Homerus Products
Material Order Form - North America


Customer Number:        

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Contact Name:               
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    Attention:            
    Street Address:  
                                
    City:                        State:    Zip: 
 


Billing Address (if different than shipping):

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Delivery Date Requirement: 
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Purchase Order #:                 

Parts List
Quantity      Part Number         Description                                                          Unit Price
    H11496801                CANISTER ASSY, W/BLK PIN                                     $75.00
    H10614401                RIBBON, PRINTER, 3.15 IN.                                        $56.00
    H10614001                LABEL, ROLL, CASSETTE, IFILL                                 $44.00
    H10826901                LABEL, CANISTER, EASY-OFF, BULK MEDS, IPAK    $44.00
    H10879001                FILM, PKG, SIDE SEAM, BOPP, CLASS B, IPAK        $83.00
    H10527001                FILM, PACKAGING, PLEATED (1ROLL)                       $83.00
    H11021801                TOTE, IBUNDLE                                                         $5.00
    H11027901                RIBBON, PRINTER, BAGGER, IBUNDLE                     $43.00
    H11028001                LID, TOTE, IBUNDLE                                                  $2.50
    H11627503                BAG, PACKAGING, PLASTIC, 9.5" X 11" (ROLL)          $90.00
    H10816501                INSERT VARIETY PACK (1 PK OF 100 INSERTS)        $2,290.00
    H10802601                HOMERUS INSERT #1 (EACH)                                    $23.00
    H10802602                HOMERUS INSERT #2 (EACH)                                    $23.00
    H10802603                HOMERUS INSERT #3 (EACH)                                    $23.00
    H10802604                HOMERUS INSERT #4 (EACH)                                    $23.00
    H10802605                HOMERUS INSERT #5 (EACH)                                    $23.00
    H10802606                HOMERUS INSERT #6 (EACH)                                    $23.00
    H10802607                HOMERUS INSERT #7 (EACH)                                    $23.00
    H10802608                HOMERUS INSERT #8 (EACH)                                    $23.00
    H10802609                HOMERUS INSERT #9 (EACH)                                    $23.00
    H10802610                HOMERUS INSERT #10 (EACH)                                  $23.00
    H10802611                HOMERUS INSERT #11 (EACH)                                  $23.00
    H10802612                HOMERUS INSERT #12 (EACH)                                  $23.00
    H10802613                HOMERUS INSERT #13 (EACH)                                  $23.00
    H10802614                HOMERUS INSERT #14 (EACH)                                  $23.00
    H10802615                HOMERUS INSERT #15 (EACH)                                  $23.00

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