No. 10 Envelope Order
Please complete this order form
,
include with a signed purchase requisition, and forward to Purchasing, MS #10. If a reorder of an existing envelope, attach a
sample to this form. New and revised orders will have a proof emailed to the requisition signer s office for final approval.
Envelopes will be delivered directly to the
requisition signer. See vendor information below. Delivery: Two weeks after receipt of purchase order.
Please fill out ALL of the information requested below; print clearly. One envelope request per form. Photocopy as needed.
ORDER REQUESTED BY
Name of Requisitioner Date of Request
Department/Division Name Requisition #
Office Location and Mail Station for Direct Delivery
VENDOR
Contract Award:18PSX0211 (12/01/2018-11/30/2020)
Vendor: The John W Gross Co, 266 Waterville Road, Avon, CT 06001
Please include quantity, cost and vendor information on purchase requisition.
ENVELOPE SPECIFICATIONS
(select one style)
STYLE #1: No. 10 Official Envelo
pe with Rounded Flap

1,000, $64.50

5,000, $185
.70

10,000, $319.20
STYLE #2: No. 1
0 Window Envelope with Rounded Flap

1,000, $68.95

5,000, $201.60

10,000, $349.40
RETURN ADDRESS AND INDICIA
Return Address: Please complete or attach a sample envelope with return address.
Division OR Department Name Mail Station #
INDICIA:
Optional, depending
on how the letters
are mailed. Please
check one.

NO INDICIA

PRESORTED FIRST CLASS (must be mailed via mail house)

BULK MAIL/NONPROFIT (must be mailed via mail house)
Samples
of Indicias
Presorted First Class Bulk Mail/Nonprofit
PRESORTED
NONPROFIT ORG
U.S.
FIRST-CLASS MAIL
POSTAGE PAID
U.S. POSTAGE PAID
HARTFORD, CT
HARTFORD, CT
PERMIT NO 5100
PERMIT NO 5100
March 2019/PR
Samples of No. 10 Envelopes (9.5 inches wide x 4.125 inches tall) and Return Address Setup
NO. 10 WINDOW
NON-PROFIT ORG
U.S. POSTAGE PAID
HARTFORD, CT
PERMIT NO 5100
Divsion or
Department Name
Great Path, MS ??
P.O. Box 1046
Manchester, CT
06045-1046
MANCHESTER
COMMUNITY
COLLEGE
COMMUNITY
COLLEGE
NO. 10 OFFICIAL
NON-PROFIT ORG
U.S. POSTAGE PAID
HARTFORD, CT
PERMIT NO 5100
Divsion or
Department Name
Great Path, MS ??
P.O. Box 1046
Manchester, CT
06045-1046
MANCHESTER
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