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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

Laser Voucher Checks * 100% compatible guarantee with your customer’s software program. * LGP offers the most extensive standard pantograph and c lor selection avail ble for basic imprint laser checks. * Digitally printed for increase accuracy and quality . * Shrinkwrapped for protection. Computer checks for Quickbooks, Peachtree and hundreds of other titles. * 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.

(207) 655-9668 (207) 655-9668

CLASSIC with screened vouchers only CLASSIC with screened vouchers only

THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.

THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.

PAY TO THE ORDER OF PAY TO THE ORDER OF

$ $

$ $

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) PAY TO THE ORDER OF PAY TO THE ORDER OF DOLLARS MEMO DOLLARS

MEMO

ORIGINALDOCUMENTORIGINALDOCUMENTO RIGINA LDOCUMENTORIGINAL DOC UM ENTOR IGI NALDOCUMENTORI GI NALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGI NALDOCUMENTORIGINALDOCUME NTOR IGIN ALDOCUME NT ORIGIN ALDOCUMENTOR IG INALDOCUMEN TORIG INALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTOR IGI NALDOCUMENTORIGINAL DOCUMENTORIGINALDOCUMENTORIGINA LDOCUMENTORIGINALDOCUMENTOR IG INALD OCUMENTORIGINALDOCUMENTORIGINA LDOCUM ENTORIGINA LDOCUMENTORIGINALDOCU AUTHORIZED SIGNATURE AUTHORIZE SIGNATURE

MEMO

ORIGINALDOCUMENTORIGINALDOCUMENTO RIGINA LDOCUMENTORIGINAL DOC UM ENTOR IGI NALDOCUMENTORI GI NALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGI NALDOCUMENTORIGINALDOCUME NTOR IGIN ALDOCUME NT ORIGIN ALDOCUMENTOR IG INALDOCUMEN TORIG INALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTOR IGI NALDOCUMENTORIGINAL DOCUMENTORIGINALDOCUMENTORIGINA LDOCUMENTORIGINALDOCUMENTOR IG INALD OCUMENTORIGINALDOCUMENTORIGINA LDOCUM ENTORIGINA LDOCUMENTORIGINALDOCU AUTHORIZED SIGNATURE AUTHORIZE SIGNATURE

STONE panto prints screen of black remaining prints in color, with white vouchers only THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON. 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 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON. THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.

THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.

PAY TO THE ORDER OF PAY TO THE ORDER OF

$

$

$

$

DOLLARS

DOLLARS

MEMO

AUTHORIZED SIGNATURE

AUTHORIZED SIGNATURE

MEMO

AUTHORIZED SIGNATURE

AUTHORIZED SIGNATURE

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

THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.

MEMO *Includes stub for permanent record 6” x 2 11 / 16 ” check 8½” x 11” sheet 3 Checks per sheet Check Combinations Available PAY TO THE ORDER OF PAY TO THE ORDER OF LVI - Imprinted Checks Top w/Lines Top w/Sig Line Mid w/Sig Line Bottom No Lines LVI - Imprinted Checks Top w/Lines Top w/Sig Line Mid w/Sig Line Bottom No Lines w/Lines No Lines DOLLARS $ $ ORIGINALDOCUMENTORIGINALDOCUMENTO RIGINA LDOCUMENTORIGINAL DOC UM ENTOR IGI NALDOCUMENTORI GI NALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGI NALDOCUMENTORIGINALDOCUME NTOR IGIN ALDOCUME NT ORIGIN ALDOCUMENTOR IG INALDOCUMEN TORIG INALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTOR IGI NALDOCUMENTORIGINAL DOCUMENTORIGINALDOCUMENTORIGINA LDOCUMENTORIGINALDOCUMENTOR IG INALD OCUMENTORIGINALDOCUMENTORIGINA LDOCUM ENTORIGINA LDOCUMENTORIGINALDOCU AUTHORIZED SIGNATURE AUTHORIZE SIGNATURE MEMO DOLLARS $ $ ORIGINALDOCUMENTORIGINALDOCUMENTO RIGINA LDOCUMENTORIGINAL DOC UM ENTOR IGI NALDOCUMENTORI GI NALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGINALDOCUMENTORIGI NALDOCUMENTORIGINALDOCUME NTOR IGIN ALDOCUME NT ORIGIN ALDOCUMENTOR IG INALDOCUMEN TORIG INALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTORIGI NALDOCUMENTOR IGI NALDOCUMENTORIGINAL DOCUMENTORIGINALDOCUMENTORIGINA LDOCUMENTORIGINALDOCUMENTOR IG INALD OCUMENTORIGINALDOCUMENTORIGINA LDOCUM ENTORIGINA LDOCUMENTORIGINALDOCU AUTHORIZED SIGNATURE AUTHORIZE SIGNATURE LC3 - Imprinted Checks LC3 - Imprinted Checks w/Lines No Lines

THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.

PAY TO THE ORDER OF PAY TO THE ORDER OF

$

$

DOLLARS

DOLLARS

MEMO

AUTHORIZED SIGNATURE

MEMO

AUTHORIZED SIGNATURE

LW3 - Imprinted checks LW3 - Imprinted checks w/Lines w/Sig Lin Only

AVAILABILITY AVAILABILITY

w/Lines

w/Sig Line Only

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.

G I N A L D O G I N A L D O I G I N A L D O

D O

D O C U M

I G I N A L

C U

N

E

A L

T

M

M E

T

O R I

U

N

N T

I

E N

O R

C

G

I

O

R

D O

D O C U M D O C U M

I G I N A L I G I N A L

C U

N

E

A L

T

M

M E

T

O R I

U

N

N T

I

E N

O R

C

G

I

O

R

D O

C U

A L

N

E

T

M E

M

T

N

N T

O R I

I

U

O R

G

I

E N

O

R

C

G I N A L D O G I N A L D O

D O

D O C U M D O C U M

I G I N A L

C U

A L

M E

N

E

T

N

N T

M

I

O R

T

G

I

O

R

O R I

U

• Tiny type on front and back of document fills in to form solid lines when scanned or photocopied.

• Copy resistant security pantograph on front of document discourages clear duplication.

E N Warning:

• Warns receivers to be aware of detailed security features. • “Original Document” text, and weave apttern visible on back of check, will not appear if scanned or photocopied.

• Prevents chemical “lifting” and alteration of imprint information.

C

D O

I G I N A L

C U

A L

M E

N

E

T

N

N T

M

I

O R

T

G

I

O

R

O R I O R I

U

E N

C

G I N A L D O G I N A L D O

D O D O

D O C U M D O C U M

I G I N A L I G I N A L

Padlock design is a certification mark of the Check Payment Systems Association

C U

N

E

T

A L

M

M E

T

U

N

N T

E N

I

C

O R O R

G

I

O

R

RESERVED FOR FINANCIAL INSTITUTION USE*

*FEDERAL RESERVE BOARD OF GOVERNORS REG. CC

DO NOT WRITE, STAMP OR SIGN BELOW THIS LINE

C U

MP Microprint Absense of the following Security Features may indicate alteration Security Pantograph Warning Bands/MP Padlock Logos Security Screen Backer Offset Penetrating Ink Imprint

A L

ENDORSE HERE

M E

N

N

I

G

4

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# Distributor Bug

Order# Distributor Bug

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 BANK ADDRESS 1 BANK ADDRESS 2 ROUTING/TRANSIT

BANK NAME BANK ADDRESS 1 BANK ADDRESS 2 ROUTING/TRANSIT

DATE

DOLLARS CENTS

DATE

DATE

DOLLARS

CENTS

. . . . . . .

CASH

D E P O S I T T I C K E T

DOLLARS

CENTS

CURRENCY

CURRENCY

ROUTING TRANSIT

C U R R E N C Y COI N CHECKS COMPANY NAME LIST EACH 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

Checks and other items received for deposit subject to the terms and conditions of this bank’s collection agreement. DATE Distributor Bug

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 DEPOSITSMAY NOT BE AVAILABLE FOR IMMEDIATEWITHDRAWAL

COMPANY NAME

SUB TOTAL

ADDRESS 1

ADDRESS 3

ADDRESS 2

PHONE #

SIGN HERE ONLY IF CASH RECEIVED FROMDEPOSIT

LESS CASH RECEIVED

COMPANY NAME ADDRESS 1 ADDRESS 3 PHONE # ADDRESS 2

$

COIN TOTAL CASH

PDT

Order #

10 11

10 11 12 13 14 15 16 17 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

TOTAL

ITEMS

TOTAL DEPOSIT

ROUTING/TRANSIT

BANK NAME

TOTAL

PLEASE RE-ENTER TOTAL HERE

TOTAL

PLEASE RE-ENTER TOTAL HERE

All manual deposit slips assembled in books, except 3 & 4 Part loose sets.

CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT TO THE PROVISIONS OF THE UNIFORM COMMERCIAL CODE AND ANY APPLICABLE COLLECTION AGREEMENT.

CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT TO THE PROVISIONS OF THE UNIFORM COMMERCIAL CODE AND ANY APPLICA- BLE COLLECTION AGREEMENT.

Verified By Bag # Prepared By

Please Print

Prepared By Verified By

TOTAL PLEASE ENTER TOTAL HERE

Please Print

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

SIGN HERE FOR LESS CASH

DATE:

TOTAL NUMBER OF DEPOSITED ITEMS

DEPOSIT MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL ALL ITEMS RECEIVED FOR DEPOSIT ARE SUBJECT TO THE RULES AND REGULATIONS OF THE FINANCIAL INSTITUTION

deposit ticket

CASH:

CHECKS:

OTHER:

TOTAL ITEMS:

DATE:

TOTAL DEPOSIT:

parts (1, 2 or 3) when ordering. Size: 8½” x 3½” slips 8½” x 11”sheet 1 slip per sheet

DEPOSIT DETAIL

PTDT For use with Peachtree ® .

IMPORTANT: Both parts of this form must be submitted to your bank when making a deposit. Printed in U.S.A.

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207.655.9668

Double Win Use with Invoice Now availabl As 5022SS with Se

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 ”

PL

7 / 8 ”

Double Window Envelope

C

F

Use with

9308 8 7 / 8 x 4 1 / 8

1”

Now a PR

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”

As 5022SS

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/Q Available in Regu

3 / 8 ”

3 / 4 ”

PL

PLEASE CALL FOR PRICING

7 / 8 ”

C

5 / 8 ”

9308 8 7 / 8 x 4 1 / 8

F

3 / 8 ”

Use with Quick Available i PR

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 Peachtr Available in Regu

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 ”

PL

PLEASE CALL FOR PRICING

C

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 P Available i F PR

DW-84 8 3 / 4 x 3 2 / 3

3 / 4 ”

5 / 8 ”

3 / 8 ”

#13 Not available

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 ”

PL

PLEASE CALL FOR PRICING

C

5 / 8 ”

3 / 8 ”

F

WALLET 6 1 / 4 x 3 1 / 2 ”

13 / 16 ”

3 1 / 8 x 7 / 8 ”

Not av PR

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

900 CENTER STREET AUBURN, MAINE 04210 TEL. (207) 782-2290 OR FAX (207) 782-3056

RETAIL BUYER’S ORDER DATE

STOCK NO.

Richard & Kathy Raubeson www.kandrautosales.com

SALESPERSON:

PURCHASER(S) NAME: ______________________________________ D.O.B. _____________ S.S. # _________________ CO-BUYER’S NAME: _________________________________________ D.O.B. _____________ S.S. #_________________ ADDRESS: _________________________________________________ TELEPHONE (HOME): ______________________ CITY: ________________________ STATE: _______ ZIP: ___________ TELEPHONE (BUS.): _______________________ LEGAL RESIDENCE: ___________________________________________________________________________________ Please Print If Different From Above I/We hereby agree to purchase from you under the terms and conditions specified below and on the reverse side hereof, the following: o NEW YEAR MAKE MODEL VIN/SERIAL NUMBER BUYERS ORDER Auburn 699 CENTER STREET, AUBURN • 784-2321 STOCK NO. SALESMAN:

DEL. DATE

TYPE CO-BUYER’S NAME:___________________________________________________LIEN HOLDER: _________________________ ADDRESS: _____________________________________________________ TELEPHONE (Home): _________________________ CITY:___________________________ STATE:___________ ZIP:____________TELEPHONE (Bus): _________________________ DATE OF BIRTH:_________________ EMAIL ADDRESS:____________________________________________________________ DATE OF BIRTH:_________________ ❑ RETAIL ❑ FLEET ❑ WHOLESALE ❑ LEASE ❑ OTHER_______________ ORDER SUBJECT TO PRESENT AND FUTURE GOVERNMENT REGULATIONS. I hereby agree to purchase from you under terms and conditions specified below and on the reverse side hereof, the following: ❑ NEW ❑ DEMO ❑ USED MAKE__________ MODEL_____________ YEAR_______ BODY TYPE _______________ COLOR__________________ TRIM_______________ SER. NO___________________________________________________ MILEAGE_________________________ DEALER’S DISCLOSURE: Previous owner’s name: KEY NO. MILEAGE COLOR APPROX. DEL. DATE DEALER PRICE ACCESSORIES YEAR COLOR CYL. PURCHASER’SNAME:___________________________________ _______________________________ DATE:________________ (Please Print)

o CAR o TRUCK o OTHER

o DEMO o USED o LEASE

CYL.

TRANS

o AUTO o STD.

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

PURCHASER(S) DISCLOSURE

USED CAR TRADE-IN: MAKE

MODEL

MILEAGE

TYPE

SERIAL NO. PRINCIPAL USE OF VEHICLE: MECHANICAL DEFECTS KNOWN:

TYPE OF DAMAGE IF ANY KNOWN INCLUDING ANY THAT WAS REPAIRED

349.00 INSURANCE INFO: Tel#: ____________________________________ Agency __________________________________ Policy# __________________________________ LIST PRICE . . . . . . . . . . . . . . . . . . . . $______________ ______________________________ . $______________ ______________________________ . $______________ ______________________________ . $______________ ______________________________ . $______________ ______________________________ . $______________ ______________________________ . $______________ ______________________________ . $______________ ______________________________ . $______________

BALANCE OWED TO: ADDRESS

SUB TOTAL ______________________________________________ Address: _______________________________________ City:___________________________________________ State:______________________ Zip:___________ _____ Principal use of vehicle:_____________________________ How acquired: Trade-In ❑ Auction ❑ Repossession ❑ ❑ Other Describe: _______________ ______________________________________________ ______________________________________________ Known Mechanical Defects: ________________________ ______________________________________________ Previous Damage (if known):________________________ ______________________________________________ REGISTRATION + TITLE PURCHASE DISCLOSURE: Used car trade-in: Make____________ Model ________________________ Body Style_________________________ Yr. __________ Mileage_______________ Color_________ Cyl. ________ Serial No._______________________________________ Principal use ot vehicle ____________________________ Plate No. _______________________________________ Known Mechanical Defects: ________________________ ______________________________________________ Previous Damage (if known): _______________________ ______________________________________________ Dollar Amount $ _________________ Have emission devices been removed or altered (if known) ______________________________________________ Purchaser acknowledges above information to be accurate. X _____________________________________________ Lien holder: _____________________________________ TOTAL PRICE $ $ $ $ State Sales Tax: Temporary Plate Title Fee Arbitration Fee Owned on Trade Extended Service Policy DEPOSIT 1. C.O.D. o 2. REBATE 3. FINANCE Balance Due o o

USED VEHICLE ALLOWANCE PAY OFF OWED ON VEHICLE OTHER LIENS/ENCUMBRANCES NET ALLOWANCE

Less Trade-In Trade Difference (Taxable)

TITLE MUST ACCOMPANY TRADE-IN

Purchaser(s) hereby certifies and guarantees that the above information regarding the used car trade-in is true and complete and further states that title to the vehicle trade-in is NOT a salvage, rebuilt or not actual mileage tittle.

SUB TOTAL TAXABLE Document Administrative and Filing Fee

399.00 $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________ 1.00 33.00 1.00 $______________ $______________

33.00 1.00 1. SUB-TOTAL. . . . . . . . . . . . . . . . . . 2. Rowe Discount. . . . . . . . . . . . . . . . 3. Trade $_______________ 4. Total Trade & Discounts . . (2+3) 5. Sub Total. . . . . . . . . . . . . . . . . . . . . 6. Extended Service Policy. . . . . . . . . 7. ❑ Accept ❑ Decline. . . . . . . . . . . Document Admin. and Filing Fee. . . . . SUB TOTAL . . . . . . . . . . . . . . . . . . . . State Sales Tax. . . . . . . . . . . . . . . . . . Temporary Plate. . . . . . . . . . . . . . . . . Title Fee. . . . . . . . . . . . . . . . . . . . . . . Arbitration Fee. . . . . . . . . . . . . . . . . . . Owed on Trade. . . . . . . . . . . . . . . . . . TOTAL PRICE. . . . . . . . . . . . . . . . . . DEPOSIT. . . . . . . . . . . . . . . . . . . . . . 1. C.O.D. ❑ . . . . . . . . . . . . . . . . 2. REBATE ❑ . . . . . . . . . . . . . . . .

Purchaser(s) Signature DEALER’S DISCLOSURE (USED VEHICLE OR DEMONSTRATOR SALE) PREVIOUS OWNER’S NAME STREET ADDRESS CITY, STATE, ZIP CODE PRINCIPAL USE OF VEHICLE How Acquired: o Trade-In o Repossession o Auction o Other (Describe)

OTHER (Non-taxable Amount)

MECHANICAL DEFECTS KNOWN

TYPE OF DAMAGE IF ANY KNOWN, INCLUDING ANY THAT WAS REPAIRED

“THE INFORMATION YOU SEE ON THE WINDOW FORM FOR THIS VEHICLE IS PART OF THE CONTRACT. INFORMATION ON THE WINDOW FORM OVERRIDES ANY CONTRARY PROVISIONS IN THE CONTRACT OF SALE.” USED CAR WARRANTY DEALER HEREBY __________ DOES _________ DOES NOT DISCLAIM ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ON THIS VEHICLE. WARRANTY The vehicle has been inspected in accordance with Title 29, Section 2502 of Maine law, and is in the condition and meets the standards required by that statute and the rules and regulations promulgated thereunder. SEE REVERSE SIDE FORADDITIONAL TERMSAND CONDITIONSAND IMPORTANT WARRANTY INFORMATION NOTICE TO PURCHASER: 1. DO NOT SIGN THIS AGREEMENT BEFORE YOUR READ IT. 2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT. I HAVE READ THE MATTER ON THE BACK HEREOF AND AGREE TO IT AS A PART OF THIS ORDER THE SAME AS IF IT WERE PRINTED ABOVE MY SIGNATURE. The front and back hereof comprise the entire agreement affecting this order and no other agreement or understanding of any nature concerning same has been made or entered into. If this order is canceled for any reason whatsoever, 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 sales manager. PURCHASER(S) SIGNATURE: ___________________________________________________________________________________________ DATE: __________________________ ACCEPTED BY: ______________________________________________________________________________ BY: ______________________________________________ OVER (Dealer) (Name and Title) 3. FINANCE ❑ . . . . . . . . . . . . . . . . Balance Due. . . . . . . . . . . . . . . . . . . .

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 NOT SATISFACTORY TO PURCHASER. SEE REVERSE SIDE FOR WARRANTY INFORMATION Note: I have read the matter on the back hereof and agree to it as part of this order the same as if it were printed above my signature. THIS ORDER NOT VALID UNTIL ACCEPTED BY DEALER PURCHASER’S SIGNATURE______________________________________________________ DATE: ____________________ ACCEPTED BY:_______________________________________________________ BUS. MGR _________________________

900 CENTER STREET AUBURN, MAINE 04210 TEL: (207) 782-2290 FAX: (702) 782-3056 www.kandrautosales.com Richard & Kathy Raubeson

AUTO SALES Ad Source

699 CENTER STREET, RT. 4 NORTH AUBURN, MAINE 04212-0500 TEL. (207) 784-2321 or 1-800-339-7693 WEB SITE: http://www.roweauburn.com

Date Rowe Auburn Used Vehicle Warranty , 20 Sales Pro

946-5572

Master Plumber

Customer Information

DENIS R. LEBRUN Plumbing Co .

CUSTOMER’S NAME (LAST)

(FIRST)

(MIDDLE INITIAL)

P.O. Box 613 49 Grey Road Greene, ME 04236-0613 “Full Service Plumbing Specialists”

D.O.B.

SS #

Name

CUSTOMER’S ADDRESS (STREET)

(CITY)

D.O.B.

Name

SS #

State H IGH T ECH F IRE P ROTECTIONCO .., IINNCC P.O. Box 156 • Minot, ME 04258 Tel: (207) 998-2551 Backflow Device Test Report Zip CUSTOMER’S PHONE NUMBER (HOME) VEHICLE IDENTIFICATION NUMBER VEHICLE MODEL CUSTOMER’S PHONE NUMBER (WORK)

(STATE)

(ZIP CODE)

City

Address

VEHICLE PURCHASE DATE

ODOMETER MILES ON SALE DATE

Home Phone

Work

e

e

A

A

d

d

s i

s i

u

u

E-mail

Cell #

Fax: 782-1060

Fax: 782-1060

t

t

Tel: 782-7769

Tel: 782-7769

y

y

VEHICLE YEAR

VEHICLE MAKE

o

o

t r

t r

B

B

n

n

Trade Information

o

o

u

u

and Auto Repair

and Auto Repair

d

d

o

o

Type Rowe Auburn Used Vehicle Warranty 6 Months or 6,000 Miles Whichever Comes First $100 Deductible Per Visit Parts and Labor Coverage for 6 months or 6,000 miles (whichever come first) from agreement date and mileage. Replacement parts may be new, remanufactured, or replacement parts of like quality. Covered Items 1. Engine, Cylinder Block, Cylinder Head(s) and all internal parts contained with the engine including: Pistons; Piston Rings; Connecting Rod Bearings; Crankshaft; Crankshaft Main Bearing; Cam Shaft; Camshaft Bearing; Cam Followers; Timing Chain or Belt; Timing Chain Cover; Timing Gears; Guides; Tensioners; Rocker Arms; Rocker Shafts; Rocker Bushings; Cylinder Head Valves; Valve Guides; 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 / Super Charger (factory installed only); Housing and All Internal Parts; Seals and Gaskets. 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; Transmission Mounts; Oil Pan; Seals and Gaskets. 3. Transfer Case: Transfer Case and All Internal Parts; Seals and Gaskets. 4. Drive Axle: (Front and Rear) Drive Axle Case; All Internal Parts contained within the Drive Axle; Locking Hubs; Drive Shafts; Universal Joints; Constant Velocity Joints; Axle Bearings; Four-Wheel-Drive Actuator; Differential Cover; Seals and Gaskets. 5. Cooling: Engine Cooling Fan and Motor; Fan Clutch; Belt Tensioner; Radiator; Heater Core; Thermostat; Blower Motor; Hot Water Valve. 6. Tires are presented as being the acceptable size and type for the vehicle on which they are sold. All tires including the spare tire (usually of the temporary type) are agreed to be in good condition, meeting State of Maine Inspection Standards at the time of sale. Road Hazard Damage or Defects arising at a later time may or may not be covered by the tire manufacturer. Towing for covered repairs will be paid by Rowe Auburn when Pre-Authorized by Rowe Auburn. Licensed Loaner cars are provided on an as-available basis when overnight repairs are necessary. Any loaner car not returned within 20 hours of return request will be cause for a rental charge of $5.00 per hour beginning at the 20th hour. All repairs will be performed by or Pre-Aut orized by Rowe Auburn’s Service Department. In the event a covered repair has to be done at another facility without being Pre-Authorized by Rowe Auburn, payment will be at the discretion of Rowe Auburn. This warranty is not transferable ro subsequent owners. WHAT IS NOT COVERED THIS AGREEMENT DOES NOT PROVIDE COVERAGE: 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, bright metal; chrome, upholstery and carpet, paint, outside ornamentation, bumpers, body sheet metal and panels, tires (except as may otherwise be provided under the Schedule of Coverage Section of this Agreement). b. For any Breakdown resulting from collision, fire, theft, vandalism, riot, explosion, lightning, earthquake, freezing, rust or corrosion, windstorm, hail, water or flood damage resulting from weather conditions, salt, environmental damage, contamination of fluids, fuels, coolants or lubricants. c. For any Breakdown caused by misuse, abuse, negligence, lack of normal maintenance required by the manufacturer’s maintenance schedule for Your Vehicle, or-improper servicing by You after the effective date of this Agreement. For any Breakdown caused by sludge build-up or the failure to maintain proper levels of lubricants and / or coolants, or failure to protect Your Vehicle from further damage when Breakdown has occurred. d. For any repair or replacement of any covered part if a Breakdown has occurred or if the wear on that part has not exceeded the field tolerances allowed by the manufacturer. e. If any alterations have been made to Your Vehicle or You are using or have used Your Vehicle in a manner not recommended by the manufacturer including but not limited to, the failure of any custom or add-on part, all frame or suspension modifications, lift kits, oversized / undersized tires, trailer hitches, emissions and / or exhaust systems modifications, engine modifications or snow plow installation. f. If your odometer has ceased to operate and odometer repairs have not been made immediately, or the odometer has been altered in any way 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 of Your Vehicle whether or not related to the parts covered. For loss of use, time, profit, inconvenience, or any other loss that results from a Breakdown. h. When the responsibility for the repair is covered by an insurance policy, or any warranty from the manufacturer, such as extended drivetrain, major component or Full Coverage warranties (regardless of the remaining manufacturer’s warr nty when You purchased this vehicle), or a rep ir’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 any means, including public recalls and factory service bulletins. i. If Your Vehicle is used for towing a trailer or another Vehicle or object unless Your Vehicle is equipped with 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 any Breakdown if the information provided by You, or the repair facility, cannot be verified as accurate or is found to be deceptively inaccurate. k. For Breakdowns that occur and / or repairs made outside of the United States of America and Canada. l. For radios, cassette decks, Video and Navigation Systems, CD players, remote car starters, telephones, security systems, speaker systems or sound-enhancing equipment, unless covered by manufacturer of said equipment. I have read the warranty described above and agree to its terms and conditions. __________________________ _________________ ___________________________ Purchaser Signature Date Delivery Salesperson Initial Test E P A I R S Final Test Check Valve No. 1 Check Valve No. 2 1. Leaked _____________ o 2. Closed Tight _________ Cleaned ______________ o Replaced: Disc ______________ o Spring _____________ o Guide _____________ o Pin Retainer ________ o Hinge Pin __________ o Seat ______________ o Diaphragm _________ o Other, Describe _____ o _____________________ _____________________ _____________________ _____________________ _____________________ 1. Leaked ______________ o 2. Closed Tight __________ o Cleaned ______________ o Replaced: Disc ______________ o Spring _____________ o Guide _____________ o Pin Retainer ________ o Hinge Pin __________ o Seat ______________ o Diaphragm _________ o Other, Describe _____ o _____________________ _____________________ _____________________ _____________________ _____________________ Closed Tight _____________ Closed Tight _____________ The above report is certified to be true: Model Color Vin # Payoff $ Month $ up to $ Make Miles Customer Name PRINT Customer Name PRINT Date Date

y

y

C

C

Year

Make

Name of Premises _________________________________________________________________________________

Mileage

3429 Hotel Road, Auburn, ME 04210

3429 Hotel Road, Auburn, ME 04210

Rene Foster - Owner Date _____________ Jim Turcotte

Rene Foster - Owner Date _____________ Jim Turcotte - O r

ServiceAddress __________________________________________________________________________________

Monday-Friday 8-5

Monday-Friday 8-5

Lienholder

Known Damage or Mechanical Defects

Loc tion of Devi e ________________________________________________________________________________

Material / Labor Customer ___________________________________ Serial # ________________________ Address ____________________________________ License # ______________________ Make ______________ Year ________ Body Type ______________ Mileage __________ Balance Service Call ∫ Estimate ∫

Customer ___________________________________ Serial # ________________________ Address ____________________________________ License # ______________________ Make ______________ Year ________ Body Type ______________ Mileage __________

Date

Down Payment $

Hours Material BLUE HILL GARAGE, INC. P.O. BOX 600 98 MAIN STREET BLUE HILL, MAINE 04614 TEL. 374-5575 Refinishing Hours Sublet Items

Model Device ____________________________ _______________________ ________________ _________________ manufacturer model size serial no. Line Pressure at time of test _____________ lbs. / Pressure drop across first check valve _______________ lbs.

Refinishing Hours

Sublet Items

Quantity Details of Repairs and/or Replacements Labor

Quantity Details of Repairs and/or Replacements Labor

Stock #

Year

Hours Material

INITIAL PRIVACY NOTICE In connection with your transaction we may acquire information about you as described in this notice, which we handle as stated in this notice. We collect non-public personal information about you from the following sources: Information we receive from you on applications for credit or other forms; Information about your transactions with us; and Information we receive from a consumer reporting agency. • • • Our dealership may disclose any non-public personal information about you to anyone except as permitted by law. 1. 2. Our dealership may disclose non-public personal information about you, as a consumer, customer or former customer, to non-affiliated third parties (such as companies who perform marketing services for us) as permitted by law. Our dealership restricts access to non-public personal information about you to only those employees who need to know that information in order to provide products or services to you. Our dealership policy is that employees cannot use your information for any other purpose. We maintain physical, electronic and procedural safe guards that comply with federal regulations to guard your non-public personal information CUSTOMER ACKNOWLEDGEMENT: The undersigned customer(s) acknowledge receipt of a copy of this notice on the date indicated below. 3. 4.

Differential Pressure Relief Valve Opened at ___________ lbs. Did not open _____________ Cleaned ______________ o Replaced:

20

Date

No. Name Address

Disc, Upper _______ o Disc, Lower ________ o Spring ____________ o

Change From $

Sold by Cash Change Other

Diaphram, Large

Upper _____________ o Lower ____________ o

AMOUNT

QTY

DESCRIPTION

Diaphram, Small

Upper _____________ o Lower ____________ o Spacer, Lower _________ o Other, Describe ________ o ________________________ ________________________ Open at _____________ lbs. Reduced Pressure

Thank - You

Total

Customer Signature

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 IS NOT AN AUTHORIZATION TO REPAIR __________________________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 IS NOT AN AUTHORIZATION TO REPAIR __________________________Repairer By ____________________

Labor ________hrs. @ _______ $ _______ Parts $ _______Less % ______$ _______ Tax ______% _______on $ ______$ _______ Sublet & Net Items __________$ _______ TOTAL $ _______

Labor ________hrs. @ _______ $ _______ Parts $ _______Less % ______$ _______ Tax ______% _______on $ ______$ _______ Sublet & Net Items __________$ _______ TOTAL $ _______

Co-Customer Signature

Remarks _________________________________________________________________________________________

____________________________________________________________________________________________________________

TAX TOTAL

Received By

Initial test performed by _______________________________ of High Tech Fire Protection Date _______________

ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL

Thank You! We appreciate your patronage. 1½ % interest charged on overdue accounts.

Repaired by _________________________________________________________________ Date _______________

N o XXXXX

Final test performed by _______________________________ of High Tech Fire Protection Date _______________

8

207.655.9668

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