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Canon <br /> CANON SOLUTIONS AMERICA <br /> 300 COMMERCE SQUARE BLVD Page 1 of 2 REPRESENTATIVE K05024 <br /> BURLINGTON,NJ 08016 <br /> 800-613-2228 <br /> www.csa.canon.com MAINTENANCE AGREEMENT <br /> Bill To: 1622770 Ship To: 1622770 <br /> CITY OF RANCHO PALOS VERDES CITY OF RANCHO PALOS VERDES <br /> 30940 HAWTHORNE BLVD 30940 HAWTHORNE BLVD <br /> RANCHO PALOS VERDES CA 90275-5391 RANCHO PALOS VERDES CA 90275-5391 <br /> United States United States <br /> Contract# Billing Cycle Meter Cycle, Start Date Expiration Date <br /> 1498365 Year Month 01/31/2015 01/30/2016 <br /> Canon Solutions America,Inc.("CSA")agrees to furnish service to the Customer("you")for the Equipment listed below,subject to the terms and conditions <br /> herein and on the included Terms and Conditions documents. <br /> Model Serial Start Meter Covered From To Overage Base <br /> Description Number Volume Overage Overage Rate Charge <br /> Level Level per Image <br /> ADVC5235 JWH 01068 <br /> MAINTENANCE COPIER SUPPLY 0 174.57 <br /> INCLUSIVE SERVICE PROGRAM <br /> CLR USAGE 1 -- 0.085963 <br /> BW USAGE 1 -- 0.011770 <br /> ADVC5235 JWH 02981 <br /> MAINTENANCE COPIER SUPPLY 0 174.57 <br /> INCLUSIVE SERVICE PROGRAM <br /> Payment Option Total $ 349.14 <br /> ❑ P.O. Applicable taxes will be applied <br /> P.O.Number: <br /> ❑ Credit Card For security purposes please do not include credit card account number.A CSA <br /> representative will contact you to obtain your credit card information. <br /> Contact Name: <br /> Phone#: <br /> E-mail: <br /> BY YOUR SIGNATURE BELOW,YOU AGREE TO PURCHASE THE MAINTENANCE SERVICES SPECIFIED ABOVE.YOU ACKNOWLEDGE RECEIPT OF A COPY <br /> OF THIS AGREEMENT,CONSISTING OF 2 PAGES INCLUDING THIS FACE PAGE.THE ADDITIONAL TERMS AND CONDITIONS ON PAGE 2 HEREOF AND IN <br /> ANY ADDENDUM(S)HERETO,ARE INCORPORATED AND MADE A PART OF THIS AGREEMENT. <br /> Customer's Authorized Signature M/LI( /t <br /> Printed Name v u WI, in r V e Title / /natibci- Date 3 <br /> CUSTOMER COPY <br />