HomeMy WebLinkAboutMAYOR'S OFFICE COPIER j MILLER SALES & SERVICE AGREEMENT
"HE'S THE MAN"
CUSTOMER •• • a.
Full Legal Name: City Of Jeffersonville DBA NAME(If any):
Billing Address: 500 Quartermaster Court City,ST,ZIP Jeffersonville,IN. 47130
Install Address: City,ST,ZIP
,CONTACT INFORMATION: NAME & EMAIL REQUIRED
IT Department Name: MATT DYER Email: Fax Phone# (812)285-6400
Contact
Toner/Supply Name: Email: Fax# Phone#
Contact RICK LOVIN (812)285-6400
Meter Name: Email: Fax# Phone#
Collection
Accounts Name: LES MURKLEY Email: Fax# Phone# (812)285-6402
Payable
:MILLER COMPANY
• INFORMATION:
• •
Customer#: Location Cust#: Bill to Cust# Sales Rep Date
BROWN 7/28/16
EQUIPMENT& SERVICE PRICING:
Begin Meter Base M Covered M CPP/ Total I
Make/Model Serial# EQUIPMENT ID# Meter Type Charge A Amount A Overage Rate Equipment
SHARP MX-3570N
2 PAPER TRAYS
i
FAX KIT
RIGHT SIDE TRAY
INNER FINISHER
COLOR $28.88 525 $0.0650
B/W $26.00 4,000 $0.00750
BUYOUT/TRADE UP/PICKUP:
MAINTENANCEBILLING INFO: • Delivery&Setup Supplies: NC
PROGRAM Base Overage ❑ STAIR CLIMBER REQUIRED FOR THIS INSTALL. Taxable Sub-Total:
❑ PPP/B2B ® Monthly ® Taxes:
(IF Exempt-Include Certificate)
❑ MPS ❑ Quarterly ❑ NON Taxable Sub-Total:
® VIP Program ❑ Annual ❑ Total:
❑$25 BASE PER MACHINE PER MONTH&NO MINIMUM—We will bill you a base amount monthly and for each page at the CPC/Overage Rate for each model listed.
:PAYMENT •• • NETWORKING
❑ Visa/MC: INSTALLED DATE LJManaged Network Services—(see attached Services Agreement)
E] IT Block of Time$ includes hours
❑ Check(%: Down-t/: Upon Delivery)
❑ Rental (see billing info) / / ® Initial Miller IT Installation hours included in this agreement: hours
(If left blank then zero hours of IT time is included during MFP installation&IT hours are billable)
® Lease (®FMV/❑$1.00 Out)(#Pmts 39 ) (Mo.Amt$277.00)
All rental and lease programs are not valid unless the appropriate contract is completed and El Please save paper by emailing our invoices and statements to us.
signed. Rental contracts require$75 delivery and 1' month paid in advance. Overages bill in INVOICE E-MAIL ADDRESS IS:
arrears.Rentals will renew on a monthly basis unless we receive or gite 30 days notice.
CUSTOMERa ■
You agree to the terms and conditions shown on the front a d back this Sales&Sely,
e Agreement. These constitute the entire understanding between Miller Document Solutions,Inc.and no
other written or oral representation by any party shall be bin upo Miller Documenlutions,Inc.You agree that this is a binding contract to purchase,lease or rent the goods and services listed
above,and that you will pay all invoices for said goods and s es up n receipt.Failur pay within 30 days will result in a late fee equivalent to 10%of your outstanding balance.The person signing
this Agreement on behalf of any customer specifically repre is[h have the author o do so and they are aware of no information that has been supplied that is false.
Print Name: Signa ure: Title: Date:
e fv_loore X
'Important terms&conditions are printed on the reverse sid of this document—this i age 1 of 2 pages.