ࡱ> =< (ɀ\pBiloO, LLCnnholcombe Ba==h<L,8X@"1Arial1Arial1Arial1Arial1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1xArial1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1Arial1.Times New Roman1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                + ) , *      !X+ !X+   +  h+ #X+  H+ "x +     ( &8 &X+       (   (    +  H &x  H  @ #+   H  h !X !P   h #X   #x !x  h & #   h " #x  ` &x "  &X  @ "X !x  h@  (@  h@ #x@   h@ &x &x &x "X+   H  * ! " "8 !8@@ !8     " #  (@ "  !8  @  @   !8     8 "8    (@ &8 &8  ( !8  (    `  h  ( @ !8  (   (  (  X+  X+ #x+  h""@ @ + """@ @ + #x+ "x "x  x #  "X  X+  X+  X "X+ "x "8 "x "0 ( ( "8 @ "8 "x (8 (8 (8 `i% Supplier FormA Instructions  ;> 8%Date:BI-LO Office Use Only Facility ID Load Building BackOrderN WHSE CodeTypeCityNameStateZip CodePhone Email AddressAddressAutoFax*3*If AutoFax # is local, the area code should be 000FaxContactUCS#REPRESENTATIVE INFO (Mail To)Broker #SHIPPING INFORMATIONEnter Y (Yes) or N (No)Prepaid/Common CarrierTruck Prepay + AddRailFreight Bill/IFDWaterBackhaulAirLead Time Stated Fixed Delivery(M T W T F S S)CASH DISCOUNT TERMSPercentDay(s)Date of the MonthV E N D O R MANUFACTURER\Vendor information - Enter the company name, address, city, state, zip code and phone numberINFO$(including area code) of the vendor. Enter the contact person's name.USC #-Enter the Universal Communication Standard #..Enter the Email address of the contact person.)REPRESENTATIVE INFO (Mailing Information)YEnter the Broker # - if you enter the number, disregard the remaining rep information. fEnter the name, address, city, state, zip code, and phone number ( including area code) of the broker. Autofax #_Enter the AutoFax Number (including area code). If the number is a local number, the area codeshould be 000.Prepaid/Comm CarrierEnter Y (yes) or N (no) Lead Time Stated Water / AirbEnter M (Mon), T (Tues), W (Wed), Th (Thur), F (Fri), S (Sat), Su (Sunday) for the day of the week"$-.67?A when the item is being delivery.3Enter the % of discount if cash is used for paymentEnter the number of days Net/GrossEnter N (net) or G (gross)Enter the date of the month B I - L O.Enter the vendor # for this particular vendor.MEnter F (Forecast - CRP); B (Batch - Grocery/Freezer); O (Online) or N (None)78EF Backorder"This field will always be coded N. CEnter the # that reflects where in the warehouse the item is storedY Mauldin - 51 (Grocery Main); 50 (Grocery Sub); 11 (Freezer) or 60 (Temporary Perishables)  /1?A] Chattanooga - 51 (Grocery Main); 50 (Grocery Sub); 11 (Freezer) or 21 (Temporary Perishables) !#35CE Supplier #A(If no certificate of insurance the vendor will not be activated)AIs a "Certificate of Liability Insurance" attached? Yes __ No __(Holdback Fed ID/SSNQ(required if 1099 supplier/Unincorporated suppliers paid more than $600 annually) Net/Gross  Yes _____No _____Accounting Signature (required)!Authorizer's Signature (required)!Negotiator's Signature (required)(Must be Director or higher) Supplier's Signature (required*)B?The address must be a physical address, not a P.O. Box address.MANUFACTURER INFO (Supplier)Merchandiser # _______ Facility ID Mauldin (1) Chatt (2)Birm (3)0If a Topco vendor, Topco information is entered.BRACKET CLASSIFICATIONEffective Order QuantitySeqMinimumMaximum % DiscountBaseBILLING INFORMATION (invoices)EOQEEnter a X next to the bracket number that BILO currently purchases in@Enter the letter that pertains to the order type for the bracketEnter the minimum loadEnter the maximum load;Enter the discount percent in the cost between the brackets2Check the facility where the items will be stored.Merchandiser #DEnter the # of the Merchandiser who is handling this category item. Yes ____ No ____ *Will vendor be setting up prepaid account?to Accounts Receivable..If yes, please send prepaid account agreement emailWhse Cdor Y (Unit Factor Two)\ L (Pounds); C (Cases); D (Dollars); B (Cubes); P (Pallets); Z (Dozens); X (Unit Factor One);  $%/0<=HI2Credit Scoring ___________________________________7(Must be at least a B- or vendor will not be activated)Executive Name(Street) (Street address only) Credit.net7Register with Credit.net 30 days prior to credit check.[BI-LO Use Only] miduN$v*Gi  j ? 4" >#$ (ɀ ?!*%6@  dMbP?_*+%"&CBI-LO Warehouse Supplier Form&Q?'(\?(ffffff?))\(?M\\b0maups2\118S oXXXLetterPRIV0''''\KhC]J "XXXQ??U} I } }  } } $ } } $} }  } I} } $ } $} $ ?      ,    @ ,   +++ 5 66 I- K Z(( J   ( y)***+,+  [ v( tuuuuu)***+,+y y\wvx( zy y]wvx( NNNNNNDDDDDDDy y^wvx( NNNNNNDDDDDDD  W ( )++++++ //+++++  Y  +  +66666444333 + +66666FFF333 +| +66666444 ~} 33 ++6666644E333 + +66GCCF 5  H>63 + +66GCCF { E>}3 +{+66ICCF4|*:: ++66666FFF3;3 ++66666FFF3;3 + +46666FFJ333 ++0333300<333 LKMMMMMMMMMMM ++66666+ +  +6  =  >  + +66666+ +  +665  ++66666+ +  +666 ++66666+ 1 +666  ++66663+ 9 ++33$++33333+9++33 Mqo  pg ppjjjjjjjj @@*****?k   ii   + ++A 5608k    GG  D l:DRfbZNNZ"000F0FF0000$0fPPDJ(VZ !"#$,@%,@&; '()*+,-./0 1 2 3 4 5 6 7 8 9 : 0; 0< += >  + ++A 5 608k u GG    !+ !++A !5!608k ! r!  "+ "++A "5"608l " q"  #+ #++A++08m7 # t# 73 $+! $++6 $B"$+0?n0 $ s$ 73%+++3B+0?00 % 73 &g`&gggggghh & #& !!! 'Pa 'Qb 'R 'Sc'S 'Sd 'e' T ' U$ ' VW (X (Yf(X (W W (WZ ( U% ( VW )X~ )[?)X )W W )WZ ) \O ) ]^ *X~ *[@*X *W W *WZ * U&* _^+X~ +[@+X +W W+WZ`_,X~ ,[@,X ,W W ,WZ , aL , .P , .Q, .-X~ -[@-X -W W -WZ - bM - cc .V~ .d@.X W W WZ . N . /eeeeeeeeef 0 1zzzzzzzzzzzzz 2444400000000+ 3+V3++++++00000+ 4+++++++00000+ 5+++++++00000+ 6444400000000+ 7+T7++++++00000+ 8)8++++++00000+ 9+++++++00000+ :4444222 : 444 ;+S ;+++ ; +R ; ++ <)U<000000<10100 =)=+++0++++++++ >+>+B XpljLb2L\\jTt\N$$$$0$$$00$(:80>*@<PAAAj *+ && 00 ./         7 (ɀ 2GPU  dMbP?_*+%Mv\\b0maups2\Dwane's Printer@XX⤗Lexmark T620Dwane's Printer+Lexmark T620 Rhq`q  r'A>⤗X,X ⤗"dXX??U2                                     "'"""""""" #($ $)$$$$$$ #$ OXOOOO$$ #*$ $+$$$$$$ #~$ $$$$$$$#$$$$$$$$ #$ $,$$$$$$ #-$ $.$$$$$$ & % %/%%%%%% #0 $$$$$$$$ # $ $1 $$$$$$ #$ $2 $$$$$$ #$ $_ $$$$$$ #3 $ $4 $$$$$$ &% %5%%%%%% #$$$$$$$$ #6$ $7$$$$$$ #$ $7$$$$$$ #$ $7$$$$$$ #$ $7$$$$$$ #8$ $7$$$$$$ #$ $7$$$$$$ #$ $7$$$$$$ #9$ $7$$$$$$ #!$ $:$$$$$$ &% %;%%%%%% #`$$$$$$$$ rhs sissssss #$ $j$$$$$$ #$ #x#####$ #$ $w#####$ #c$ $k$$$$$$DJ l(<2<<<<<(<22<2(<<<<<<<<<2(<<22 !  " # $ % &  ' ( ) * + , - . / 0 1  #d $ $l $$$$$$ !&e!% !%m!%%%%%% "##"$$$$$$$$ ##$#$ #$<#$$$$$$ $#%$$ $$=$$$$$$$ %#>%$ %$?%$$$$$$ &&&&% &%@&%%%%%% '"A'"""""""" (#I($ ($B($$$$$$ )#o)$ )$p)$$$$$$ *#D*$ *$E*$$$$$$ +#+$ +$n+$$$$$$ ,#,$ ,$F,$$$$$$ -#$ -'G-$$$$$$ .#$ .'H.$$$$$$ /#/$ /$C/$$$$$$0#$$$$$$$$1#$$$$$$$$($T<<(<<<<(<<<<<22<>@7 Oh+'0HP`l B235aisMicrosoft Excel@_݆0r@9lf;"@)E՜.+,0  PXl t|  BI-LO LLC Supplier Form Instructions'Supplier Form'!Print_Area  Worksheets Named Ranges  !"#$%&'()*+-./012356789:;Root Entry FP JWorkbookOVSummaryInformation(,DocumentSummaryInformation84