Seller’s Confirmation of Receipt & Acceptance of Order

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Seller’s Confirmation of Receipt & Acceptance of Order

To:

______________________

______________________

______________________

Date: __________, 20__, No._____

We hereby confirm your order for the following goods:

Item: ___________________________

Terms of Shipment: ______________

Delivery Date: __________________

Delivery Point: _________________

Terms of Payment: _______________

All prices herein are exclusive of sales, use, and other excise taxes. All such taxes, and any other taxes measured, in whole or part, by gross receipts applicable to this transaction are to be borne by the purchaser. All export, import and other duties, tariffs and customs shall be paid by the purchaser. If exemption is claimed by the purchaser from any of the foregoing, the purchaser shall furnish satisfactory proof of such tax exemption.

___________________________________

SELLER

Date: ______________________________