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Engib:ee-ring the flow of corni-manication.- <br />State &Local Term Rental account # 60 <br />Your Business Information <br />I <br />ORDER # <br />CAN # <br />CITY OF ARDEN HILLS <br />Full legsl name of renter <br />DSA name of renter <br />Tax ID # (FEIN/TIN) <br />1245 WEST HIGHWAY 96 <br />Billing address <br />ARDEN HILLS <br />MN <br />55112-5400 <br />City <br />State <br />Zip+4 <br />Billing contact name <br />04792500201 <br />Billing contact phone # <br />Billing CAN # <br />1245 WEST HIGHWAY 96 <br />installation <br />Installation address (If different than billing address) <br />ARDEN HILLS <br />MN <br />12-5400 <br />City <br />State <br />Zip+4 <br />04792500201 <br />Installation contact name <br />Installation contact phone # <br />Installation CAN # <br />Credit Card # <br />Name on card Exp date Type of card <br />Tax exempt # State tax (if applicable) _ <br />Fiscal period (from to) <br />Your Business Needs <br />Qtyl Business Solution Description - <br />Mail Creation - <br />HC Ink - Start-up Kit - Black, Cyan, Magenta, Yellow Cartrid <br />Riso HC5500 PostScript Package with Offset Auto Stacker <br />Touch Panel Display <br />RISO HC5500 Document Printer Installation & Training - Bas <br />Check items to be included in customer's payment <br />Equipment Maintenance Provides service coverage including certain parts and labor <br />Software Maintenance Provides revision updates and technical assistance <br />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 />IntelliL.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 />EasyPermitPostage® Subscription Allows you to a for permit Y pay p., mrt mad. <br />As a permit mail user, you will be contacted to establish your EasyPermitPostage® account <br />See Purchase Power Terms and Conditions <br />Your Payment Plan <br />Number of months Monthly amount* <br />First i 60 ) (: Required advance check of $ rec <br />eived <br />*Monthly Billing Only. ( ) Tax exempt certificate attached <br />Initial rental term <br />'our Acknowledgement <br />your signature as "Renter' below, you request that we rent to you the <br />Y equipment described above or on any schedule attached hereto (the "Equipment") for essential governmental purposes in consideration of your payment to us of the amounts set forth <br />the Payment Schedule, subject to the terms and conditions provided in this Agreement. Forpurposes <br />iyment Schedule other than the "Final Payment" shall be referred to singularly as a "Period Payment" nd collectof this ively as the "Pall eriod Payments " Your offeyments set forth in the r will be bindyment ing on usule lwhenl be ewe�accept t b having an yuthori " The payments referred to in the <br />-reunder shall be payable only to us at our executive offices unless we direct you otherwise in writing. <br />Y g authorized employee sign it. All payments <br />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 paythe <br />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 f th fiscal nt fiscal period through <br />ve been appropriated, upon (i) submission of documentation reasonably satisfactory to us evidencing the Governing Body's denial of an a the fiscal period for which funds <br />arges and obligations under this Agreement incurred through the end of the fiscal y appropriation sufficient to continue this Agreement for the next succeeding fiscal period, and (ii i satisfaction of all <br />period for which funds have been appropriated, including the return of the Equipment at your expense. <br />gnature <br />Date <br />-int name <br />Title Email address <br />curie Jo Tilly 008 <br />:count rep District office <br />PBGFS acceptance <br />j+uv,�G`e av;d!t:0 `t. :J "�:> _. ..,�... ! } �.,�i..i5 s�—'1'�".i is �f':i{ :J•vf_ �-.,':"... .. ...... <br />