Te Fabricut, Inc. Brand Fucus i 4 CREDIT APPLICATION 1D Faubrievt Birscin O Irerd O Vervain . . OS. Varsis FABRICUT O liabricer Contract D bxparr Business |.og € Trade Nam Subsidia-y of Divisiv a) nol i Mailing Address’ Cy. State, Zip Slippung Agdress— C. - | =e City, State, pho At HS DI Xad Tax Company ‘Type O Corporation, wiiat state Federal ID ee ear Fistshi'shed RULE 4 PreJerrect Account Teme: DO Open, nei 50 ocovp C CBD {Proforma} 4 Proprietorship O Partnership Officers, Partners or Sole Proprietors With Vir Since ed U.S. Trade References Company Name Phone Number Fax Number Avcourtt Sumber 1. 5 3 Sales Tax Exemption CD RESALE CERLIPLC ALE. We cect) that se bold 3 \asd Saucy LAN Perr HEI ber, for the State ul We ute in the business nd wholesaling, relailing. mumuliscluring or keyg, Cur purchases Irene yuu Pilesemlic provtug ts ore for wholesale uf testke oF SDC U ents oF culepoTenés ot one procul to be resold, leused. ot retie Couns! ef busisess We curner cently thar ary propery $6 par Las Jee ds used oe consumed ge ni making 2 sicbpeut tau Sales 1 4 the las due directly ke the pruper axing auchiozity when: state law so prevides or infirm sou tor added hidieg. his certilamon corder slick we ais heres vou, ualess clvewise spevifiod, and shail be valid until cancelled bs us ip writing vc rewekesl by the sity f@ 2.80 tured 9 reiiburse sou bor ¢ Las Inter cetcrmined iy babvicnt. Ine. ter se dus amet 2s ae. EXEMILION CERSIFICALE, We verlily that we ary a WAwxe TPL coy (ehuch, seneol, goverment aveoey, oe.) holding csemplisin cc calieitke nuirber Sarthe State of Wxo ENEMPTION CRRTIICATE. We hekd ov cxemprion cert fieate and shonkl be chunscd «ll applicable cases. ‘Terms and Conditions We sgree that the stundard series afsale for kabricut, loc are net 10 days den dvte v7 insaige and that stipn:vuts ‘sill ke held iPaur accutane Ses aries deliryucrl ATL anders gre auidjest be credit uppiowns whes received: A service chance ol |e per miunth will be vhurged er helurces aot pind within terns. lnihe eventaf dealt ia saymens, we use’ to pay all velicction fers, court cosa. attorney sand interest mncurred thssush collecdon npacedures. Wee understanel chal the snformansan included 11 Ils Application is for Ge use of Pabrcut, Inc. yCetermining the wmuon and conditions of evedit 1 be extended. We cenit, char the wlormpation bs yarech We authorize Fabrigul, Toe. or its agents bo invesuzats our crelit rotereices and report our ecedtt pericaance te the proper pers 2, a via mC NCA Duez GY | INTERNAL LISE ONLY TSumple ONS. Sales Rep Date ‘Ter Br See O/E FAB - IRS Chyner or OHlicer”s Signatur PO. Box 170490, Tals. OK 74147-0490 TATS-Cen't RUST PHONE: 900-999-8200 FAX: 800-888-7171 EFTA00523636