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C97-012 Xerox
XEROXORDERAGREEMENTf’‘97124PThisroxOrderAgreementcoverstransaction(s)checkedbelowandincorporatestheGeneralTermsandConditionsonthereversesideoftheCustomercopyandotherdocumentsreterencetibelow.quipmentPurchase0InstallmentPurchase0TermLease0XLA0Rental0SoftwareLicense0Maintenance0Maintenance0FinancedEquipmentConfigurationChange0Trial0MaintenanceOnly0UpgradeTOCUSTOMERNAMEINSTALLEDATCUSTOMERNAME-1oewcIIIISTREETAt3DRESSFRReJOMIIIIIIIIESSIIIIICOUNTh’INSTALLEDINXeroxEquipmentOrderinformationTmJ1I—iV1-i.tt-—nnIrTZTlT.,*rXeroxProduct(ExistingSerialititinplaceOTP,LessDeductionsB.TotalNetoty.PricePlanConeersion,upgradeoradd-on)ListPriceTotalList$NetPricePriceOpt.toPurch.TradeInOtherC.CashDown53y2295rPaymentD.CashPrice(PrincipalBalance[B-C))E.FinanceChargeor—Interestat_____________FTimeBalance(D+E)SlimeSalePrice(C+F)TermofAgreement(months)TotalPrepaidMonthsTotalMonthtyMinimumLeasePayment(EudusrexlSales/UseTan)PurchaseOptionAmount:C?,.veTotalNetPrice(EackisivaofSales/UseB.Totals‘)/JIJA]jflJTax,MaintenanceandSapplyCharges)TheinterestpayableforStatefLocalGovernmentInstallmentPurchaseorTermLeasettothisorderis$(ForTermLeasethisassumestheurchaseisexercisedatendofleaseatarateof%.IITuI_______________________________________CompleteThisSectionForRentalOrMainfenanceOrSoftwareLicense:HardwerePncePlanDeecnlption:InitlalTemi:—BiIlCode:—SendceSl,iftCoverage:Hours:SoftwarePricePtanDescniptlon-InitialTerm:BillCode:SM’SupportCoverage:Level:CPCMonthlyMinitnumMonthlyCopyMowanceEsceesRate_________Meter1Meter2EnhancedServicesRanCYeaCNoGovtFirmContractOphonCGon’tFiscalYearOptionCGov’tFlacalYeerBeginsIIK(6SummerOptionCode_________MeteredSuppliesC‘tIeCNoTotalWarrantyMonthsRequestedDeliveryDate:/Hardware-SoftwareJ[TAXEXEMPT’)es0No(AttachEaemphonCerliticate)YeaDatedYesNoXeroxPricelistit()&q?1T’c)4EquipmentPurchaseTermsandConditionS1/1/95__QEquipmeT4.j$eem,ntitJ0MaintenanceServicesTermsandConditionsCCotter:U(,’V’c)CffMaintenancePriceListOCW’fllt9i/\.ff’1t/’j’InstallmentPurchaseTermsandConditions1/1/9500Other:XeroxOrderAgreement,,tildgndpi(x)#5O9g_.0TermLeaseTermsandConditions1/1/95Q0Other:_________________________NegotiatedContracta._)L50!‘f’RentalTermsandConditionsCOtherGovernmentContract#____________________________ProductSpecificationSheet/‘j40Other:‘Customersignaturebelowacknowledgesrecpt’xnts(checked‘yea”above)totincorporationintothisagreement.’-I,(PleasePris’7&erSalesRepOrderAck)XeroxCorporation--‘TitleDate—TitleAreopiedFxrXeroxMeterstarOTPandPricePlanConversionA.FromAsachedOrderAgroemeol1__________2________4CompleteThisSectionForLease95#MonthlylooiIroootoofç$$RemotetnteractiveCommunicationYes0NoDescriptionotMaintenancePlanIncludedinTotalMonthlyLeasePaymentCopyChargeswillbebilledseparatelyinaccordancewiththeMaintenancePriceListIndicatedCopyAllowance_____________ExcessMeterCopyft.leterRate1_____________BillCode_______________________ShiftCoverage:K-i6Copy/MeterRate2_________.__SummerOptionCode_____________Hours:__________________EXISTINGXTI,CTI,RSTEquulpmenttoberemoved(Listserial#‘s&Cert.Tag#)ADDITIONALSUPPLIESREORDER#SUPPLYITEMUNITPRICEPurchaseOrderInformation:Attachoriginalorcopy(PurchaseOrdCrRatereruesareforBillingFurpssesOrily(CustomerRequiresPurchaseOrderNumber:0Yea0NoPurchaseOrderNumbersForThisOrder:XeroxSupplyContract#:Maintenance:II______________________________CustomerAcceptance-Supply:DatedYesNo1/1/00SalesRep.one#Date