Baja

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PURCHASE ORDER
300, Labonté
Drummondville, (Qué), J2C 6X9, Canada
Phone: 819-477-3232
Fax: 819-477-3494

MiniBaja PROJECT

Addressee
Name:
Address:
City,Country, Zip Code:
Phone:
Fax. / Email:

All prices are in Canadian $
DESCRIPTION

PRICE

0600-0021
5600-0171
0605-0029
5605-0031
0610-0015
5610-0001
0080-01770650-1001
0080-0603
0080-0613
0540-3002
C15
0115-0052
0080-0169
X-1520
0130-3012
ASA-1
5620-2006
ASK-5
0080-0220
5630-3001

PART NUMBER

Driver PulleyDriven pulley
Fixed Flange
Fixed Flange
Sliding Flange
Sliding Flange
Washer
Spring Support
Washer
Washer
Spring Cover
Internal snap ring
D1 Cap
Lock washerLock Nut
Block
Washer
Cam
Square key ¼
Snap Ring
Cam Shoe

150,00
90,00
60,00
40,00
50,00
30,00
5,00
5,00
2,00
1,00
5,00
1,00
20,00
1,00
1,00
5,001,00
25,00
1,00
1,00
1,00

0651-1100
0551-1119
5051-1015
0135-3065

calibration
Driver Pulley Spring (white / green / pink)
Driver Pulley Spring (silver /pink / yellow)
Driven Pulley Spring (orange / silver / yellow)
W eight (275g)

10,00
10,00
15,00
6,00

Belt
Belt
Belt
Belt
Belt

25,00
25,00
25,00
25,0025,00

QUANTITY

BD52-2167-S
BD52-2172-S
BD52-2179-S
BD52-2183-S
KE52-2205-S

Sub-total
Taxes
Total

Approved by :
Shipping
companies:

FedEx
UPSDHL
Dicom
Purolator

Important note: CVTech-IBC will use only the
shipping companies listed here.

Account # :

Payment by credit card :
VISA

MASTERCARDCredit Card Number
Expiration Date (month / year)
(Note: the credit card must be valid for at least 6 months after the request date)

Signature

Date

TOTAL

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