San Benito Consolidated Independent School District Attachment - A

SAN BENITO CONSOLIDATED INDEPENDENT SCHOOL DISTRICT ATTACHMENT - A

Attached to and Forming BV-0613-OS part of Bid Quotation and OFFICE SUPPLIES Questionnaire Form SAMPLE ORDER FORM - A CATALOGUE WITH NET PRICING

I. Please state name and year of catalog used.______Percentage Discount should be zero

II. A. B. C. D. E. F. ITEM ORDER PAGE CATALOGUE NET CATALOGUE EXTENDED _NO._ QUANTITY DESCRIPTION __NO.__ __STOCK NO.___ PRICE TOTAL (A X E) 1. 10 dz Mark-A-Lot Permanent Ink Markers – Large size – Black No. AVE 08888 ______$______dz. $______

2. 10 each Swingline Stapler Model: SWI-74741 Black ______$______ea. $______

3. 10 packs Scotch Transparent Tape Model 810, ¾” x 1000 ______$______pk. $______10 Rolls per pack

4. 10 boxes Smead Manilla File Folders, Legal Third Cut, No. 153 L (SMD 10330) 100 per box ______$______bx. $______

5. 10 pkgs 3M Post-It-Notes, yellow 3” x 3”, plain No. 654 100 sheets per pad/12 per pkg. ______$______pk. $______

Bidder’s Name______TOTAL (add 1 thru 5) $______SAN BENITO CONSOLIDATED INDEPENDENT SCHOOL DISTRICT ATTACHMENT – B

Attached to and Forming BV-0613-OS part of Bid Quotation and OFFICE SUPPLIES Questionnaire Form SAMPLE ORDER FORM – B CATALOGUE WITH DISCOUNT RATE

I. Please state name and year of catalog used.______Percentage Discount Offered ______%

II. A. B. C. D. E. F. G. H. ITEM ORDER PAGE CATALOGUE CATALOGUE DISC. NET EXTENDED _NO._ QUANTITY DESCRIPTION __NO.__ __STOCK NO.___ __PRICE__ (E X %) PRICE TOTAL (E - F) (A X G) 1. 10 dozen Mark-A-Lot Permanent Ink Markers – Large size - Black No. AVE 08888 ______$______dz. $______$______$______

2. 10 each Swingline Stapler Model: SWI-74741 Black ______$______ea. $______$______$______

3. 10 packs Scotch Transparent Tape Model 810, 3/4” x 1000 ______$______pk. $______$______$______10 rolls per pack

4. 10 boxes Smead Manila File Folders, Legal Third Cut, No. 153 L (SMD 10330) 100 per box ______$______bx. $______$______$______

5. 10 pkgs 3M Post-It-Notes, yellow 3” x 3”, plain No. 654 100 sheets per pad/12 per pkg. ______$______pk. $______$______$______

Bidder’s Name______TOTAL (add 1 thru 5) $______SAN BENITO CONSOLIDATED INDEPENDENT SCHOOL DISTRICT ATTACHMENT - C

Attached to and Forming BV-0613-OS part of Bid Quotation and OFFICE SUPPLIES Questionnaire Form SAMPLE ORDER FORM – C CATALOGUE WITH DISCOUNT RATE

I. Please state name and year of catalog used.______Percentage Discount Offered ______%

II. A. B. C. D. E. F. G. H. ITEM ORDER PAGE CATALOGUE CATALOGUE DISC. NET EXTENDED _NO._ QUANTITY DESCRIPTION __NO.__ __STOCK NO.___ __PRICE__ (E X %) PRICE TOTAL (E - F) (A X G)

1. 10 boxes 3M Universal Transparency Film Model 3MCG5000 50 per box ______$______box $______$______$______

2. 10 Pack Maxell CD-R 48x, Silver Model No. Max-648250 50 per pack ______$______pack $______$______$______

3. 10 each Heavy Duty Paper Puncher Swingline No. ACC74450 ______$______ea. $______$______$______

4. 10 each ACCO Expandable Pressboard Data Binders Model No. ACC55260 ______$______ea . $______$______$______

5. 10 each X-Acto Electric Pencil Sharpener Model No. EPI-1792 ______$______ea. $______$______$______

Bidder’s Name______TOTAL (add 1 thru 5) $______