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Government Owned Addendum <br />�mv�noumme, Ckvl Ageno�o <br />Rev. GOV 1112015 <br />This Addendum supplements the Merchant Application And/or Agreement executed and submitted by <br />County of Indian Cou(Merchant Legal Narnc-°Merchant").Aosuch, this Addendum shall (i) <br />be deemed incorporated into and a part of Merchant's Application to establish a Merchant account with <br />Paymentech, LLC and JPMorgan Chase Bank, N.A. and (ii) in accordance with such Merchant Application <br />and Agreement, constitute a part of the entire Agreement governing all Merchant accounts. <br />Merchant is a Government Entity. Function of Merchant. <br />Utility <br />Authorized Purpose of Government Entity? <br />utility <br />|. the undersigned, certify: <br />^ that |mnonofficer mother authorized representative of <br />the Merchant ('AuhuhzedRapveuentabvo")and <br />~ that | am duly authorized to enter into agreements on <br />behalf ofMerchant and tolegally bind Merchant tosuch <br />agreements. <br />~ that |amduly authorized tosubmit this Addendum and <br />all information contained herein onbehalf ofthe <br />Merchant. <br />Authorized Representative: <br />F.q <br />Bysubmitting this Addendum, Merchant, through the <br />undersigned Authorized Representative <br />^ represents and warrants that the person submitting this <br />Addendum ioduly authorized toenter into agreements <br />onbehalf ofMerchant and 0nlegally bind Merchant ho <br />such agreements. <br />~ represents and warrants that all information contained <br />within this Addendum is true, complete and not <br />Print Name <br />148 <br />