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C97-013 Xerox
PurchaseOrderInformation:Attachoriginalorcopy(PurchaseOrderReferencesarefurBillingPurposesOnly)CustomerRequiresPurchaseOrderNumber:ElYesElNoPurchaseOrderNumbersForThisOrder:Equipment:Maintenance:Software:DatedYesNo1/1/95ElEl__DEl__DEl__DEl__DEl__ElElSaMeRepc/-jQ>?)e’-i)&--9ThflJ1SalesRepOrderAcknowledgement—XeroxCorporationSignatureXEROXORDERAGREEMENTC‘97134IiThisXeroxOrderAgreementcoverstransaction(s)checkedbelowandincorporatestheGeneralTermsandConditionsonthereversesideoftheCustomercopyandotherdocumentsreferencedbelow.-EquipmentPurchaseElInstallmentPurchaseElTermLeaseElLAElRentalElSoftwareLicenseElMaintenance-ElMaintenance.ElFinancedEquipmentConfigurationChangeElTrialElMaintenanceOnlyElUpgradeTCSTOMNAIN0AT,CUSTOMENAM(lZ.5If6.2(i7IIIIdzIIIIISTREADDRESSFOR,OMUTINIIiNBER5g5III7rDR7JIIIIJIIIII5/I-IIiICOUNTYINSTALLEDINXeroxEquipmentOrderinformationmjmtii-miJo.i-rE1tITTJT17.ntrt—XeronProduct(ExistingSerialIfifinplaceOTF-..LessDeductions-B.TotalNetYPricePlanConversion,upgradeora)ListPriceTotalList$OpttoPorchTrade-inOtherNetPricePriceCCashDown0.CashPrice(PrincipalIE.FinanceChargeorInterestat_____________FlimeBalance(D+ElG.TimeSalePrice(C+F)MetersforOTPandPricePlanConversion1__________23_________4—A.FromAttachedOrderAgreementAddendumlstCompleteThisSectionForLease95#TermofAgreement(months)TotalPrepaidMonthsTotalMonthlyMinimumLeasePayment(ExclusiveofSales/UseTaxIPurchaseOotionAmount:i7tTotalNetPrice(EsclusiveofSales/UseB.TotalseTax,MaintenanceandSupplyCharges)MonthlyRemoteInteractiveCommunicationElYesElNoDescriptionofMaintenancePtanIncludedinTotalMonthlyLeasePaymentTheinterestpayableforStatelLocalGovernmentInstallmentPurchaseorTermLeasesubjecttothisorderis$(ForTermLeasethisassumestheoptiontopurchaseisexercisedatendof(easeDeriod)atarateofCopyChargeswillbebilledseparatelyinaccordancewiththeMaintenancePricelistIndicatedCopyAllowance_______________ExcessMeterCopy/MeterRate1_____________BillCode_______________________ShiftCoverage:K-i6Copy/MeterRate2SummerOptionCodeHours:-_-.--.—InitialTernvCompleteThiSectionForRentalOrMaintenanceOrSoftwareLicense:—BillCodeHardwarePricePlanDescription:__....______________________________________________SoftwarePricePlanOescrlpfion:InitialTerm:BillCode:5mwSupportCoverage:Level:CPCMonthlyMinimumMonthlyCopyAlowanceEncaseRate_________Meter1_________Meter2EnhancedServicesPlanElYesElNoGovtFirmcontractOptionElGovtFacetYearOptionElGoa1tFiscalYearBeghia:/IK-i6SummerOptionCode_________MeteredSuppliesEl‘hissElNoEXISTINGXTI,CTI,RSTEquulpmenttoberemoved(Listserial#‘s&Cert.Tag#)ServiceShiftCoverage:_.TotalWarrantyMonthsRequestedDeliveryDate:HardwareSoftware-__TAXEXEMPT1.yesElNo(AttachExemptionCertificate)ADDITIONALSUPPLIESQTY.REORDERIfSUPPLYITEMUNITPRICEXeroxSupplyContract#:CustomerAcceptanceSignnlo’/1oYesDatedYesNoXerosPriceListIftt&‘uS’.e’7’EquipmentPurchaseTermsandConditionsi/t195El_____________________ElMaintenanceServicesTermsandConcMIonIfEl[JMaintenancePriceList____________________________ElInstallmentPurchaseTermsandConditions1/i/95ElElXeroxOrderAgreementAddendum(s)#5011/95ElTermLeaseTermsandCondihonsi/i/95ElElNegotiatedContract#c%)5?)tIf1RentalTermsandCondItionsC)C]GovernmentContract$____________________________ProductSpecificationSheet/ElCustomersignaturebelow(checked“yes”above)forincorporationintothisagreemenrreSNer_______ThIe‘°ç.EquipmentTrade-inAgreementOther:Other:Other:Other:Other:Date•.‘‘—g;.TitleAncepledForOarouDate