7500 Meridian Circle North
Maple Grove, MN 55369
Fax orders to: 888-216-0368
2009 TONER REQUISITION FORM Phone: 866-850-2411
www.OfficeMaxSolutions.com
Ship To: P.O.#:
Address: Phone:
City: Account #:
State: Consignee:
Zip: Delivery Date Requested:
Qty UM Item Description Price Total Qty UM Item Description Price Total
HEWLETT PACKARD MONO PRINTER TONER REMANUFACTURED MONO PRINTER TONER - CONT.
EA S192274A HP 4L, 4ML, 4P, 4MP Series $97.35 $0.00 EA S1OM98895 HP 2300 Series $53.50 $0.00
EA S192275A HP 3P, 2P, 2P+ Series $95.65 $0.00 EA S1OM98894 HP 1010 & 12, 3015, 3020, 3030 Series $48.77 $0.00
EA S192298A LaserJet 4/5 #98 $95.64 $0.00 EA S1OM98893 HP 1300 Series $36.54 $0.00
EA S192298X HP 5, 5M, 5N, 4, 4M, 4+, 4M+ Series $95.51 $0.00 REMANUFACTURED MICR PRINTER TONER
EA S1C3900A HP 4V, 4MV Series $123.89 $0.00 EA S1CTG98M HP 5, 5M, 5N, 4, 4M, 4+, 4M+ Series $63.78 $0.00
EA S1C3903A HP 6P, 6MP, 5P, 5MP Series $81.53 $0.00 EA S1CTG27M HP 4000, 4050 Series $84.15 $0.00
EA S1C3906A HP 6L, 5L, 3100, 3150 Series $69.09 $0.00 EA S1CTG61M HP 4100 Series $91.46 $0.00
EA S1C3909A HP 5si Series #09A $174.95 $0.00 EA S1CTG96M HP 2100, 2200 Series $62.20 $0.00
EA S1C3909X HP 8000, 5si Series $183.84 $0.00 HEWLETT PACKARD COLOR PRINTER TONER
EA S1C4092A HP 1100, 3200 Series $54.09 $0.00 EA S1C9721A HP 4600, 4650 Cyan Toner $192.51 $0.00
EA S1C7115A HP Laser Jet 1200 #15A $53.28 $0.00 EA S1C9723A HP 4600, 4650 Magenta Toner $192.51 $0.00
EA S1C4096A HP 2100, 2200 Series $87.13 $0.00 EA S1C9722A HP 4600, 4650 Yellow Toner $192.51 $0.00
EA S1C4127A HP 4000, 4050 Series #27 $86.40 $0.00 EA S1C9720A HP 4600, 4650 Black Toner $142.51 $0.00
EA S1C4127X HP 4000, 4050 Series $111.39 $0.00 EA S1C4192A HP 4500, 4550 Cyan Toner $133.86 $0.00
EA S1C4191A HP LaserJet 4500 Black #91A $86.92 $0.00 EA S1C4193A HP 4500, 4550 Magenta Toner $133.86 $0.00
EA S1C4129X HP 5000, 5100 Series $150.48 $0.00 EA S1C4194A HP 4500, 4550 Yellow Toner $133.86 $0.00
EA S1C4182X HP 8100, 8150 Series $173.11 $0.00 EA S1C4191A HP 4500, 4550 Black Toner $91.64 $0.00
EA S1C7115X HP 3300 & 80, 1200 & 20, 1000 Series $66.56 $0.00 EA S1C4195A HP 4500, 4550 Drum Kit $83.03 $0.00
EA S1C8061A HP 4100 Series #61A $86.46 $0.00 EA S1C4196A HP 4500, 4550 Transfer Kit $188.03 $0.00
EA S1C8061X HP 4100 Series $111.39 $0.00 EA S1C4197A HP 4500, 4550 Fuser Kit $236.66 $0.00
EA S1C8543X HP 9000, 9050 Series $252.65 $0.00 EA S1C4150A HP 8500, 8550 Cyan Toner $178.49 $0.00
EA S1Q1338A HP 4200 Series $140.91 $0.00 EA S1C4151A HP 8500, 8550 Magenta Toner $178.49 $0.00
EA S1Q1339A HP 4300 Series $186.58 $0.00 EA S1C4152A HP 8500, 8550 Yellow Toner $178.49 $0.00
EA S1Q2610A HP 2300 Series $110.50 $0.00 EA S1C4149A HP 8500, 8550 Black Toner $114.83 $0.00
EA S1Q2612A HP 1010 & 12, 3015, 3020, 3030 Series $64.21 $0.00 EA S1C4153A HP 8500, 8550 Drum Kit $158.84 $0.00
EA S1Q2613X HP 1300 Series $81.58 $0.00 EA S1C4154A HP 8500, 8550 Transfer Kit $377.85 $0.00
EA S1Q2624X HP 1150 Series $86.12 $0.00 EA S1C4155A HP 8500, 8550 Fuser Kit $305.22 $0.00
EA S1Q5942X HP 4250, 4350 Series $206.78 $0.00 EA S1C9731A HP 5500, 5550 Cyan Toner $288.83 $0.00
EA S1Q5949A HP 1160 Series $65.41 $0.00 EA S1C9733A HP 5500, 5550 Magenta Toner $288.83 $0.00
EA S1Q5949X HP 1320 Series $120.07 $0.00 EA S1C9732A HP 5500, 5550 Yellow Toner $288.83 $0.00
EA S1Q6511X HP 2420 Series $190.78 $0.00 EA S1C9730A HP 5500, 5550 Black Toner $206.01 $0.00
REMANUFACTURED MONO PRINTER TONER EA S1Q2681A HP 3700 Cyan Toner $165.34 $0.00
EA S1OM98871 HP 4L, 4ML, 4P, 4MP Series $40.84 $0.00 EA S1Q2683A HP 3700 Magenta Toner $165.34 $0.00
EA S1OM98872 HP 4si, 3si Series $42.67 $0.00 EA S1Q2682A HP 3700 Yellow Toner $165.34 $0.00
EA S1OM98875 HP 5, 5M, 5N, 4, 4M, 4+, 4M+ Series $26.09 $0.00 EA S1Q2670A HP 3700 Black Toner $128.54 $0.00
EA S1OM98877 HP 6P, 6MP, 5P, 5MP Series $26.08 $0.00 EA S1Q2671A HP 3500, 3550 Cyan Toner $128.12 $0.00
EA S1OM98878 HP 6L, 5L, 3100, 3150 Series $32.91 $0.00 EA S1Q2673A HP 3500, 3550 Magenta Toner $128.12 $0.00
EA S1OM98879 HP 8000, 5si Series $58.68 $0.00 EA S1Q2672A HP 3500, 3550 Yellow Toner $128.12 $0.00
EA S1OM98880 HP 1100, 3200 Series $27.16 $0.00 EA S1Q2670A HP 3500, 3550 Black Toner $128.54 $0.00
EA S1OM98881 HP 2100, 2200 Series $31.40 $0.00 EA S1Q3961A HP 2550 Cyan Toner $96.75 $0.00
EA S1OM98883 HP 4000, 4050 Series $31.40 $0.00 EA S1Q3963A HP 2550 Magenta Toner $96.75 $0.00
EA S1OM98884 HP 5000, 5100 Series $75.60 $0.00 EA S1Q3962A HP 2550 Yellow Toner $96.75 $0.00
EA S1OM98885 HP 8100, 8150 Series $68.28 $0.00 EA S1Q3960A HP 2550 Black Toner $77.17 $0.00
EA S1OM98887 HP 3300 & 80, 1200 & 20, 1000 Series $43.47 $0.00 EA S1Q3964A HP 2550 Imaging Drum $159.98 $0.00
EA S1OM98889 HP 4100 Series $39.54 $0.00 EA S1C9701A HP 2500, 1500 Cyan Toner $96.75 $0.00
EA S1OM98890 HP 9000, 9050 Series $129.18 $0.00 EA S1C9703A HP 2500, 1500 Magenta Toner $96.75 $0.00
EA S1OM98891 HP 4200 Series $71.95 $0.00 EA S1C9702A HP 2500, 1500 Yellow Toner $96.75 $0.00
EA S1OM98892 HP 4300 Series $93.95 $0.00 EA S1C9700A HP 2500, 1500 Black Toner $80.21 $0.00
EA S1C9704A HP 2500, 1500 Imaging Drum $159.98 $0.00
Total Order $0.00
Date: PO#:
Ship to:
Phone: 1-866-850-2411
City State Zip Account # Fax: 1-888-216-0368
7500 Meridian Circle North
Phone: Consignee:
Maple Grove, MN 55369
Fax: Ordered by:
Qty UM Item Description Price Qty UM Item Description Price
HEWLETT PACKARD INKJET PRINTER TONER MISCELLANEOUS INKJET PRINTER TONERS
EA S1C6656AN CTG,INK,56,BK,DJ,5550/51 $19.93 EPSON
EA S1C6615DN NO.15 BLK INKJT CTG $26.12 EA S1T044120 CTG,EPSON,BLACK $17.72
EA S151645A CTG,DESKJET,850C,855,BK $27.65 EA S1S189108 CTG,EPSON,BK,S189108 $18.87
EA S1C6657AN CTG,INK NO 57,P100 3CLR $31.58 EA S1S191089 CTG,EPSON,COLOR,S191089 $19.89
EA S1C6578DN CTG,#78 COLOR,INKJET $31.58 EA S1T044320 CTG,EPSON,MAGENTA $9.24
EA S1C6625AN TRI-COL INK CTG $27.91 EA S1T044220 CTG,EPSON,CYAN $9.24
EA S1C8727AN CTG,INK NO 27,BK DJ3320 $16.93 EA S1T044420 CTG,EPSON,TO44420 $9.24
EA S1C1823D CTG,PRINT,INKJT,TRICLR $33.91 EA S1T043120 CTG,EPSON,BLACK $24.78
EA S1C6578AN INK JET CTG,TRI-COL,CYAN,MGNTA $52.78 EA S1T017201 INK,CTG,STYLUS,777/I,BK $21.20
EA S1C6614DN NO.20 BLK INKJT CTG FOR DJ610C $27.78 EA S1T028201 BLK INK CART C60 $21.20
EA S1C4844A HP BLK INK CART FOR-HP2000 SER $30.90 EA S1S187093 CTG,EPSON,BK,S187093 $17.39
EA S1C8728AN CTG,INK NO 28,3-CLR 3320 $21.11 EA S1T018201 INK,STLUS777/I,CTG,COLOR $17.64
EA S151641A HP Inkjet DskJt 850c #41 $30.81 EA S1T040120 INKCART,C62 BLK INK $21.20
EA S151649A CARTRIDGE,TRI-COLOR $30.57 EA S1T029201 COL INK CAR,TRI,C60 $21.20
EA S151629A CARTRIDGE,BLK,INKJET $29.16 LEXMARK
EA S1C1823D CTG,INKJET,TRI-COL,2/PK $35.75 EA S117G0050 CARTRIDGE PTR HIRESOL BK $25.82
EA S1C8767WN#140 INKCART,#96 21ML,BK $28.23 EA S112A1970 CTG,#70 HI-RES,INK,BK $29.89
EA S1C4836AN INKJET,CTG,HP 11,CYAN $30.90 OFFICEMAX
EA S1C9363WN#140 INKCART,#97 TRICOLOR 14ML $31.58 EA S1OM98669 CTG,COMP OMX,HP78DN $11.33
EA S1C6658AN#140 CTG,INK,58,PHOTO,HP7150 $23.52 EA S1OM98673 CTG,COMP,HP#15,BK $9.55
EA S1C4837AN INKJET,CTG,HP 11,MAGENTA $30.90 EA S1OM98684 CTG,COMP HP#56,BK $12.07
EA S1C4838AN INKJET,CTG,HP 11,YELLOW $30.90
EA S1Q5942A CTG,HP LASER,42A,BK $136.65
EA S1C6656AN CTG,INK,56,BK,DJ,5550/51 $19.93
EA S10955A003 INKJET,CTG,BCI-21,CLR $19.25
EA S1C8765WN#140 INKCART,#94 11ML,BK $19.93
ADDITIONAL ITEMS
Prices Effective January 12, 2009 Page 2 of 2