HomeMy WebLinkAbout2017-2763City Of Columbia Heights 590 Ne 40Th Ave
CITY STATE ZIP PHONE FAX
Columbia Heights MN 55421 763 706 3600 763 706 3637
EQUIPMENT LOCATION (IF DIFFERENT FROM ABOVE) ACCT #
C078
Sena(
_ Starling Meter Color Starting Meier B &W
1. See Attached Grouped Pool Billing
2.
3.
4.
5.
Color Print Alowance 0 Excess Print Charge - Color* $0.067000
Monthly Payment S $51.00 B&W Print Allowance 6,000 Excess Print Charge- B &W $0.008500T
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MakelMoael/Am asMnes Serial # Starting Meter Color Starting Meter B &W
1. See Attached Grouped Pool Billing
2. —
3.
4.
5.
Color Prim Allowance 0 L_ Excess Print Charge - Color' $0.110000 -.
Monthly Payment $ $19.00 S &W Prim Allowance 1,000 Excess Print Charge - B &W $0.019000
w you wtsn W Bruce in me Marco
Number of ce
Marco Su Desk Device Fes
Support 0esk7
1- 5 Devices : S10 6- 15 Devices: $20 tti. Devices : S30
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Please Check One: EXIMMr I* [jDuartarly CSemi Annuaily �Annualiy Please Cherai One, � z�•'Monthly :,OuaRerty 1]Senv Annuatty LiAnnualy
Tenn in Months 60
Start Date
THIS IS A NONCANt
Marco Technologies LLC
The contract payment ('Minimum Payments)
period is monthly unless otherwise indicated.
P.
Please check Ore: uAll incWve E]BBW inclusive E]No Supplies Induded
(it acute is checked, no sujWes wet be induded)
(See Page 2 for details on Coverage Levels)
CANNOT BE
fiTLE
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City Of Columbia Heights X
CUSTOMER (as referenced above) SIGNATURE ---------- _ TITLE DATE
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I.D. #
Purchase WlMaintenance Agreement APPLICATION NO. CONTRACT NO,
Grouped Pool Billing Schedule
°RYMENT SCHEDULE
Monthly Payment 1 $ $70;00
1.
SHARP MX -357ON
clqs
2.
SHARP MX -3570N
l ®151 `qL4p d
bb
3.
4.
5.
Color Print Allowance
0
Excess Color Print Charge* $
$0,067000
B &W Print Allowance
6,000
Excess B &W Print Charge* $
$0,00$500
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'.r
MalcefMo9ellAttoa3pries
Senatat
Starling Metet
Starling MotorB &W
1.
HP M553DN
�IGJ
a
2.
HP M5530N��r��
5�
3,
4.
5,
Color Print Allowance
0
Excess Color Print Charge* $
$0,110000
B &W Print Allowance
1,000
Excess B &W Print Charge* $
$0.019000
'otr
MaketMWOVAaceaeonea
Ser al #
Starting Meter B &W
1.
2.
3.
4,
5.
B &W Print Allowance 0 Excess B &W Print Charge* $
B &W Print Allowance 0 Excess B &W Print Charge* $
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