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Title: Certificate of Intent to Destroy <br />Department: Finance <br />Version: 1.0 <br />Release Date: 111312014 <br />TASER Fill in: <br />Agency Name: <br />Agency AX Account # <br />Agency Contact: <br />Agency contact email: <br />TASER Sales Representative: <br />Product/ Quantity to be <br />destroyed: <br />Indian River County Animal Control <br />461032 <br />Jason Ogilvie <br />jogilvief5 i rcgov.com <br />Kelsey Denier <br />M26. <br />X26: <br />Other: <br />Agency to Provide: Serial Number of handles to be destroyed: Note: Serial #'s needed for up to 100 handles upgraded for credit. If <br />upgrading more than 100 handles, serial numbers are to be provided no later than 30 days from receipt of product. <br />Serial Number Serial Number i Serial Number Serial Number <br />This is your authorization that all products listed above will be removed from service to be destroyed and rendered permanently <br />nonfunctional. Destruction of upgraded units should be performed according to agency policy TASER is no longer responsible for <br />any warranty or liability related to' these products. TASER reserves the right to charge you back the credit amount given for each <br />invalid serial number, for any serial number(s) not provided, or for any device not destroyed. <br />Form completed by: <br />t <br />lis acceptable or scan)µ <br />:lewd O(v_rtor,6 <br />Printed name, title <br />Date <br />Return the Excel file and the signed form to your sales representative or email to sales@taser.com. If you have any <br />questions please contact TASER International at 1300-978-2737. <br />Protect Ufa' and the 'Bolt within Cirde' logo are trademarks of TASER International, Inc., and TASER is a registered trademark of TASER International, Inc., <br />registered in the U.S. All rights reserved. Copyright 2014, TASER International, Inc. <br />Page 1 011 <br />