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Pitne. <br />Bow. -es1 fro <br />En.gine.e.-ing the flow of co. unj1 a`ti0n- - . State & Local Term Rental account # 60 <br />Your Business Information <br />NEW <br />CAN # ORDER # <br />CITY OF ARDEN HILLS <br />Full legal name of renter DBA name of renter Tax ID # (FEIN/-FIN) <br />1245 WEST HIGHWAY 96 ARDEN HILLS MN ?-5400 <br />Billing address City State Gip+4 <br />047925002flw <br />Silting contact name Billing contact phone # Billing CAN # <br />1245 WEST HIGHWAY 96 ARDEN HILLS MN 551 2-54fl0 <br />Installation address (If different than billing address) City State _7ip+4 <br />0479250020 <br />Installation contact name installation contact phone # installation CAN # <br />Credit Card # Name on card Exp date yp�, o� vary <br />Tax exempt # State tax (if applicable) Fiscal period (from - to) <br />Your Business Needs <br />Qtyj Business Solution Description <br />I Mail Creation - '1 <br />Check items to be included in customer's payment <br />1 HC Ink - Start-up Kit - Black, Cyan, Magenta, Yellow Cartrid <br />1 Riso HC5500 PostScript Package with. Offset Auto Stacker <br />1 Touch Panel Display <br />1 RISO HC5500 Document Printer Installation & Training - Bas <br />Your Payment Plan <br />Number of months Monthly amount* <br />First ( 60 ) 4511 <br />> <br />*Monthly Billing Only. <br />Your Acknowledgement <br />Equipment Maintenance Provides service coverage including certain parts and IaDo, <br />Software Maintenance Provides revision updates and recnnlcai assistance <br />II Soft -Guard® Subscription Provides postal and carrier updates <br />If you do not elect to include Soft -Guard® protection with your lease, you will automatically <br />receive updates at the then -current rates. <br />lnteliil-inkTM Subscription / Meter Rental / Confirmation Services / Purchase <br />Power Subscription <br />Provides simplified billing and includes {' ) resets per year <br />( ) Confirmation Services Electronic access to postal confirmation services <br />) Purchase Power Subscription <br />F1EasyPermitPostage® Subscription Allows you to pay for permit n;ai!. <br />As a permit mail user, you will be contacted to establish your EasyPermitPostaaee account <br />See Purchase Power Terms and Conditions <br />( ) Required advance check of $ receive: <br />( ) Tax exempt certificate attached <br />Initial rental term <br />By your signature as "Renter" below, you request that we rent to you the equipment described above or on any schedule attached hereto (the "Equipment") for essential governmental purposes in consideration of your pavment to us of the amounts set forth <br />n the Payment Schedule, subject to the terms and conditions provided in this Agreement. For purposes of this Agreement, all payments set forth in the Payment Schedule shall be referred to as the -Total Payments " Tne payments referred to in the <br />'ayment Schedule other than the "Final Payment" shall be referred to singularly as a "Period Payment" and collectively as the "Period Payments " Your offer will be binding on us when we accept it by having an autnonzed emoiovee sion it. Ai payments <br />iereunder shall be payable only to us at our executive offices unless we direct you otherwise in writing. <br />1. NON -APPROPRIATION. You warrant that you have funds available to pay the Total Payments until the end of your current fiscal period, and shall use your best efforts to obtain funds to pay the Total Payments in each subsequent fiscal oenod tnrouon <br />:he end of your Initial Term. If your appropriation request to your legislative body, or funding authority ("Governing Body") for funds to pay the Total Payments is denied, you may terminate this Agreement on the last day of the fiscal oenod for which fund_ <br />nave been appropriated, upon (i) submission of documentation reasonably satisfactory to us evidencing the Governing Body's denial of an appropnation sufficient to continue this Agreement for the next succeeding fiscal period. and (ii i satisfaction of al; <br />;harges and obligations under this Agreement incurred through the end of the fiscal period for which funds have been appropriated. including the return of the Equipment at your expense. <br />jignature Date <br />I ltle Email address <br />_aerie Jo Tilly 008 <br />%ccount rep District office PBGFS acceptance <br />..i �./�✓ tit :.i -�:[i �)(:�: Ji ` "t�. J�/5 i tl.{.l .• .. ai �. .. .. .. r <br />