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Please send payments to: ESO Solutions, Inc. PO Box 738310Dallas, TX 75373-8310 <br />Invoice <br />Date:11/18/2024 <br />Invoice #ESO-154004 <br />Terms Net 30 <br />Due Date 12/18/2024 <br />PO# <br />1 of 1 <br />Bill To Ship To <br />Orange County EMS - NC510 Meadowlands Drive PO Box 8181Hillsborough NC 27278United Statessensenat@orangecountync.gov <br />Orange County EMS - NC510 Meadowlands Drive PO Box 8181HillsboroughNC 27278US <br />Item From To QTY UOM Total <br />HDE Payer Insight to ESO Billing <br />Feed of Hospital Patient Demographic and Insurance Information into billing. <br />12/18/2024 12/17/2025 1 HDE Records USD $7,000.00 <br />HDE - ePCR Connection <br />Connection and bidirectional exchange for a non-ESO ePCR customer with participating hospitals <br />12/18/2024 12/17/2025 16,027 Incidents USD $2,995.00 <br />Invoice Message: <br />ACH/EFT bank information: JP Morgan ChaseRouting: 111000614Account Number: 577211926 <br />Check Remittance lockbox address: ESO Solutions, Inc. PO Box 738310Dallas, TX 75373-8310  <br />Total (Without Tax):USD $9,995.00 <br />Tax:USD $0.00 <br />Grand Total:USD $9,995.00 <br />Amount Paid/Credit:USD $0.00 <br />Total Recurring:USD $9,995.00 <br />Total One-Time: <br />Invoice Balance:USD $9,995.00 <br />Please submit payment remittances to accountsreceivable@eso.com to ensure correct invoice application. <br />Amounts invoiced are per your agreement(s) which may include annual uplift and an increase in quantities based on usage overages. Your payment of this invoice serves as acceptance of such increases. <br />Questions? Contact: AccountsReceivable@eso.com 866-766-9471 option 8 <br />Tax ID: 36-4566209 <br />ESO will never e-mail you soliciting payment information. Please call us or e-mail AccountsReceivable@eso.com if you have any questions or wish to make a change. <br />This invoice presents the total net price of the product(s) and/or service(s) which is inclusive (net) of any discount.  As the buyer of such product(s)/service(s), you may have additional reporting obligations to federal or state health care programs (including pursuant to 42 CFR 1001.952(h)) and/or upon inquiry by the HHS Secretary or other state or federal agencies.  As the buyer, you must adhere to any other relevant federal or third-party payer requirements. <br />For a 3% fee, pay via Card <br />Direct Card Payment Link: https://app.suitesync.io/payments/acct_1FelgtGvY2g6ha8S/custinvc/7928983/?amount=1029485 <br />Pay via Online Bank Transfer <br />Direct Bank Transfer Link: https://app.suitesync.io/payments/acct_1FelgtGvY2g6ha8S/custinvc/7928983/?card=false <br /> Attachment ADocusign Envelope ID: 534E527E-89D7-4C90-A46E-7C5433DC7D98