HomeMy WebLinkAbout129614 PROFESSIONAL DOCUMENT SOLUTIONS - CONTRACT - CONTRACT - 129118LEASE AGREEMENT
THE DOCUMENT COMPANY
XEROX
Customer's legal Name (Bill to) _ i 1 Ty OF- -^ /d i _(N J b 11 S- _- Check all that apply
Name Overflow (if needed)
_o-L ly'LVs itnf--�
_J),T4r_I•wsH -_❑
Tax Exempt(Certificate Attached)
Street Address
-----
--------------❑
❑
Assoc /Coop Name
Negotiated Contract # {0177 9�
Box#/Routing
_ -P-0--
AC A _ -
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Attached Customer P 0 #s Supplles_
City, State
PT
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Zip Code
iu3:
- Q.5
❑
State or Local Government Customer
Tax ID#
Int Rate— % Total Int Payable
Customer Name (Imtzll)
L'C Fr T_
_� I )! n 5_ _ _ ❑ ReplacemenUModificahon of Prior Xerox Agreement
NamL Overflow (if needed)
- - -- --
- _ _ - _ _ - _ Agreement eoveiing Xerox Equipment Senal# (or 95#)
Installed at Street Address
-1 U+O O'C_')—
� � - _ _- is hereby ❑ modified ❑ replaced Effective Date__
_ — —V�I _
Comments
Floor/Room/Routing
- - - _
- G,
F7 �lloS
- _ _ - _ _ _
-Erase lntorrnatron ®
ep
City, State
_
LemeTer m Piq months
Zip Code
- _ _ T- - - _ - _
❑ Supplies included in Base/Print Charges
County Installed In
L.6-r- I t,otY _ -- _ _
-, ❑ Refin of Prior Agm't ❑ Xerox (95#L ❑ 3rd Party Eq
Customer Requested Install Date _ _/_ _/
Aim Refin $ Int Rate S.0 % Total Int Payable $
Product
(with scrod number, if in place equipment)
Purchase
Option
Down
Payment
Prev
Install
Fin'l
Interm
Cost
Install
C 245
$
$
❑
❑
❑
$
❑
❑
El
$
❑
❑
❑
$
❑
❑
❑
$
❑
❑
❑
$ Y. YMINIMUM MONTHLY LF'ASE PAYMENT (excl of applic taxes)
Price Information ❑ Adjustment Period
Period A - Mos Affected
Monthly Base Charge
$ Monthly Base Charge
$
Print Charge Meter 1
'r„,;��Ij Pnn[Charge Meter I
=,'afi)q',t r
Prints I
Prints I -
$
Prints -
$ Prints -
$
Prints -
$ Prints -
$
Print Charge Meter 2
it s� $dti I Print Charge Meter 2
Prints I -
$ Prints 1 -
$
Prints -
$ Prints -
$
Mo Min # of Prints Mo Min # of Prints
(based on Meter I Print Charges) (based on Meter I Print Charges)
Period B - Mos Afteeted
Monthly Base Charge
$
Print Chat ge Meter I
-,y'"�',yG'3,"*`,m,;n=G
Prints I -
$
Prints
$
Prints
$
Print Charge Meter 2
at:(rt3t'E„
Xk;j ,
Prints I -
$
Prints
$
Mo Mine of Prints
(based on Meter l Print Charges)
n n—t.—d Q„ nhoc Mr-h nF,n,n„ n flr t ,cte 1-1 Aoolication Software
Reorder #
Qty
Description
Price Software Title
$
Initial License Fee
❑ Cash ❑ Finance
Annual Renewal Fee
❑ Support Only
$
$
$
S
$
$
$
$
$
Total Price =
$ Toml Initial License Pees =
$
❑ Trade -In Allowance Final Principal Payment#
Manufaetmer Model/Sepal# I Allowance
$
$
$
Total Allowance= $
Total Allowance Applied to ❑ Trade -In Equipment Balance $
❑ Puce of Replacement Equip $
Agreement rresenceurn Joy r/70
Name 5' ICet141 Phone IO'l-6iZ']
Xerox Corporation - Acceptance By
Name Date
Signature
Form 51860 (10/97)
❑ K-16 Billing
Additional Options (check all that apply)
Suspension
❑
Run Length Plan ❑ Fixed Puce Plan
(check I as required)
❑
Per -Foot Pricing
Months affected
❑
Extended Service Hours
❑ June only
Description /S mo
❑ July only
❑
Comp Replacement Program $
❑ August only
❑
Attached Addenda
❑June - July
form# ( )form#
❑ July - August