DRIVE TEST PLATES -
QUALITY CONTROL |
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FINIAL INSPECTION |
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FAX ORDER FORM |
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2
X 6 INCH SHAPED PLATES |
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SAVE - LOWER PRICES FOR
BLANKET ORDERS |
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CERTIFICATIONS
ARE INCLUDED WITH EVERY SHIPMENT |
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ISO 9000 CERTIFIED
MATERIAL SUPPLIERS |
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Thread Cutting Screws |
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Thread Rolling Screws |
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Types 1, 23, D, F, G, T |
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Types TT, SW, SF, RL, TR3, CF,
Tri-Pt |
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Plate |
Num. |
Order |
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Hole |
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Plate |
Num. |
Order |
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Hole |
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Number |
Holes |
Qty |
Price |
Diameter |
Thickness |
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Number |
Holes |
Qty |
Price |
Diameter |
Thickness |
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TC-4-40 |
48 |
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0.0960 |
0.109 |
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TR-4-40 |
48 |
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0.0980 |
0.125 |
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5-40 |
" |
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0.1010 |
" |
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5-40 |
" |
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0.1100 |
" |
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6-32 |
" |
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0.1200 |
0.140 |
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6-32 |
" |
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0.1200 |
" |
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8-32 |
" |
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0.1470 |
" |
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8-32 |
" |
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0.1470 |
0.187 |
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10-24 |
" |
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0.1730 |
0.187 |
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10-24 |
" |
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0.1660 |
" |
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10-32 |
" |
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0.1770 |
" |
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10-32 |
" |
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0.1720 |
" |
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12-24 |
38 |
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0.1990 |
" |
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12-24 |
38 |
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0.1910 |
" |
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1/4-20 |
" |
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0.2280 |
0.250 |
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1/4-20 |
" |
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0.2190 |
0.250 |
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1/4-28 |
" |
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0.2340 |
" |
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5/16-18 |
17 |
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0.2770 |
0.312 |
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5/16-18 |
17 |
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0.2900 |
0.312 |
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3/8-16 |
" |
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0.3390 |
0.375 |
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3/8-16 |
" |
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0.3580 |
0.375 |
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M35-06 |
48 |
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0.1240 |
0.125 |
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M4-07 |
48 |
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0.1380 |
0.140 |
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M4-07 |
" |
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0.1420 |
0.187 |
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M5-08 |
" |
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0.1770 |
0.250 |
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M5-08 |
" |
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0.1790 |
0.250 |
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M6-10 |
38 |
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0.2125 |
0.250 |
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M6-10 |
38 |
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0.2125 |
0.250 |
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M8-125 |
17 |
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0.2875 |
0.312 |
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Tapping Screws |
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Types A, AB, B, BF, Type 25 |
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Please Complete Below |
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Plate |
Num. |
Order |
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Hole |
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Number |
Holes |
Qty |
Price |
Dia. |
Thickness |
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Company |
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TS-3 |
48 |
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0.0810 |
0.048 |
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Street |
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4 |
" |
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0.0860 |
" |
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5 |
" |
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0.1065 |
" |
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City |
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State |
Zip |
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6 |
" |
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0.1160 |
0.075 |
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7 |
" |
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0.1285 |
" |
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Phone |
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FAX |
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8 |
" |
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0.1360 |
" |
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10 |
" |
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0.1590 |
0.125 |
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Buyer |
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P.O. # |
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12 |
38 |
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0.1875 |
" |
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14 |
" |
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0.2165 |
" |
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Date |
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Dely |
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1/4 |
" |
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0.2165 |
0.187 |
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Order Calculation |
Amount |
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5/16 |
17 |
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0.2720 |
" |
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$ |
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3/8 |
" |
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0.3280 |
" |
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QTY |
@ |
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M4.2-1.41 |
48 |
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0.1360 |
0.075 |
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QTY |
@ |
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M4.8-1.59 |
" |
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0.1590 |
0.125 |
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QTY |
@ |
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M6.3-1.81 |
38 |
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0.2165 |
0.187 |
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QTY |
@ |
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QTY |
@ |
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THE
RAW MATERIAL EXCHANGE |
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TOTALS |
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$ |
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210
Shorewood Drive, Valparaiso, IN 46385 |
5-27-03 |
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PHONE 219-878-1992 |
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