HomeMy WebLinkAbout109184 LEWAN ASSOCIATES - CONTRACT - CONTRACT - 3306944AMEP,OAN BUSINESS FORMS • (303) ]39-2]89
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ROOM NAM
Uwan ❑ 1DPO BCO85400 So. Colo. 5 ❑ Denver GO 80222 6300 E. Evans Ave 1830 Colorado 80909
& A 8 5 U C, A T E Palmer 96358100
303759.5440El
505 W.4th Streei 1710 Westland Road 0 2900 Center Green CC 5. #E
Pueblo, CO 81003 Cheyenne, WY 82001 Boulder, CO 80301
719.542.6361 W7.637.3553 303.447.0890
5040 154 Road 249 Warren Ave. #150 1608 S. College Ave.
Glenwood Springs, CO 81WI PO, Box 1227 Fort Collin., CO 80525
970.945.4900 Silveriharne, GO 80498 970.484,8822
970 468.6464
FOR SERVICE, PLEASE CALL THE OFFICE CHECKED ABOVE:
CUSTOMER
a
ER ICE DRESS
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CITY STATE ZIP
Fo-4 S
SHIP TO CUSTOMER NO.
7
PHONE
CONTACT /
♦
BILL TO CUSTOMER NO. BR DI
BILLING ADDRESS
Cy'IT+V_ \ STATE ZIP
1"U- w s
S P 10 4 6 2 6
TERMS
NET 10 DAYS WAC
PROGRAM REVIEW
CUSTOMER PURCHASE ORDER NO.
S C E S/T RATE
LEWAN REPRESENTATIVE NO.
E.B. DATE
PRODUCT
NUMBER
DESCRIP.
SERIAL
NUMBER
METER
READING
LOCATION
ZONE
RATE
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Cotor 611
w)LL''40V)5j�-:"
l�
Ia010
PRODUCT TERMS and CONDITIONS
MEMO: T / t
GL �\ Pit PFS
M/C
U SALES
CODE
TAXESKAl
RATE
MC COPIER / PRINTER PRODUCTS
ccpry�
st 1 "o -14 lid
B/A
❑ COMPUTER and PERIPHERAL PRODUCTS
�-%C C-e le €
� ` to
/F
TOTAL
(see reverse aide hereof)
1
L. i J-L &I LL QLPIKJ EV-L-r
/� AGREEMENT oS.
(90d DAYS A-�Tr� iNSTiqu>477vN�i4PPRoX. �%6�av> 7w-ku
Effective Dates: TT e Company agrees to provide the services outlined in this Customer Service Plan for: (a) the period be jnning
on the day of thru the day of me. yr OR (b) 7
whichever occurs first .A Mp. y . a(Sl Ge, ($r iSr tD/ �J 0 elo -0
This AGREEMENT states that the PRODUCT(s) listed above will be serviced during repair calls, and during scheduled inspections,
as applicable to the product coverage requirements. Service will be rendered in accordance with the terms and conditions as
set forth herein and on the reverse side hereof, which the CUSTOMER acknowledges having read and accepted.
ACCEPTANCE:
Lewan & Associates, Inc.
Title Date
7" *dw
Cu at �J
Tit e � � E IU-Idl,t (-Q— ate
Service Manager Date
(Customer Service Plan becomes effective
only after acceptance by Service Manager)