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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />Customer/Client Representative Signature <br />Your signature indicates an agreement with the terms and conditions, and a commitment to purchase and does <br />not represent the contract start date. The contract start date will begin as described in the Payment and Billing <br />Section of this document. Please sign and return accordingly or contact us if you have any questions. <br />APPRO ED,/SSTTO FOR LE SU CIEN <br />By: '�L�K... <br />Willia K. 7r,al,By:41, <br />John A. Tit anich, Jr., Ceunty mini <br />ams, Chairman <br />Ryan L. Butler, Clerk of Court and Comptroller <br />Attest: <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />Karen Rackard, 911 Coordinator <br />422543 rd Ave, Vero Beach, FL 32967 <br />(772) 226-3942 <br />krackard@indianriver.gov <br />Customer Billing Information <br />Provided on Purchase Order <br />- �i A✓ i <br />PiJ off.,. <br />• FRCOUNT`i.�'' <br />If applicable, please provide your purchase order number below and return this signed document with any <br />relevant attachments. <br />Purchase Order: <br />