Sheet1 - Michigan Technological University by cuiliqing


									                                                                                                                      Purchasing Department
                                                                                                                       228 Administration Building
                                                                                                                            1400 Townsend Drive
Michigan Technological University                                                                                      Houghton, MI 49931-1295
                                                                                                                 906-487-2510 - Fax 906-487-2521

                                                             Credit Application
  Vendor                                                                                        Customer Billing Address:
    Name:                                                                                       Michigan Technological University
  Address:                                                                                      Accounts Payable
                                                                                                224 Admin. Bldg.
                                                                                                1400 Townsend Drive
    Phone:                                                                                      Houghton, MI 49931-1295
      Fax:                                                                                      *See purchase order for shipping address
  Michigan Technological University is exempt from Federal and State taxes per Federal Tax Free registry #38-73-0627K.
         Accounts Payable Contact: Tracy Wood                                                    Purchasing Contact: Ray Lasanen
             Phone: 906-487-2371                                                                       Phone: 906-487-2510
             Fax: 906-487-2521                                                                         Fax: 906-487-2521
          History. Michigan Technological University is an educational institution and has been in business since 1885.
              Michigan Tech 2007-08 Facts                                                                 MTU Financials
                    Conditions. No orders are permitted unless referenced by a credit card or purchase order.
                                                                   Trade References
               Dun & Bradstreet                                                                 Sayen's Business Equipment
               899 Eaton Ave                                                                    Attn Cathe Sayen
               Bethlehem, PA 18025-9934                                                         PO Box 628
               800-249-1776                                                                     Hancock, MI 49930
               Fax 866-841-4665                                                                 906-482-0612
               DUNS #06-545-3268                                                                Fax 906-482-0631

               Reinhart Foods                                                                   Office Express UP
               Attn Sue Fletcher                                                                Attn Jack Ham
               PO Box 556                                                                       315 E Lakeshore Dr
               Shawano, WI 54166-0556                                                           Houghton, MI 49931-2127
               800-827-4030 (Ext. 225)                                                          906-487-9752
               Fax 715-524-8022                                                                 Fax 906-487-9781

                                                                   Bank References
               Range Bank Copper Country                                                        Superior National Bank and Trust
               Attn: Timothy Baroni                                                             Attn: Burt Arola
               219 6th Street                                                                   235 Quincy St.
               Calumet, MI 49913-1607                                                           Hancock, MI 49930
               906-337-2022                                                                     906-482-0404
               Fax 906-337-4252                                                                 Fax 906-482-4403
               Acct # 081963                                                                    Acct #101201755

Standard Terms:(prefer NET 30):                                                                 FOB:(prefer destination)
The above information is for the purpose of obtaining credit and is warranted to be true. I hereby authorize the company named at the top of
this document to investigate the references listed pertaining to credit and financial responsibility and I am authorized to grant permission for
disclosure of this information.

Firm Name:     Michigan Technological University                  By:                                                            Date:

                                                                        Raymond Lasanen - Purchasing Manager
                       Michigan Technological University is an equal opportunity educational institution/equal opportunity employer.

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