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- - Service Agreement <br />Equipment Supplement <br />Contract No. Supplement No. <br />SA <br />Customer Name ATR'iANPC* gMrt tort Order No. <br />/NOign) �1 Vr<rL Ccr V'll °• <br />Address Branch Addres <br />U 5 S'TKkrf i t7 q 0V LAKfF t;" , a J t✓rP r od <br />City State Zip City State Zip <br />(/- /1',- o /a 96 01 OJ o 0 FLortra <br />r—•„rn.,r P—actt The Prnvitinn of The Fnllnwina Products/Services Subject To Thi, forms And Conditions Of The Contract Referenced Above. <br />' A Minimum Of Three (3) Months' Charges Will Apply To All Products Initially <br />Prnwirtari On A Mnnth•To•Month Service Period. <br />Equipment Location: (Address) <br />AY F1 l N ( /t6 2 Mt A t <br />Arrrerice I gem! c. SYS 11N11 �n/ �. <br />,� t <br />_ <br />Installation/ <br />City II // State <br />Zip <br />Term <br />Monthly <br />Monthly <br />Up Front <br />Product/Service Description <br />Item Code <br />(Months)' <br />Quantity <br />Charge <br />Charges <br />(One -Time) <br />Authorized Signature <br />Typed Name <br />C. B. Hardin, .Jr. /Ph. <br />D. <br />Pet Unit <br />TY�a�v � <br />Charges <br />Title <br />1?K.gvc1-! <br />Al A OJ 4-<5&'rx" <br />Yg- <br />3 <br /># o <br />13.0 <br />fi3S.u0 <br />{ <br />Igo.uo-Le, <br />40.0 <br />..0, TK LlNf< dA Ck, CA <br />6`1 f t;� <br />State Zip <br />s t � z c <br />Date <br />%C14MK Pot, CAnrZ trrr2 <br />YFi <br />I <br />i,S.U0 <br />GS•vO <br />d <br />RAiAT•s /4-ocicHxt <br />0'-(00 -0C, o <br />'- <br />Subtotal From Attached ( O ) Additional Pages <br />.- <br />Subtotal <br />r o • d d <br />S• u O <br />3 .0 C <br />Shipping <br />Amount Of Advance Payment <br />Total <br />T <br />l09.ua <br />%Cl6.0 <br />' A Minimum Of Three (3) Months' Charges Will Apply To All Products Initially <br />Prnwirtari On A Mnnth•To•Month Service Period. <br />Equipment Location: (Address) <br />AY F1 l N ( /t6 2 Mt A t <br />Arrrerice I gem! c. SYS 11N11 �n/ �. <br />,� t <br />_ <br />City II // State <br />Zip <br />Received By: <br />V �r +2o i�4A�N /CG tt f 0 __ <br />O <br />Scheduled Installation/Delivery Date: <br />Accepted By: <br />Auth Custome l natur <br />n <br />Authorized Signature <br />Typed Name <br />C. B. Hardin, .Jr. /Ph. <br />D. <br />'typed Name�• w. <br />TY�a�v � <br />Title <br />Asst. to County Administrator <br />Title <br />1?K.gvc1-! <br />Al A OJ 4-<5&'rx" <br />Date <br />December 7, 1983 <br />Address <br />D•� <br />zt✓� S�tr_ <br />City <br />I�K c .� .✓ <br />State Zip <br />s t � z c <br />Date <br />