HomeMy Public PortalAboutPitney-Bowes- CPDpitneyhnwFti tp:"
State of Florida Contract #600-760-11-1 Order Form
Your Business Information
CRESTVIEW POLICE DEPT
Agreement Number
Full Legal Name of Lessee I DBA Name of Lessee
Act)? W.bon 54-
Billing Address Street
Elizabeth Roy
BilUnq �
CRESTVIEW
City
Tax ID A (FEIN/TIN)
FL
Stale
21560 0016771964
32539-2221
ZIP+4
Mad Phase X Billing Account M
CRESTVIEW
Installation Address (d different from billing address) : Street City
Etaabeth Roy
8506821560
FL
State
32536-3467
0011503080
ZIP+4
Installation Contact Name
Installation Contact Phone K
2016-09-19
Installation Account N
PO M
Your Business Needs
Quote Expiration Dale
Qty
Item
Business Solution Description
1
MAILSTATION
Manila'ion2
1
F9SL
F9SL - PC Meter Conned Install
1
K7M0
K7M0 - Mailstation2 Meter
i
103L2
Madslallon2 with 21b Scale
1
SJK7
SoftGuard for Madstation2
1
STDSLA
Standard SLA-Equipment Service Agreement (for Mailstation2)
Your Payment Plan
initial Term: 60 months
Initial Payment Amount:
Number of Months
Monthly Amount
60
$ 28.89
Billed Quarterly at'
S 86.07
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us711ee11.1 10/11
° 2011 Panay Ow. Inc. AN rivMs nerved.
( ) Tax Exempt Certificate Attached
( 1 Tax Exempt Certificate Not Required
(X) Purchase Power° transaction fees included
( ) Purchase Power' transaction fees extra
Pave 1 et 2 lee Pitney Bowes Terms fin additional terms and conditions
Your Signature Below
By signing below, you agree to be bound by your Slate's/EnlNys/Cooperative's contract, which is available at www pb.comrstates. The terms and conditions of this contract will
govern this transaction and be binding on us after we have completed our credit and documentation approval process and have signed below
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Salsa Information
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Pitney Bowes Signature
Pnnl Name
Title
Date
Account Rep Name 1 Split Safes Rep ID District Office
Account Rep Name 2 Spilt Saks Rep ID District Office
118311001.1 1010
0 2e1i Pitney Sown Inc. All dghla resennd
Pogo 2 of 2 sea Pitney Bowes Totes for edditlonal lento end conditions