Forms Printing Order Supplement by Prettyclear

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									Wisconsin Department of Administration
State Bureau of Procurement                                                                                                              Purchase Order Number
Ch.35.03, Wis. Stats.                                          Forms Printing Order Supplement
DOA-3404 (R010/2008)
Department/Unit           Department Contact                                                 Phone No.
                                                                                                -   -                                    Dept. Req No.
Form No.                       Form Name                                                                                                 Size         Width        Length
                                                                                                                                         Overall
Quantity                       New           Exact               Previous Numbers:                                                       Detached
                                             Revised
                                                                 P.O. No.                        Production No.                          Recycled Mandatory When Possible
No. of Plies                   Equipment used and sequence:                                                                                          Carbonless
    Snapset                          Continuous                                                                                                      Carbon Interleaved
         Paper                                Printing / Ink(s)
Ply(s) Color           Wt.          Grade     Face           Back              Marginal Words                                                          Special Features
1
2
3
4
5
6
Copy All Plies                                  Items                                                             Units      Unit Rate                 Extension     Adjust
   Same              Different (Explain)        Attachments:                                                                 Snapset Continuous
                                                Electronic PreFlight         Bkr                                             17.50     17.50
                                                Base Set Up           Plies
                                                (Deduct for exact reprint - See Contract)
                                                Backer Set Up                                                                25.00        25.00
                                                PMS Color on Front other than black                                          25.00        25.00
                                                Ink Wash (all PMS inks other than black)                                     25.00        25.00
                                                Proof(s) Laser 8.5x11 @$5.00 or 11x17@$7.50
Stub Position (8P)                              Plate Change (each variable) Marginal words per ply                          25.00        25.00
Top       Left        Bottom         Right      Base Running / M              Plies
                                                Color     Wt.        Grade
                                                Non-Standard
Marginal Perforations (8K)
      " Left               " Right              Paper
Other Perforations (Explain)                    PMS color ink on back other than black                                       25.00        25.00
                                                Extra Vertical/Horizontal Perforations (add’l, full or partial)              25.00        25.00
                                                Running Extra Perforation(s) (add’l full or partial)                         .50          .50
                                                Cutting Nonstandard width or lengths                                         10.00        10.00
Fastening (8K)                                  Running Cutter Nonstandard width or lengths                                  2.10         2.10
Crimp        Glue              Other                                                                                         .25
L      R       L      R        L        R                                                                                                 10.00
                                                                                                                                          20.00
Carbon                                          Numbering Set Up - Ea. Position                                              20.00        20.00
    Black                    Blue               Numbering - Running / M       (Crash)                                        .25
 Special Instr.                                 Punching - Set up Per Hole                                                   15.00        15.00
                                                Punching - Running / M X No. of
                                                                                                                             .30
                                                Holes              No. of Plies
Numbering                                       Shrink Wrap (Non-Standard)                      Add'l                        .30
 Start               End                        Punching                                                          Total Base Price
 Color          Location                        Ply(s)                     Location:                              Bid Rate           %
Special Instructions
                                                                                                                  Subtotal

                                                                                                                  Total other charges
                                                                                                                                                       $
                                                                                                                  Net Due Printer
                                                                                                                                                       $

								
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