
Refinishing Hours
Sublet Items
Quantity DetailsofRepairsand/orReplacements Labor
Quantity DetailsofRepairsand/orReplacements Labor
Stock #
Year
Hours Material
INITIAL PRIVACYNOTICE In connectionwith your transactionwemay acquire information about you as described in thisnotice,whichwehandle as stated in thisnotice. We collectnon-publicpersonal information about you from the following sources: Informationwe receive from youon applications for credit orother forms; Information about your transactionswithus; and Informationwe receive from a consumer reporting agency. • • • Our dealershipmay disclose anynon-public personal information about you to anyone except as permitted by law. 1. 2. Our dealershipmaydisclosenon-public personal information about you, as a consumer, customer or former customer, tonon-affiliated thirdparties (such as companieswho performmarketing services for us) as permittedby law. Our dealership restricts access tonon-public personal information about you to only those employees whoneed toknow that information in order to provide products or services to you.Our dealership policy is that employees cannot use your information for anyother purpose.Wemaintain physical, electronic and procedural safe guards that complywith federal regulations to guard yournon-public personal information CUSTOMERACKNOWLEDGEMENT: The undersigned customer(s) acknowledge receiptof a copyof this notice on the date indicated below. 3. 4.
DifferentialPressureReliefValve Opened at___________ lbs. Didnot open_____________ Cleaned ______________ o Replaced:
20
Date
No. Name Address
Disc,Upper _______ o Disc, Lower ________ o Spring ____________ o
Change From $
Sold by Cash ChangeOther
Diaphram, Large
Upper _____________ o Lower ____________ o
AMOUNT
QTY
DESCRIPTION
Diaphram,Small
Upper _____________ o Lower ____________ o Spacer, Lower _________ o Other,Describe ________ o ________________________ ________________________ Open at_____________ lbs. ReducedPressure
Thank - You
Total
CustomerSignature
The undersigned repairer offers to complete and gaurantee all repairs and replacements listed on sheet ________ hereof for the total sum of $____________ , including all towing and storage charges incidental thereto. THIS ISNOTANAUTHORIZATIONTOREPAIR __________________________Repairer By ____________________
The undersigned repairer offers to complete and gaurantee all repairs and replacements listed on sheet ________ hereof for the total sum of $____________ , including all towing and storage charges incidental thereto. THIS ISNOTANAUTHORIZATIONTOREPAIR __________________________Repairer By ____________________
Labor ________hrs.@ _______ $ _______ Parts $ _______Less% ______$ _______ Tax ______% _______on $ ______$ _______ Sublet&Net Items __________$ _______ TOTAL $ _______
Labor ________hrs.@ _______$ _______ Parts $ _______Less% ______$ _______ Tax ______% _______on$ ______$ _______ Sublet&Net Items __________$ _______ TOTAL $ _______
Co-CustomerSignature
Remarks _________________________________________________________________________________________
____________________________________________________________________________________________________________
TAX TOTAL
Received By
Initial testperformedby_______________________________ofHighTechFireProtection Date_______________
ALLCLAIMSANDRETURNEDGOODSMUSTBEACCOMPANIEDBYTHISBILL
ThankYou!Weappreciate yourpatronage. 1½% interestchargedonoverdue accounts.
Repairedby_________________________________________________________________ Date_______________
No XXXXX
Final testperformedby_______________________________ofHighTechFireProtection Date_______________
8
207.655.9668
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