DRIVE TEST PLATES - QUALITY CONTROL
FINAL INSPECTION FAX ORDER FORM
3 X 6 INCH SHAPED PLATES
CERTIFICATIONS ARE INCLUDED WITH EVERY SHIPMENT ISO 9000 CERTIFIED MATERIAL SUPPLIERS
             Thread Cutting Screws                  Thread Rolling Screws  
                   Types 1, 23, D, F, G, T                Types TT, SW, SF, RL, TR3, CF, Tri-Pt
Plate Num. Order   Hole     Plate Num. Order   Hole  
Number Holes Qty  Price Diameter Thickness   Number Holes Qty  Price Diameter Thickness
                         
 TC-4-40 53     0.0960 0.109   TR-4-40 53     0.0980 0.125
        5-40 "     0.1010 "          5-40 "     0.1100 "
        6-32 "     0.1200 0.140          6-32 "     0.1200 "
        8-32 "     0.1470 "          8-32 "     0.1470 0.187
        10-24 "     0.1730 0.187         10-24 "     0.1660 "
        10-32 "     0.1770 "         10-32 "     0.1720 "
        12-24 46     0.1990 "         12-24 46     0.1910 "
        1/4-20 "     0.2280 0.250         1/4-20 "     0.2190 0.250
        1/4-28 "     0.2340 "         5/16-18 28     0.2770 0.312
        5/16-18 28     0.2900 0.312         3/8-16 "     0.3390 0.375
        3/8-16 "     0.3580 0.375        M35-06 53     0.1240 0.125
        M4-07 53     0.1380 0.140        M4-07 "     0.1420 0.187
        M5-08 "     0.1770 0.187        M5-08 "     0.1790 0.250
        M6-10 46     0.2125 0.250        M6-10 46     0.2125 0.250
ANSI B18.6.4 1981 inch sizes,  ASME B18.6.5M 1998 metric sizes        M8-125 28     0.2875 0.312
       M10-15 21     0.3620 0.437
                    Tapping Screws          M12-175 "     0.4330 0.500
               Types A, AB, B, BF, Type 25   SAE J81 1979 inch, SAE J1237 1996 metric
Plate Num. Order   Hole     Please Complete Below  
Number Holes Qty  Price Dia.      
               Company          
 TS-3 53     0.0810 0.048    
       4 "     0.0860 "    Street          
       5 "     0.1065 "      
       6 "     0.1160 0.075    City      State    Zip  
       7 "     0.1285 "      
       8 "     0.1360 "    Phone      FAX     
       4.2-1.41 "     0.1360 "      
       10 "     0.1590 0.125    Buyer             P.O. #    
       4.8-1.59 "     0.1590 "      
       12 46     0.1875 "    Date      Dely    
       14 "     0.2165 "  
       1/4 "     0.2165 0.187    Order Calculation           Amount
       6.3-1.81 "     0.2165 "    Qty    @      
       5/16 28     0.2720 "    " @        
       3/8 "     0.3280 "    "           @      
RMETEST@MSN.COM    " @        
   " @        
THE RAW MATERIAL EXCHANGE    " @        
2217 LAKE SHORE DRIVE, LONG BEACH, IN 46360      
Phone 219-464-2259       Fax  219-465-4110     Total Amount