12-141 - FP Mailing Solutions - Postage Meter Rental Agreement (Tukwila Community Center)

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12-141 Rental Agreement Council Approval N/A CHECK ALL THAT APPLY: FOR UPGRADES RENEWALS AND CHANGE OF OWNERSHIP: FP Mailing Solutions ❑ New Customer Account No.: 500009441 140 N.Mitchell Ct. Suite 200 ❑Renewal Contract No.: Addison,IL 60101-5629 _" -.---- --- -- -- - -- Tel:(800)341-6052 El Change of Ownership (If nameladdress change please provide PLEASE PROVIDE ALL RELEVANT INFORMATION: current account information for verification): www.fp-usa.com Promo Code: Price Book PostBase 30 Special Promo Terms: Standard Package(36-72mo) p Upgrade From: 500009441 ❑Price and/or Terms Exceptions Approval(attached) El Lease Company: Master Billing Acct.No.: ❑National Account Master Postage Acct.No.: E]GSA Contract No.: Internal Use: ❑State Contract No.: Navision No. ❑USPS® letter must be attached Customer Information Billing Address Shippinglinstallation Address - Customer: CITY OF TUKWItA ( Customer: SAME Department:-Tu r,WI� CL C.o1"I'nuh4-4 Ce lqT f✓R— Department: Street: i Z 42 '4-2,46( A V e Street: City:Tukwila County: K-1HAi City' ---- County: State:WA Zip:gal r �,� State: Zip: --- Te1:20b439Ak78 -��O•L r� Fax:* d k?' �((7 `( d Tel: J Fax: nk/ _ E-mail, I?0_to(a. N-A I e-,& ,tJ/�a.Gi lfiC ®(_�• E-mail: Contact Name: FAArLL,4 H GC Contact Name: Tax ID:*" /.� �l�/G� {�Tax-Exempt Certificate Attached Distribution to: El Dealer ❑Customer El Fulfilled from Dealer Inventory .D ._. 5 Rental Information Quantity Item# Item Description Monthly Rate Rental Billing Information 1 POSTBASE30A PostBase 30 Standard Package $ 35.00 ❑ Annual Billing ❑ Semi-Annual Choose your Color: Black Quarterly Billing Initial Postage Please make check payable to CMRS-FP Check Number Amount $ Recurring Postage ® }Unlimited Resets to be included ❑ Reset Debit(application attached) Total Monthly Rental $ 35.00 ❑ On-Demand Debit(application attached) +If unlimited resets is not checked above,I agree to pay the then-current list price for each occurrence, (initials required) Terms: 36 -month rental term(60-mo.initial term will apply unless otherwise selected). `rdJ (initials required) ,... This agreement and the Terms&Conditions attached hereto shall automatically and without any further action by either party hereto,renew for one ye p n"25tlsfaltowirig the expiration of the initial term and any such renewal terms,unless and until either party hereto provides written notice to the other party of its intent to so cancel. Such written notice must be der er d no later than ninety(90)days(or the maximum time period permitted by applicable taw)prior to the end of the current term.Cancellation will be effective at the end of the then-current term.FP can change them ly rate and fees after the initial term,with 30 days prior notice. Customer Acceptance Dealer Information _.._. Al Ile Johngoi-? !� Dealer Name: APS, Inc. 225-0 ° Authorized Representative: Dealer#: Tel:2IM74 1 CI -74 0° �j� Address:PO Box 3915, Spokane, WA 99220 Tax ID or q _(Po l / WA 206.428.6180 509.299.6068 DOVW-r sense No: Stag__.._ Tel: _--- Fax. — –"— Authorized Signature; . Sales Representative: Title: l�frr� 1/Q� ou! �i"f Date: )'+ C. Jim Bechtold s FM_MG_RENTAGR_PostBase30A2 Page 1 4110/2012