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					To:                                                                         From: Latricia Allison
Phone:                                                                      Phone: 800-459-7099
Fax:                                                                        Fax: 484-708-9258
Store:                                                                      Monday, August 22, 2011

Project Start Date:


Prices contained in this quotation are subject to typographical and clerical errors.
Items quoted and quantities listed are our interpretation of materials needed and should be checked against the plans and specifications.
A signed copy an order acknowledgement must accompany payment to process your order.
Applicable Sales Tax is not included and will be added at time of shipment.
Estimated freight has been listed for your convenience; any changes to the attached quantities could affect the freight estimate.
It will be the contractor’s responsibility to return any excess material in resalable condition to a HJC distribution center for credit.
Any damaged or missing materials must be reported to us within 48 hours.

If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country Foods) please use this materials order form.
            Program Items
            Interior/ Exterior Tile                                                                                   -
            Light Fixtures & Bulbs                                                                                    -
            Maple Trim/Paint                                                                                          -
            FRP                                                                                                       -
            Ceiling Tile                                                                                              -
            Toilet Partitions                                                                                         -
            Awnings                                                                                                   -
            Toilet Accessories                                                                                        -
            Plumbing Fixtures                                                                                         -
            Freight                                                                                                   -



                                                        Total (Less Tax)                                              0.00

                                                 Approved as Submitted

                                                                     Date

                                                Approved with Changes

                                                                     Date
                                                                                                                                                                                         310 SW 24th Street
                                                                                                                                                                                      Bentonville, AR 72712
                                                                                                                                                                                              (479) 756-8989
                                                                                                                                                                                              (800) 459-7099
                                                                                                                                                                                          (484) 708-9258 fax
                                                                                                                                                                                           DQ@HJCINC.com



FOOD CENTRIC ORDER FORM                                                                                                                                                               http://www.hjcinc.com/dq




If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country
                  Foods) please use this materials order form.
                                                 Location of
QTY   HJC Point #       Specification                                 Manufacturer                                    Description                                                         Price         UOM
                                                   Finish
                    Interior/ Exterior Tile
                                              Cold KitchenTreat
                                              WallDining Room
                                                                                                       12x24 Extra Ivory ($2.90 per sf) 3/8" thick
                             W.1                 (Perimeter         Stonepeak Ceramics
                                                                                                        Grout: G-2 1585 Almond Sanded Grout
                                              Wall)(Alternate for
       .696949                                      W.8)                                                                                                         15.75 sf per carton                    bx       $   -


                                                                                                            12x24 Limestone Cream Gold
                                                   Core 47          Stonepeak Ceramics
                                                                                                        Grout- #1539 Mushroom Sanded Grout
        892048                                                                                                                                                   15.75 sf per carton                    bx


                                                   Core 47          Stonepeak Ceramics                     6x12 Golden Cream Cove Base

       892367                                                                                                                                                                                           ea


                                                   Core 47          Stonepeak Ceramics                       3x12 Golden Cream Bullnose

        892363                                                                                                                                                                                          ea
                                               Dining Room
                                                Colonnade/
                                                                                                   12x24 Tosal Gold DN39 ($2.15 per sf) 3/8" thick
                             W.2                 Perimeter               Marazzi
                                                                                                     Grout: G-3 1530 Sand Beige Sanded Grout
                                              Wall,Drink Station
       .715229                                  Backsplash                                                                                                       11.63 sf per carton                    bx       $   -
                                                 Accent tile                                  13x13 "Warm Cocoa VMPL" Walnut Canyon Umber UHC2
                             W.3                 Restroom                Marazzi                                ($1.95 per sf) 3/8" thick
       .714624                                                                                          Grout: G-2 1585 Almond Sanded Grout                      17.85 sf per box                       bx       $   -
                                                                                          12x12 Graniti Amarelo MRT5 Matt Natural ($1.59 per sf) 3/8" thick
                             W.4                  Restroom               Marazzi
       .671633                                                                                          Grout: G-2 1585 Almond Sanded Grout                      14.53 sf per box                       bx       $   -
       .693011               W.5              Cold Kitchen Area        Xcela Tile***                     #138 Blue Sapphire 18 x 18- Vinyl Tile                  33.75 sf per carton                    sf       $   -
                                                                                         Natural Stones, imported slate 8x8, 8x16, 16x16, 16x24 ($3.60 per sf)
                                                Dining Room
                                                                                                                       1/2" thick
                             W.6              Lobby/ colonnade            Daltile
                                                                                                    Sealer: S-1 Stone Care Stone Color Enhancer
                                                     wall
       .703807                                                                                      Grout: G-4 1545 Laticrete Raven Sanded Grout                 15.5 sf per carton                     bx       $   -
                                              Cold Kitchen Area                                                   Blue Nuevelle 8x8
                             W.8                Cake Freezer           Olympia Tile
       .806524                                                                                               Grout: Almond Sanded Grout                          12.93 sf per carton                    bx       $   -
                                                  Enclosure
                                               Soft Serve Wall/                                       12x12 Sand BX02 ($1.25 per sf) 5/16" thick
                             W.9                                      Brixton Ceramic
        707667                                  Cold Line Wall                                          Grout: G-2 1585 Almond Sanded Grout                      11 sf per carton                       bx       $   -

                             W.11             DQ/OJ Treat Wall         Olympia Tile           12x12 Refin Stile Arancio- Grout Antique White Permacolor
        816902                                                                                                                                                   10.66 sf/ carton                       bx       $   -
                                              Cake Enclosure
                                               Blizzard Wall/
                             M.18                                        Schluter                            #RO-100-ACG 3/8" Wall Trim
                                                Dining Room
       .739529                                   Colonnade                                                                                          8' Length                                           ea       $   -
       .742368             M.18 OC                   ""                  Schluter                            E/RO Outside Corner                    to go with RO100ACG                                 ea       $   -
                                                FLOOR TILE                               13x13"Warm Cocoa VMPL" Walnut Canyon Umber UHC2 ($1.95 per
                              F.1               Dining Room              Marazzi                                sf) 3/8" thick
       .714624                                LobbyRestrooms                                         Grout: EP-1 #45 Raven Spectra Lock             17.85 sf per box                                    bx       $   -
                                                FLOOR TILE
                              F.1               Dining Room              Marazzi                Walnut Canyon Umber Flat TopCove Base 6x13- UL56
       .898556                                LobbyRestrooms                                                                                                     12 Pcs Carton                          bx       $   -




                                                                                             47cbc815-0d38-4e62-b21c-020c15f380f8.xls                                                                                    Page 2
                                                                                                                                                                   310 SW 24th Street
                                                                                                                                                                Bentonville, AR 72712
                                                                                                                                                                        (479) 756-8989
                                                                                                                                                                        (800) 459-7099
                                                                                                                                                                    (484) 708-9258 fax
                                                                                                                                                                     DQ@HJCINC.com



FOOD CENTRIC ORDER FORM                                                                                                                                         http://www.hjcinc.com/dq




If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country
                  Foods) please use this materials order form.
                                      Location of
QTY   HJC Point #   Specification                       Manufacturer                                 Description                                                    Price          UOM
                                        Finish
                                      FLOOR TILE
                        F.1           Dining Room          Marazzi         Walnut Canyon Umber Flat Top Cove Base 1x6 Inside Corner- UL57
       .898559                      LobbyRestrooms                                                                                                                                 ea          $   -
                                      FLOOR TILE
                        F.1           Dining Room          Marazzi         Walnut Canyon Umber Flat Tope Cove Base Outside Corner- UL58
       .898560                      LobbyRestrooms                                                                                                                                 ea          $   -
                                      FLOOR TILE                                        Quarry Tile 8x8 Color: #505 Plaza Gray
                        F.2         Service &Kitchen     Metropolitian        Grout: EP-2 #45 Raven Latapoxy 2000 Industrial#4 & Raven
       .681244                            Area                                                    Spectralock powder                           7.10 sf bx                          bx          $   -
       .681250        F.2 Base             ""            Metropolitian            Quarry Tile Cove Base 6x8 Color: #505 Plaza Gray             14 Pcs. Carton                      ea          $   -
       .681252        F.2 Base             ""            Metropolitian                  Quarry Tile Right Hand Outside Corner                  14 Pcs. Carton                      ea          $   -
       .681256        F.2 Base             ""            Metropolitian                   Quarry Tile Left Hand Outside Corner                  14 Pcs. Carton                      ea          $   -
                                                                                 Dilex Stainless Steel Cove Shaped Profile #EHK U 9
                    F.3.1 Trans.       Restroom            Schluter
       .681277                                                                                ---For Use in Restrooms---                       8' Length                           ea          $   -

       .880076       Restroom           Schluter          I/EHK2R18                     Dilex-EHK Stainless Steel Inside Corner                                                    ea
                                                                                Dilex-EHK Stainless Steel Outside Corner A/ EHK 2 R18
                    F.3.1 Trans.       Restroom            Schluter
       .681279                                                                                 ---For Use in Restrooms---                                                          ea          $   -
                                                                                             Dilex- EHK Connectors V/EHK
                                       Restroom            Schluter
       .681281                                                                                 ---For Use in Restrooms---                                                          ea          $   -
       .681292          F.5                                Schluter                       Reno AEU-100 3/8" Transition Strip                                                       ea          $   -
                                    ACCENT FLOOR                                        Presidential Monticello 12x12 5/16" thick
                        F.6                                Marazzi
       .732633                      TILE Dining Room                                     Grout: G-1 #45 Raven Spectra Lock                     14.53 sf/bx                         bx          $   -
                                                                                    OWENS CORNING CHARDONNAY COUNTRY
                                                                                            LEDGESTONE BIG BOX FLAT
                         A          Exterior Chimney          OC
       .806510                                                                 USE: STONE-1,2,3 for Grout, Setting, and Waterproofing          90 SF Flat                          flat        $   -
       .806514         A OC         Exterior Chimney          OC                     LEDGESTONE BIGBOX OUTSIDE CORNER                          64LF/ bx                            bx          $   -
       .806517                      Exterior Chimney          OC                    LEDGESTONE HANDIPAK OUTSIDE CORNER                         8LF/ bx                             bx          $   -
        681266                      Exterior windows          OC                            Wainscott Colormatch Straight Sill                 2.5X3X2X19.5                        ea          $   -
                                                                                           12x12 Crayons Red Lustre 3/8" thick
                         C          Exterior Drive Up    Marazzi*****
       .693010                                                                                 Grout: G-2 Almond Sanded                        14.53sf                              bx         $   -
       .348234         EP-1, 2                             Laticrete           #45 Raven SpectraLock Powder (use SPL1004 Liquid)               4:1 A&B                              ea         $   -
       .277837          EP-1                               Laticrete                     SPL1004 Pro A & B Liquid #4 Package                   1:4 part C                           ea         $   -
        829274          EP-2                               Laticrete               S-2000C-SL-30 Spectralock (Liquid Only)#4- A & B            1:4 part C                           ea         $   -
       .494339          G-2                                Laticrete                    #1585 Almond Sanded Grout (25lbs.Bag)                                                       ea         $   -
       .494307          G-3                                Laticrete                  #1530 Sand Beige Sanded Grout (25lbs.Bag)                                                     ea         $   -
       694206                                              Laticrete                          #23Antique White Permacolor                      25# bag                              ea         $   -
       .494334          G-4                                Laticrete                    #1545 Raven Sanded Grout (25lbs. Bag)                                                       ea         $   -
       .613200                                             Laticrete              #253 Gold Multi-Purpose thin-set mortar (50lbs.Grey)         60 sf cov.                           ea         $   -
       .277822                                             Laticrete                      #15 Premium Latex Adhesive (3.5 Gal)                 175 sf. cov.                         ea         $   -
       .494847          G-2                                Laticrete         #6285 Latisil Almond Silicone Sealant with Microban (10.3 oz)     25 lf. Cov                           ea         $   -
       .494848          G-3                                Laticrete        #6230 Latisil Sand Beige Silicone Sealant with Microban (10.3oz)   25 lf. Cov                           ea         $   -
       .694206          G-3                               Laticrete**            2523 Permacolor Antique White(Replaced #501 Bone)             25# Bag                              ea         $   -
       494336                                              Laticrete                         #1539 Mushroom Sanded Grout                       25# bag                              ea         $   -
       .681208         S-1                              Stone Care Intl.                       Stone Color Enhancer (quart)                    400 sf. cov.                         ea         $   -
       .478913       STONE-1                               Laticrete                     9235 Waterproofing Membrane (300 sf)                  300 sf cov                           ea         $   -
       .422709       STONE-2                               Laticrete                        255 MultiMax Multipurpose Thinset                  50 sf cov                            ea         $   -
       .701781       STONE-3                               Laticrete                             Fortified Wide Joint Grout                    25 sf cov                            ea         $   -
       449265                                              Schluter                             TSM 115/1 Cutting Wheel                                                             ea         $   -
       422754                                              Raimondi                         UJ12 1/2" Square Notched Trowels                                                        ea         $   -
       422756                                              Raimondi                           UJ9 3/16" "V" Notched Trowels                                                         ea         $   -
       422757                                              Raimondi                                      UMF-1 Float                                                                ea         $   -
       422879                                              Raimondi                           6121 XL Hydro Yellow Sponge                                                           ea         $   -
                                                                                                                                                                Subtotal for above items   -



                                                                              47cbc815-0d38-4e62-b21c-020c15f380f8.xls                                                                                 Page 3
                                                                                                                                                                          310 SW 24th Street
                                                                                                                                                                       Bentonville, AR 72712
                                                                                                                                                                               (479) 756-8989
                                                                                                                                                                               (800) 459-7099
                                                                                                                                                                           (484) 708-9258 fax
                                                                                                                                                                            DQ@HJCINC.com



FOOD CENTRIC ORDER FORM                                                                                                                                                http://www.hjcinc.com/dq




If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country
                  Foods) please use this materials order form.
                                             Location of
QTY   HJC Point #     Specification                                Manufacturer                                Description                                                 Price          UOM
                                                Finish
                    * Ivory Honed replaces Olympia Tile "Micron Formato"
                    **Walnut Canyon replaces Olympia Tile- "Tecno Series" Abu Simbel
                    ***Xcela Tile replaces discontinued Villeroy & Boch "Electra Series"
                    ****Marazzi Amarelo replaces A233 Sand Beige, also the Chromie Series has been discontinued and is no longer available.
                    ****The Ocean Series has also been discontinued. Please substitute the Brixton Ceramic-12x12 for the OCOC-8x8 and the MLBON-12x12 for the OCCM-8x8.
                    *****Marazzi 12x12 is a replacement for the 8x8 Northern Lights Lipstick Red

                 Patio Black Railing
       .834545                            Exterior Patio       Fortress Iron         Fortress Iron Black Iron Railing 34" H x 8' PIP RES-8 640016   8' Long 34" Tall                       ea         $   -
       .834546                            Exterior Patio       Fortress Iron                Fortress Iron CB-04-1 Bracket (Bag of 4) 650037         Bag of 4                               ea         $   -
       .834547                            Exterior Patio       Fortress Iron                   Fortress Iron IP 2" x 38" W/ 4" Pole Base            34" Tall                               ea         $   -
       .840706            Gate            Exterior Patio       Fortress Iron           Fortress Iron 640202 Black Gate Leaf IGP 34 In RES-33IN      34" tall                               ea
       .840707            Gate            Exterior Patio       Fortress Iron                Fortress Iron 650163 Gravity Latch PSL-RGR-21                                                  ea
       .840708            Gate            Exterior Patio       Fortress Iron        Fortress Iron 650172 Black Self Closing Hinge Block PS-SCHB                                            ea
       .840710            Gate            Exterior Patio       Fortress Iron       Fortress Iron 650171 Black Upright Hinge Clamp PSH-PCGR- 1 in                                           ea
       .840711            Gate            Exterior Patio       Fortress Iron        Fortress Iron 650169 Black Post Hinge Clamp PSH-PCGR-2 in                                              ea
                                                                                                                                                                       Subtotal for above items   -


                    Maple Trim
        709217            M.10            Dining Room             Kiosko            4x8 Pre-Finished Maple Plywood (Kneewall Deck Cap) 5/8" thick   4x8 Sheet                                         $   -
        709219            M.10            Dining Room             Kiosko                8' x 1 1/2" x 3/4" w/ 1/2" Radius Prefinished Maple Trim    8' Stick                                          $   -
                                                                                                                                                                       Subtotal for above items   -

                      Wallpaper
                                         Wallcovering
                          M.25           Dining Room/        Sherwin Williams                      Wall Express XXIX WE29-2437
       .733526                               Lobby                                                                                                  54"x30 lyds Bolt                       Bolt       $   -
                                                                                                                                                                       Subtotal for above items   -



                          FRP
       .599111             M.9              Kitchen               Crane                                   4x10 FRP Almond                                                                 ea          $   -
       .599460             M.9              Kitchen               Crane                                   4x12 FRP Almond                                                                 ea          $   -
       .310711             M.9              Kitchen               Crane                                Vinyl 10' Almond Divider                                                           ea          $   -
       .310712             M.9              Kitchen               Crane                             Vinyl 10' Almond Inside Corner                                                        ea          $   -
       .607772             M.9              Kitchen                Nudo                        1-1/2 x1-1/2 x 10 Large Outside Corners                                                    ea          $   -
       .310714             M.9              Kitchen               Crane                               Vinyl 10' Almond End Cap                                                            ea          $   -
       .277874             M.9              Kitchen         Franklin Adhesives                             FRP Glue (4 Gal)                         1:4 FRP panel                         ea          $   -
       .407149             M.9              Kitchen         Franklin Adhesives                       100% Silicone (Clear)-10.1oz                                                         ea          $   -
                                         Dining Room-
                          M.26                                    Forbo                      Barley 2707 38x96 Panel- (runs horizontally)
       .855986                             Wainscott                                                                                                25.3 sf/ Panel                         ea         $   -
       .694194            M.26           Dining Room              Forbo                                  8571S- Jmold 6LF                                                                  ea         $   -
       .694192            M.26           Dining Room              Forbo                          AA3434S Outside Coner Guard 6LF                                                           ea         $   -
       .694193            M.26           Dining Room              Forbo                            7061 Inside Corner Guard 4LF                                                            ea         $   -
                                                                                                                                                                       Subtotal for above items   -


                       Ceiling Tile
                                            Ceiling
                          M.24           Dining Room/           Armstrong                        Adobe 24"x24"x5/8" for 15/16" Grid
       .614839                               Lobby                                                                                                  64 sf per box                         sf          $   -
       .614842            M.24                 ""               Armstrong                         Prelude Adobe- 7301 Main Tee 12'                  240lf/bx                              lf          $   -
       .614845            M.24                 ""               Armstrong                            Prelude Adobe- 7342 4' Tee                     240lf/bx                              lf          $   -
       .614851            M.24                 ""               Armstrong                            Prelude Adobe- 7322 2' Tee                     120lf/bx                              lf          $   -


                                                                                      47cbc815-0d38-4e62-b21c-020c15f380f8.xls                                                                                Page 4
                                                                                                                                                                        310 SW 24th Street
                                                                                                                                                                     Bentonville, AR 72712
                                                                                                                                                                             (479) 756-8989
                                                                                                                                                                             (800) 459-7099
                                                                                                                                                                         (484) 708-9258 fax
                                                                                                                                                                          DQ@HJCINC.com



FOOD CENTRIC ORDER FORM                                                                                                                                              http://www.hjcinc.com/dq




If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country
                  Foods) please use this materials order form.
                                            Location of
QTY     HJC Point #      Specification                      Manufacturer                                 Description                                                     Price          UOM
                                              Finish
          .614852            M.24                ""          Armstrong                       Prelude Adobe- 7801 Wall Angle 12'                      360lf/bx                           lf          $   -
          .393981            M.24                ""          Armstrong                      7891 140 Pc 12' Hanging Wire -1680sf                     50 lb. Bundle                      ea          $   -
                                              Ceiling
                             M.28                            Armstrong                     White 2'x4'x1/2" Vinyl Covered Gypsum
          .393816                             Kitchen                                                                                                16 sf per box                       sf         $   -
          .627302            M.28                ""          Armstrong                        Prelude- 7300 White Main Tee 12'                       240lf/bx                            lf         $   -
          .627308            M.28                ""          Armstrong                           Prelude- 7348 White 4' Tee                          24 lf/bx                            lf         $   -
          .633953            M.28                ""          Armstrong                           Prelude- 7328 White 2' Tee                          120lf/bx                            lf         $   -
          .633954            M.28                ""          Armstrong                       Prelude- 7800 White Wall Angle 12'                      360lf/bx                            lf         $   -
          .393981            M.28                ""          Armstrong                      7891 140 Pc 12' Hanging Wire -1680sf                     50 lb. Bundle                       ea         $   -
                                                                                                                                                                     Subtotal for above items   -
                           Diffusers

          .892118                                             Krueger          F23- 51400 24x24 #49 off-white 3/4 way diffuser w/ 8 in RD inlet                                         ea          $   -
          .894537                                             Krueger          F23- 51400 24x24 #49 off-white 3/4 way diffuser w/ 10 in RD inlet                                        ea          $   -
          .892124                                             Krueger           F23-56600 24x24 #49 off-white diffuser 3way w/ 8 in RD inlet                                            ea      -   $   -
                                                                             F23-56600 w/ 5HCF23 24x24 #49 off-white diffuser 4way w/ I0 in RD
                                                              Krueger
          .892124                                                                            inlet and hard ceiling frame kit                                                           ea          $   -

                                                              Krueger        EGC5 F22 46x22 #49 off-white Egg crate grid return grille 24x24 OA
          .892126                                                                                                                                                                       ea          $   -
                                                                             EGC5 F22 46x22#49 off-white Egg crate grid return grille 48x24 face
                                                              Krueger
          .892283                                                                                         size                                                                          ea          $   -
                                                                             EGC F22 10x4 #49 off-white egg crate gird return grille w/ 12x6 face
                                                              Krueger
          .892285                                                                                         size                                                                          ea          $   -

                                                              Krueger        EGC5 F22 22x4 #49 off-white egg crate return grille w/ 24x6 face size
          .892286                                                                                                                                                                       ea          $   -
                                                                             EGC5 F22 w/ 5HCF23 10x10 #49 off-white egg crate grid return grille
                                                              Krueger
          .894861                                                                   w/ 12x12 face and hard ceiling mounting frame kti                                                   ea          $   -


                      Toilet Compartments                                                              2-4 Week Lead Time from when HJC Receives Signed Shop Drawings
                                                                                         Toffee #8517 Headrail Braced Toilet Partition
                             M.16            Restroom          Bradley
          .285533                                                                           CUSTOM MADE, NEED DRAWINGS                       Stalls, Screens                            lot     -

                           Awnings                                                                      4-6 Week Lead Time from when HJC Receives Signed Shop Drawings
                                            Dining Room
                                                                                             Weblon Coastline Plus Deep Red
                            J W.7            Colonnade
                                                                                            CUSTOM MADE NEED DRAWINGS
          .741898                             Exterior                                                                                               Int.,   Ext.                       lot     -


                  Flush Valve Water Closets
      .606479               TOTO                             CT705E               1.28 HET Gallon, Floor Mount, Top Spud, Elongated Bowl                       EA                                   $   -
      .606481               TOTO                             CT705EL            ADA 1.28 HET Gallon, Floor Mount, Top Spud, Elongated Bowl                     EA                                   $   -
      .693007               TOTO                           TMT1LN32#CP                        1.28 Gallon Manual Flush Valve                                   EA                                   $   -
      .606475               TOTO                           TET1LN32#CP               1.28 Sensor Activated,Battery Powered Flush Valve                         EA                                   $   -
      .134324             BENEKE                               523                  Open Front, Elongated, Self Sustaining, Check Hinge,                       EA                                   $   -
            Tank Type Water Closets (Tank Type)
      .611494/.660100       TOTO                          C744E/ST743EBR/L       1.28 Gallon, Tank Type Toilet, Elongated Bowl, 12" Rough                      EA                                   $   -
      .611498/.649491       TOTO                          C744EL/ST743EB/L     ADA 1.28 Gallon, Tank Type Toilet, Elongated Bowl, 12" Rough                    EA                                   $   -
          .134324         BENEKE                                 523               Open Front, Elongated, Self Sustaining, Check Hinge,                        EA                                   $   -
           .3836           McGuire                            2166CCLK                             1/2 Comp.x12 Supply                                         EA                                   $   -
             Urinal - Hands Free High Efficiency
      .590490                Zurn                              Z5798          ADA, 1/8 Gallon, Wall Hung Urinal w/ Battery Operated Flush Valve                EA                                   $   -


                                                                                 47cbc815-0d38-4e62-b21c-020c15f380f8.xls                                                                                   Page 5
                                                                                                                                                            310 SW 24th Street
                                                                                                                                                         Bentonville, AR 72712
                                                                                                                                                                 (479) 756-8989
                                                                                                                                                                 (800) 459-7099
                                                                                                                                                             (484) 708-9258 fax
                                                                                                                                                              DQ@HJCINC.com



FOOD CENTRIC ORDER FORM                                                                                                                                  http://www.hjcinc.com/dq




If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country
                  Foods) please use this materials order form.
                                           Location of
QTY    HJC Point #      Specification                     Manufacturer                                  Description                                          Price          UOM
                                             Finish
      .271509               Josam                           17560-UR                                   Urinal Carrier                               EA                                  $   -
                Urinal - Standard (Optional)
      .160756        American Standard                     6541.132.020                 Allbrook Low Consumption Urinal (1.0 GPF)                   EA                                  $   -
      8246                  Sloan                             186-1                          1.0 GPF Manual Flush Valve Valve                       EA                                  $   -
      .271509               Josam                           17560-UR                                  Urinal Carrier                                EA                                  $   -
                          Lavatory
      .129302        American Standard                       355.012                    Wall Hung China Lavatory, 4" Center Set                     EA                                  $   -
      .280378              Mainline                           211-CP                   Single Lever Faucet, Chrome w/.5 Aerator                     EA                                  $   -
       234306               TOTO                            TN71V100S        TOTO 4CC COVER PLATE F- Need with battery powered faucet               EA                                  $   -
      .817018               TOTO                         TEL3LS10#CP-WR       .5 GPM Sensor Activated Battery Powered Faucet- Lead Free             EA                                  $   -
      .809210               ZURN                           ZW3870XLT                         Mini Mixing Valve- Lead Free                           EA                                  $   -
      .277732                HJC                            HJCLAVKIT          Angle Stops, Supplies, P-Trap, Truebro Wrap, Grid Strainer           EA                                  $   -
                  Tankless Water Heater
      .592907               Rinnai                           R75LSi                        Internal Max Btus 180,000, 7.5gpm                        EA                                  $   -
      .660800               Rinnai                           R75LSe                        External Max Btus 180,000, 7.5gpm                        EA                                  $   -
      .624556               Rinnai                        STDKITVA-S21                  21" Standard Termination Kit (LS Series)                    EA                                  $   -
      .633063               Rinnai                        STDKITVA-A21                 21" All-Weather Termination Kit (LS Series)                  EA                                  $   -
      .25135                Rinnai                           224063                                  90 Degree Elbow                                EA                                  $   -
      .625788               Rinnai                           222050                                  Condensate Trap                                EA                                  $   -
      .25144                Rinnai                           224051                               10" Vent Pipe Extension                           EA                                  $   -
      .25139                Rinnai                           224052                              19.5" Vent Pipe Extension                          EA                                  $   -
      .25142                Rinnai                           224053                               39" Vent Pipe Extension                           EA                                  $   -
      .25148                Rinnai                          184118-S                  Roof Discharge Termination 18" (Above Roof)                   EA                                  $   -
      .280967               Rinnai                           184119            Roof Discharge Termination 38" (Above Roof); cold climate            EA                                  $   -
      .25140                Rinnai                           146141                            Roof Flashing Assembly-Flat                          EA                                  $   -
      .25145                Rinnai                           169044                                     Pipe Clamp                                  EA                                  $   -
      .725778               Rinnai                           224040                                     NSF Cover                                   EA                                  $   -
      .592918               Rinnai                         MCC-91-W           Commercial Controller for LS Series (for temperatures > 140°F)        EA                                  $   -
      .624589               Rinnai                        REU-EZC-1US     EZ Connect Cable (for the R94LS, R75LS, R50LSi, and R98/3237FFU/W         EA                                  $   -
                          Mop Sink
      .498                    Fiat                          MSB2424                        24"x24"x10" Molded Stone Mop Sink                        EA                                  $   -
      .7308                   Fiat                           830AA                                  Mop Sink Faucet                                 EA                                  $   -
      .494                    Fiat                           832AA                                  Hose & Bracket                                  EA                                  $   -
                          Eyewash
      .693004             Speakman                          SE-577-SD                            Swing Activated Eyewash                            EA                                  $   -
      .563233              Powers                             ES150                              Emergency Mixing Valve                             EA                                  $   -
                            Drains
      .692999               Josam                         #49322-PVC                            12" Floor Sink 2" Outlet                            EA                                  $   -
      .693001               Josam                         #49323-PVC                            12" Floor Sink 3" Outlet                            EA                                  $   -
      .692944               Josam                          #30002-E2-Z                       Floor Drain w/ Funnel 2" Outlet                        EA                                  $   -
      .692948               Josam                          #30003-E2-Z                       Floor Drain w/ Funnel 2" Outlet                        EA                                  $   -
      .259827               Josam                          #30002-5A-Z                             Floor Drain 2" Outlet                            EA                                  $   -
      .198098               Josam                          #30003-5A-Z                             Floor Drain 3" Outlet                            EA                                  $   -
      .275422               Josam                           55004-1-Z                         Adjustable Floor Cleanout 4"                          EA                                  $   -
      .613160               Josam                             58604                            Adjustable Wall Cleanout                             EA                                  $   -
      .694665               Josam                             58608                            Adjustable Wall Cleanout                             EA                                  $   -
      .278614               Josam                         58604-COT(3)            Adjustable Wall Cleanout w/ 3" No-Hub Cleaonout Tee               EA                                  $   -
      .693002               Josam                         58608-COT(3)            Adjustable Wall Cleanout w/ 3" No-Hub Cleaonout Tee               EA                                  $   -
                         Wall Hydrant
      .356280               Josam                           71050-10        Non-Freeze Wall Hydrant with Chrome Face, Integral Vacuum Breaker 10"   EA                                  $   -
                        Mixing Valves
          .135829          Leonard                            210-SB                            1/2" Mixing Valve Set @ 120º                        EA                                  $   -
      .375612                Zurn                          12-ZW1017C                           1/2" Mixing Valve Set @ 120º                        EA                                  $   -
                                                                                                                                                         Subtotal for above items   -


                                                                               47cbc815-0d38-4e62-b21c-020c15f380f8.xls                                                                         Page 6
                                                                                                                                                       310 SW 24th Street
                                                                                                                                                    Bentonville, AR 72712
                                                                                                                                                            (479) 756-8989
                                                                                                                                                            (800) 459-7099
                                                                                                                                                        (484) 708-9258 fax
                                                                                                                                                         DQ@HJCINC.com



 FOOD CENTRIC ORDER FORM                                                                                                                            http://www.hjcinc.com/dq




 If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas Country
                   Foods) please use this materials order form.
                                            Location of
 QTY    HJC Point #      Specification                         Manufacturer                                Description                                  Price          UOM
                                              Finish

                         Accessories
           .524593         Bobrick                                 B-270                             Sanitary Napkin Disposal                  EA                                       $   -
           .193362         Bobrick                                B-4288               Surface Mount Toilet Tissue Dispenser- Contura Series   EA                                       $   -
           .531994         Mainline                               PB2312                                    18" Grab Bar                       EA                                       $   -
           .531996         Mainline                               PB 2316                                   36" Grab Bar                       EA                                       $   -
           .531999         Mainline                              PB 2317                                    42" Grab Bar                       EA                                       $   -
           .668990         Bradley                                  9134                                 Hat & Coat Hook                       EA                                       $   -
           .798162          Koala                                KB200-00                        Baby Changing Table- Horizontal               EA                                       $   -
          .394612           Koala                                KB100-00                          Baby Changing Table- Vertical               EA                                       $   -
           .668992          Koala                                KB150-99                        Liner Replacements (Box of 500)               EA                                       $   -
           .308531          Koala                                  KB102                                 Child Safety Seat                     EA                                       $   -
           .146036         Bobrick                                 B-822                        Lavatory Mounted Soap Dispenser                EA                                       $   -
           .137327         Bobrick                                B-2112                      Wall Mounted Horizontal Soap Dispenser           EA                                       $   -
           .395098          HJC                                   2436 - T                   24x36 Channel Framed Mirror (Tempered)            EA                                       $   -

                                                                                            XLerator Surface Mount Hand Dryer White
                            Excel                                  XL-W
          .347940                                                                                       110V/120V 12.5A                        EA                                       $   -
                                                                                                                                                    Subtotal for above items        -

                         Applicable Sales tax added at time of shipment
                       Quantities are for estimating purposes only. Verification required by Contractor prior to shipping.
This confidential pricing list is the property of Dairy Queen® and Haines, Jones, & Cadbury to be used on Dairy Queen® Projects only.
                                                                                                                                                      Interior/ Exterior Tile   $   -
                                                                                                                                                           Maple Trim/Paint     $   -
                                                                                                                                                                         FRP    $   -
                                                                                                                                                                 Ceiling Tile   $   -
                                                                                                                                                            Toilet Partitions   $   -
                                                                                                                                                                    Awnings     $   -
                                                                                                                                                         Toilet Accessories     $   -
                                                                                                                                                         Plumbing Fixtures      $   -
                                                                                                                                                         Estimated Freight
                                                                                                                                                                Grand Total     $   -




                                                                                     47cbc815-0d38-4e62-b21c-020c15f380f8.xls                                                                   Page 7
                                                                                                                                                                   310 SW 24th Street
                                                                                                                                                                Bentonville, AR 72712
                                                                                                                                                                        (479) 756-8989
                                                                                                                                                                        (800) 459-7099
                                                                                                                                                                    (484) 708-9258 fax
                                                                                                                                                                   DQ@HJCINC.com



FOOD CENTRIC Bulb & Ballast ORDER FORM                                                                                                                          http://www.hjcinc.com/dq




         If you are food franchisee (Dairy Queen Brazier, Grill & Chill or Texas
                  Country Foods) please use this materials order form.
                                              Location of
QTY    HJC Point #        Specification                                                                   Description                                              Price         UOM
                                                Finish            Manufacturer
         Food Centric Light Fixtures & Bulbs
      .748446         AA                  Dining Room           BESA              IVC-420207-BK- Pendant Fixture w/ Glass Diffuser           1 Lamp                              ea        $   -
      .758667         AA1                 Dining Room           BESA              IVC-516707.1-BK                                            1 Lamp                              ea        $   -
      .748618         AA/AA1 Lamp (1)                           TCP               8AO8WH TCP, 8W- Cold Cathode Lamp                                                              ea        $   -
      .748448         BB                  Dining Room           BESA              DQ1707BK- Wall Sconce w/ Glass Diffuser                    1 Lamp                              ea        $   -
      .758625         BB (1)              Dining Room           TCP               8TFCO5WH TCP, 5W-Lamp                                                                          ea        $   -
      .748450         DD                  Exterior Accent       STONE MATHERS     HJC-VW14-DQF2, MICA- Flame Decorative Sconce               2 Lamps                             ea        $   -
      .748477         DD (2)                                    Sylvania 20283    CF13DS/830/ECO- 50 cs lamp                                                                     ea        $   -
      .748424/.748430 EE                                        Lightolier        313STX /302MRXFJ24- Recessed Down Light, Trim & Frame      1 Lamp                              ea        $   -
      .620048         EE (1)                                    USHIO             1003556 FMV/FG/UL                                                                              ea        $   -
      .748426/.748430 FF                                        Lightolier        302MRXFJ24/ 378STX- (adjustable)                           1 Lamp                              ea        $   -
      .620048         FF (1)                                    USHIO             1003556 FMV/FG/UL                                                                              ea        $   -
      .748453         GG                                        PARAGON           PVT8-4LT8-DH-WH                                            4 Lamps                             ea        $   -
      .748480         GG (4)                                    Sylvania 22141    FO32/750/ECO                                                                                   ea        $   -
      .748432/.748434 HH                                        Lightolier        1101F18USYLFJ42 1176WH (canlight)                          1 Lamp                              ea        $   -
      .748487         HH (1)                                    Sylvania 20876    CF18DT/E/IN/830/ECO                                                                            ea        $   -
      .748433/.748434 HHEM                                      Lightolier        1101F18UEMSYLFJ42 1176WH- Emergency                        1 Lamp                              ea        $   -
      .748487         HHEM (1)                                  Sylvania 20876    CF18DT/E/IN/830/ECO                                                                            ea        $   -
      .748437/.748441 HH1                                       Lightolier        1101F2642USYLFJ42 1101HCLC                                 1 Lamp                              ea        $   -
      .748485         HH1                                       Sylvania 20888    CF42DT/E/IN/830/ECO                                                                            ea        $   -
      .748439/.748441 HH1EM                                     Lightolier        1101F2642UEMSYLFJ42- Emergency                             1 Lamp                              ea        $   -
      .748485         HH1EM                                     Sylvania 20888    CF42DT/E/IN/830/ECO                                                                            ea        $   -
                                                                                  SHAT-R-SHIELD 01719i 250BR40/1 SHATTER RESISTANT
                                                                                  CLEAR HEAT LAMP
      807240         JJ                   Kitchen                                                                                                                                ea        $   -
                                                                                  DL-500-CTL Track Mounted Heat Lamp 120V/60/1-PH with 22"
      871948         JJ                   Kitchen               Hatco             overall cord                                                                                   ea        $   -
      . 884526                                                                    DL-500-CTL Track Mounted Heat Lamp 120V/60/1-PH with 71"
                     JJ                   Kitchen               Hatco             overall cord                                                                                   ea        $   -
      .861684        CC                   Kitchen               Hatco             DL- Track 4B 4' Track Black                                                                    ea        $   -
      .861686        CC                   Kitchen               Hatco             DL-Track-8B 8' Track Black                                                                     ea        $   -
      .748444        LL                   Kitchen/storage       Lightolier        XP2GVI332UNVH3F-735                                        3 Lamps (Incl)                      ea        $   -
      .710549        LL                                         FBP100FE- 450 Lumens Emergency Ballast- Operates 1 bulb                                                          ea        $   -
      .758335        LL                                         FBP50- 1100 Lumens Emergency Ballast. Operates 2 bulbs                                                           ea        $   -
      .748480        LL (3)                                     Sylvania 22141    FO32/750/ECO                                                                                   ea        $   -
      .758619        LL1                                        Lightolier        XP2GVI26UUVNHI                                             2 Lamps(Inc)                        ea        $   -
      .758286        LL1 (2)                                    Sylvania 22170    FBO30830XP6SSECO                                                                               ea        $   -
                                                                                   BK LTG SN-MR-5-SAP-9-B-18IN-C SATIN
                                                                                   ALUM SIGN LIGHT
      .806507/                                                                    BK LTG TRSS-75-120-75-120/277 75W
      .806508                                                                     TRANSFORMER
                     MM                   Exterior Sign Light   BK                                                                           1 Lamp(included)                    ea        $   -
      .752944        NN                   Back Door             DECO Lighting     D402242CEBBZLP                                             2 Lamps                             ea        $   -
      .748485        NN (2)                                     Sylvania 20888    CF42DT/E/IN/830/ECO                                                                            ea        $   -
      896428         P                    Canopy                Access            20363 Silver satin                                         1 Lamp                              ea        $   -
      .788895        P (1)                                      Sylvania          50W Par 30                                                                                     ea        $   -
      904434         PP                   Canopy                Access            20363 Black (downlights)                                   1 Lamp                              ea        $   -
      .788895        PP (1)                                     Sylvania          50W Par 30                                                                                     ea        $   -
.748468        Q1                 Canopy             HUBBELL             309-ML- Gray wet location (up lights) NEED 1                     2 Lamps                              ea            $   -
.749967        Q1                                    HUBBELL             206BC3 Grey Cover Plate NEED 1                                                                        ea            $   -
.748495        Q1                                    Sylvania 14577      90PAR38/HAL/WFL40 NEED 1                                                                              ea            $   -
.748468        Q2                 Canopy             HUBBELL             309-ML- Gray wet location (up lights) NEED 2                     2 Lamps                              ea            $   -
.749967        Q2                                    HUBBELL             206BC3 Grey Cover Plate NEED 1                                                                        ea            $   -
.748495        Q2                                    Sylvania 14577      90PAR38/HAL/WFL40 NEED 2                                                                              ea            $   -
.748469 x2     QQ1                Canopy             HUBBELL             309-14-ML- matte black wet location (up lights) NEED 1           2 Lamps                              ea            $   -
.749968        QQ1                                   HUBBELL             206BC3B Black Cover Plage NEED 1                                                                      ea            $   -
.748495        QQ1                                   Sylvania 14577      90PAR38/HAL/WFL40 NEED 1                                                                              ea            $   -
.748469 x2     QQ2                Canopy             HUBBELL             309-14-ML- matte black wet location (up lights) NEED 2           2 Lamps                              ea            $   -
.749968        QQ2                                   HUBBELL             206BC3B Black Cover Plage NEED 1                                                                      ea            $   -
.748495        QQ2                                   Sylvania 14577      90PAR38/HAL/WFL40 NEED 2                                                                              ea            $   -
.748473        RR                 Interior Exit      EXITRONIX           VEX-U-BP-WB-WH-EL90, EXIT LED                                    Included                             ea            $   -
                                                     Lithonia KAD 400M   Soft Square Parking Lot Lighting 400W Metal Halide Dark Bronze   1 Lamp (Included)
                                                     R3 TB LPI W/ SSS    Anchor Base Pole
.748615/.755605 SS1               Parking Lot        25 4C DM19DDB                                                                                                             ea            $   -
.748497         SS1(1)                               Sylvania 64490      MH400/U                                                                                               ea            $   -
                                                     Lithonia KAD 400M   Soft Square Parking Lot Lighting 400W Metal Halide Dark Bronze 2 Lamps
                                                     R3 TB LPI W/ SSS    Anchor Base Pole-2 Heads(lead time 4-6 wks)                    (Included)
.748615(2)/.857354
                SS2               Parking Lot        25 4C DM28 DDB                                                                                                            ea            $   -
.748497         SS2(2)                               Sylvania 64490      MH400/U                                                                                               ea            $   -
.806504/ .806500TT                Courtyard/Patio    Thoams Post         Black SL9006-7 with pole                                         3 Lamps                              ea            $   -
.901916         TT(3)                                Sylvania 29584      CF9EL/Candelabra/2BL/12                                                                               ea            $   -
.755693         UU(1)                                Lightolier          1127WH 6 3/4" Recessed Adjustable Reflector Trim                           23                         ea            $   -
.755696         UU(1)                                Lightolier          1103R 6 3/4" Recessed Downlighting Remodeler Frame-In Kit                                             ea            $   -
.760582         UU (1)                               Sylvania 29569      CF23EL/PAR38/BL/2/12                                                                                  ea            $   -
                ZZ                                   Morgan Hope         LEF22BLK- Black Outdoor Wall Flood Flourescent                      lamp included                     ea            $   -




.759589
                                 EXTERIOR LED BAND
                                  EXTERIOR LED                           LED-MH-120V-EB Blue LED Band( Cut marks every 1.5 ft)                                                 LF            $   -
                                                                         LED- MH-120 Orange Band required if franchisee plans to install (2) strokes of
.829378                           EXTERIOR LED                                     LED (remaining stroke to be blue). (cut marks every 24")                                    LF            $   -

.759592                           EXTERIOR LED                                              Black Aluminum Track (1 Meter)                                                      Meter        $   -
.759596                           EXTERIOR LED                           L-Connector Inside Corner (for 90 Deg Bends)                                                           ea           $   -
.760205                           EXTERIOR LED                           L-Connector Outside Corner (For 90 Deg Bends)                                                          ea           $   -
.759599                           EXTERIOR LED                           Front Power Pin (splice connector)                                                                     ea           $   -
.760566                           EXTERIOR LED                           Middle Power Pin (Splice Connector)                                                                    ea           $   -
.759600                           EXTERIOR LED                           Heat Shrink (50MM)                                                                                     ea           $   -
.759601                           EXTERIOR LED                           End Cap                                                                                                ea           $   -
.759603                           EXTERIOR LED                           Power Cord                                                                                             ea           $   -
                                                                                                                                                              Subtotal for above items   -


                                                              Signage Bulbs & Ballasts
    748504                   Sylvania 25189, F72T12/D/HO LAMP                                                                                                                      ea        $   -
    748506                   Sylvania 25353, F64T12/D/HO LAMP                                                                                                                      ea        $   -
    748507                   Sylvania 25120, F60T12/D/HO LAMP                                                                                                                      ea        $   -
    748508                  Sylvania, 25150, F48T12/D/HO LAMP                                                                                                                      ea        $   -
    748509                  Sylvania, 25343, F42T12/D/HO LAMP                                                                                                                      ea        $   -
    748510                  Sylvania, 25332, F36T12/D/HO LAMP                                                                                                                      ea        $   -
   .748611                 Sylvania, 25322, F30T12/CW/HO LAMP                                                                                                                      ea        $   -
    748557                  Sylvania, 25314, F24T12/D/HO LAMP                                                                                                                      ea        $   -
    748558               Sylvania, 58226, E5B-26-1048-TP BALLAST                                RUNS T12 ONLY                                                                      ea        $   -
    748559               Sylvania 58225, E5B-13-0424-TP BALLAST                                   RUNS T12                                                                         ea        $   -
    748560               Sylvania, 58228, E5B-16-0832-TP BALLAST                                  RUNS T12                                                                         ea        $   -
    748561               Sylvania, 58227, E5B-14-1040-TP BALLAST                                  RUNS T12                                                                         ea        $   -
                                                                                                                                                              Subtotal for above items   -
                                                                            Cake Freezer LED Retrofit
                                    BSI 483LKPWS-1 (3) Light Kit                           Kit for freezers with 3 individual lights                                  ea            $   -
                                    BSI 484LKPWS-1 (4) Light Kit                           Kit for Freezers with 4 individual lights                                  ea            $   -


                                                                          Menu Board Bulbs
          572522/
          .766831         Sylvania, 21770 F017/741/ECO LAMP with overpack                         Inside Menu Board T-8                    30                      case             $   -
          750286/
          .766831          Sylvania 21547 FO32/741/ECO/SL with overpack                              Cake Freezer T-8                      30                      case             $   -
          750957/
          .766833        Sylvania 25303 F18T12/DSGN50/HO with overpack                              DQ Logo Lamp T-12                      30                      case             $   -
                     Philips 236794 F48T8CW/HO/TL841/ALTO LAMP with over
      748622/.766831                          pack                                              Drive Thru Menu Board T-8                  25                       case            $   -
                                                                                                                                                 Subtotal for above items       -



                                                                               BOXES
          .766829                     TRC Lamp Recycle Box                         8.5 x 8.5 x 48 (30 T12, 60 T-8, 373 CFLs, or 20 HIDs)                              ea            $   -
          .766831                       Sylvania X10195                                T8 Case Protective Overpak (30 - 4' T8 Bulbs)                                  ea            $   -
          .766833                       Sylvania X10196                            T12 Case Protective Bulb Overpak (30 - 4' T12 Bulbs)                               ea            $   -
                                                                                                                                                 Subtotal for above items       -


                        Applicable Sales tax added at time of shipment
                    Quantities are for estimating purposes only. Verification required by Contractor prior to shipping.
This confidential pricing list is the property of Dairy Queen® and Haines, Jones, & Cadbury to be used on Dairy Queen® Projects only.
                                                                                                                                                     Food Centric Bulbs     $   -
                                                                                                                                                Signage Bulbs & Ballasts    $   -
                                                                                                                                                      Menu Board Bulbs      $   -
                                                                                                                                                                 Boxes      $   -
                                                                                                                                                      Estimated Freight
                                                                                                                                                            Grand Total     $   -
HAINES, JONES & CADBURY
A DIVISION OF HAJOCA

Materials Return Policy

Haines, Jones & Cadbury (HJC) shall provide a Return Materials Authorization (RMA) number to original
purchaser for all authorized returns. It shall be the responsibility of the original purchaser to obtain written RMA
approval and Special RMA Shipping Labels to receive a credit for returned merchandise.

RMA packing slips and special RMA Shipping Labels must be provided for all returns. Items returned
without RMA Shipping Labels attached will be refused for delivery and retuned to the sender freight collect.
Items for return must be shipped freight prepaid in original unopened packaging and in resalable
condition. Should an item be inadvertently accepted without Special RMA Shipping Labels the customer will be
contacted to determine the disposition of the material. Items returned for credit that were quoted as part of a
product mix on an order will require re-quote to determine the value of credit applied. Any adjustments will be
reflected in the restock charge assessed to the RMA. If the order was originally shipped full freight allowed, the
party returning the order will be held responsible for both in-bound and / or out-bound freight charges (duty and
brokerage also apply for Canadian shipments). All products must be returned to the location they originated
from.

• All RMA requests must reference an invoice number
• All requests for returns must be made within 6 months of invoice date
• All returns must be received at an HJC Distribution Center within 30 days from issuance of RMA
• Items returned using an expired RMA will be refused for delivery and returned to the sender freight collect
• Minimum 15% restocking fee will apply
• All requests for large quantities will be reviewed on a case-by-case basis

Partitions
• Due to this product being an engineered system with approved fabrication drawings required prior to shipping,
all requests are subject for review on an order-by-order basis.



HJC Service Center: 310 SW 24th Street, Bentonville, AR 72712 – (800) 459-7099 – Fax (479) 756-8998
Distribution Centers: Arden, NC - Crossville, TN - Springdale, AR - Phoenix, AZ - London, ON, Canada
original
n written RMA


ms returned
ght collect.
alable
 ustomer will be
as part of a
ments will be
ht allowed, the
rges (duty and
  originated




ght collect




 or to shipping,
HAINES, JONES & CADBURY
A DIVISION OF HAJOCA

TERMS AND CONDITIONS OF SALE

The following terms and conditions govern this sale:
Prices: All prices are subject to change without notice. If prices change Customer agrees to accept new prices.
Payment Terms: All accounts are due and payable based on terms stated on Seller’s invoice to the remittance address reflected on the
invoice.
Late Payment: Customer acknowledges and agrees that it will be charged one percent (1%) per month as service charge plus up to the
maximum interest allowed by law on any unpaid balance that has not been paid by the date due, and Customer agrees to promptly pay
said service charge and interest. A part of a month is treated as a full month for the purpose of calculating service charge and interest.
Waiver of any service charge or interest for one month by Seller shall not be deemed a waiver of future charges.
Back Orders: Back Orders will be shipped as received unless the Customer instructs otherwise.
Claims: No claim for damages, defects, shortages or otherwise shall be valid unless made in writing within forty-eight (48) hours of delivery
of goods to Customer. If the goods are damaged or defective and the manufacturer acknowledges responsibility under its warranty or
otherwise, Seller may, but shall not be required to (1) replace the damaged or defective goods from inventory, if available, or (2) allow the
Customer a credit for the amount of the purchase price of the goods. In no event shall Seller's responsibility to Customer exceed the
purchase price of the goods involved. On shipments made directly to Customer from the manufacturer, the sale is complete and Seller's
responsibility to Customer ends upon delivery to the common carrier. Such shipments should be inspected by Customer before accepting
delivery from the carrier. No goods shall be returned without Seller's prior approval. Customer shall assume all risk and liability for all loss,
damage or injury to the person or property resulting from the use of the goods.
Special Orders: Orders for goods which Seller does not regularly stock may not be cancelled for any reason after Seller has placed the
order with the manufacturer.
Taxes: Customer will pay, in addition to the estimated totals, all taxes, including, without limitation, sales, use and excise, imposed by any
present or future law on the sale or use of the goods covered thereby.
Delivery: Seller shall not be responsible for any delays in delivery of the goods due to any circumstances beyond Seller's control, including,
but not limited to fire, flood, earthquake, transportation delays, labor disputes, civil disorders, governmental orders or actions, acts of war or
terrorism, and inability to secure goods from Seller's usual sources of supply.
Governing Terms: The terms and conditions on the Seller's Credit Application and on this document shall govern this transaction and shall
supersede any purchase order submitted to Seller by Customer. Customer hereby agrees that the terms and conditions of any purchase
order other than the identity of and quantity of the item(s) being purchased are null and void and of no legal effect.
Warranty Disclaimer: Hajoca Corporation warrants that it has title to the goods sold. It makes no other warranties, expressed or implied,
including, without limitation, warranties for merchantability and fitness for use with respect to the goods referred to in this invoice. Any
warranty affecting these goods is provided solely by their manufacturer, the terms of which will be furnished upon request. If the goods are
damaged or defective and the manufacturer acknowledges responsibility under its warranty, Hajoca Corporation may, but shall not be
required to, replace the damaged or defective goods from Hajoca’s inventory, if available, or allow the purchaser a credit for the amount of
the purchase price of such goods.
Dispute Resolution/Venue: Any dispute arising out of this transaction shall be resolved by litigation or binding arbitration (Dispute
Resolution) at Seller's option. Such Dispute Resolution shall be conducted at a location selected by Seller and in the event of binding
arbitration, by an arbitration service selected by Seller. A single arbitrator shall preside over the arbitration. If the parties cannot agree upon
a single arbitrator, the procedure of the arbitration service selected by Seller shall be used to select an arbitrator.
Costs of Collection: If Seller retains or employs attorneys or other agencies in order to secure payment of any sums due from Customer,
including the filing of foreclosure actions on liens filed due to Customer's failure to make payment, the Customer agrees to pay attorney
and/or collection fees, costs, and other related expenses in addition to all sums due.
Personal Liability: The person(s) executing this document on behalf of Customer hereby represents he/she has authority to execute this
document on behalf of the Customer and acknowledges if no such authority exists that he/she by executing this document becomes
personally liable under its terms.
       livery




        ding,


ion and shall

				
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posted:8/22/2011
language:English
pages:16
Description: Stone Order Form document sample