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PROGRAM:BILLING CYCLE:BASE CHARGE:$ <br />MANAGED PRINT SERVICES AGREEMENT <br />BILLING INFORMATION:EQUIPMENT LOCATION: <br />EQUIPMENT COVERED UNDER THIS AGREEMENT: <br />SPECIAL INSTRUCTIONS: <br />TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS FORM ARE AN INTEGRAL PART OF THIS CONTRACT. <br />ADDRESS: <br />COMPANY: COMPANY: <br />ADDRESS: <br />CITY:CITY: <br />PHONE:PHONE: <br />CONTACT:CONTACT: <br />METER CONTACT: <br />DATE:DATE: <br />OVERAGES: <br />OVERAGES: <br />OVERAGES: <br />$ <br />$ <br />$ <br />BLACK IMPRESSIONS: <br />COLOR IMPRESSIONS: <br />MICR IMPRESSIONS: <br />INCLUDED PER <br />IMPRESSION <br />PER <br />IMPRESSION <br />PER <br />IMPRESSION <br />INCLUDED <br />INCLUDED <br />EMAIL:PHONE:FAX: <br />FAX:FAX: <br />ZIP:ZIP:ST:ST: <br />THIS MAINTENANCE AGREEMENT WILL AUTOMATICALLY RENEW FOR ONE (1) YEAR UNLESS CANCELLATION IS RECEIVED IN WRITING AT <br />LEAST THIRTY (30) DAYS PRIOR TO THE END OF THE CONTRACT. REPAIRS DUE TO ABUSE, NEGLIGENCE, OR ACTS OF GOD ARE NOT COVERED. <br />DEXMPS AUTHORIZED SIGNATURE CUSTOMER’S AUTHORIZED SIGNATURE <br />MAKE MODEL SPECIAL INSTRUCTIONSQTY <br />ADDENDUM: <br />FEES APPLY - <br />SEE SECTION 11 <br /> NETWORKING: <br />PAPER INCLUDED: <br />SAME AS BILLING: <br />FEES APPY - <br />SEE SECTION 2 <br />REVISED FEB 2021 <br />Robert Reynolds <br />Orange County <br />131 West Margaret Lane #301 <br />Hillsborough NC 27278 <br />919-245-2276 <br />0 0.01 <br />0 0.08 <br />with Dex Imaging. <br />Yes <br />This agreement/amendment is added to Orange County,NC "SERVICES AGREEMENT" <br />Premier 0.00 Monthly <br />Equipment Schedule Attached <br />DocuSign Envelope ID: 935D7C5C-386C-4CB7-B1B8-4E63A4377E48 <br />4/23/20244/29/2024