Name ________________________________________________________________
Township _________________________________
County _____________________________
Address ______________________________________________________________
City ________________________________________
State _____ Zip ____________________
Daytime Phone # (___)____________________________
|
Year
|
Description |
Cost
Each
|
Tax
Each
|
S & H*
Each
|
Total
Each
|
Quantity
|
Total Due
|
|
2001
|
Kenworth Snow Plow - White |
$49.00
|
$2.94
|
$4.00
|
$55.94
|
|
|
|
2001
|
Kenworth Snow Plow - Blue |
$49.00
|
$2.94
|
$4.00
|
$55.94
|
|
|
|
2000
|
Ford Backhoe |
$57.00
|
$3.42
|
$4.00
|
$64.42
|
|
|
|
1999
|
Kenworth Cab/Cat Grader |
$49.00
|
$2.94
|
$4.00
|
$55.94
|
|
|
|
1999
|
Freightliner Cab/Cat Grader |
$49.00
|
$2.94
|
$4.00
|
$55.94
|
|
|
|
1996
|
Ford Aeromax – 75th Anniversary |
$47.50
|
$2.85
|
$4.00
|
$54.35
|
|
|
|
1996
|
Kenworth – 75th Anniversary |
$47.50
|
$2.85
|
$4.00
|
$54.35
|
|
|
|
1994
|
Wood Block on Flatbed |
$45.00
|
$2.70
|
$4.00
|
$51.70
|
|
|
|
|
PSATS Hat - Forest Green |
$7.52
|
$.48
|
$2.00
|
$10.00
|
|
|
|
|
PSATS Hat - Khaki |
$7.52
|
$.48
|
$2.00
|
$10.00
|
|
|
|
|
PSATS Hat - Stone |
$7.52
|
$.48
|
$2.00
|
$10.00
|
|
|
|
|
PSATS Hat - Natural |
$7.52
|
$.48
|
$2.00
|
$10.00
|
|
|
|
|
|
|
|
|
|
Total Due
|
$ |
*Shipping & Handling charge per item
Pennsylvania State Association of Township
Supervisors
4855 Woodland Drive, Enola PA 17025