Standard Quotation And Specification Form
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Standard Quotation And Specification Form. This is a Mississippi form and can be use in State Tax Commission Statewide.
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Tags: Standard Quotation And Specification Form, 47-268, Mississippi Statewide, State Tax Commission
Form 47-268
STANDARD QUOTATION & SPECIFICATION FORM
VENDOR OF RECORD:
1. STATE:
3. BRAND NAME:
5. STATE STOCK:
8. TYPE:
11. AGE/VINTAGE:
15. DISTILLED/PROD.BY:
STATE CODE:
2. DATE SUBMITTED:
4. EFFECTIVE DATE:
7. SPECIAL PURCHASE ORDER PLAN:
10. FORMULA:
13. DOMESTIC:
6. BAILMENT:
9. CLASS:
12. PROOF/ALCOHOL:
14. IMPORTED:
16. ADDRESS:
14a INBOND:
YES
NO
17. BOTTLED BY:
18. ADDRESS:
YES
19. SOLD UNDER ANY OTHER LABEL:
20. SHIP POINT:
NO
AGE:
PROOF:
EXPLAIN:
21. FOB POINT:
22. FRT. PER CWT:
REASON FOR CHANGE:
23.
24.
25.
AGE/VINTAGE/PROOF CHANGE
SIZE CHANGE
SCC/UPC CHANGE
26.
27.
28.
CASE COST CHANGE
VENDOR CHANGE
NEW ITEM
OTHER
29.
30.
31.
3 LITER/
4 LITER
1.75 LT/
1.5 LT
LITER
PALLET/TIER/WEIGHT CHANGE
PACK CHANGE
OTHER (Explain on Line 54)
375 ML/
500 ML
750 ML
200 ML/
187 ML
50 ML/
100 ML
32. UNIT PACK
33. OUNCES PER BOTTLE
34. BOTTLES / SLEEVE
35. VENDOR # - UPC(CO. - 6 DIGIT)
- UPC (BRAND - 6 DIGIT)
36. 2ND VENDOR # - UPC (CO. - 6 DIGIT)
- UPC (BRAND - 6 DIGIT)
37. SHIP. CONT. CODE - SCC (first 8 digits)
SHIP. CONT. CODE - SCC (last 6 digits)
38. STATE CODE
39. CASES / PALLET & CASES / LAYER
40. CASE WEIGHT (LBS)
41. NET COST FOB SHIP POINT
42. U.S. FREIGHT
43. OCEAN FREIGHT
44. MARINE INSURANCE
45. OTHER CHARGES / BAILMENT
46. DISCOUNT OR INSERT NET
47. TOTAL INVOICE COST
48. CASE DIMENSIONS (L/W/H) (INCHES)
49. BOTTLE DIMENSIONS (D/W/H)
50. LAST/PREVIOUS QUOTED COST
51. DATE LAST/PREVIOUS QUOTE
52. CASE COST INCREASE/DECREASE
53. COST PER SELLING UNIT
54. REMARKS: (INDICATE MI ADA)
55. Is this a product for which you want a limited listing period.
56. TERMS (NET/DISC.):
57. REPRESENTATIVE FOR THE STATE
NAME:
ADDRESS:
LIC NO:
TELEPHONE:
FAX:
STATE USE
YES
NO
If yes the listing ends
/
/
58. WE CERTIFY THAT THE FOREGOING IS CORRECT
SUPPLIER:
STATE LIC/PERMIT NO:
FED. ID. NO.:
ADDRESS:
TELEPHONE:
BY:
TITLE:
FAX:
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