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Maill .......'i �IIIII i a i n e Government Product Lease Agreement A Neopost USA Company Section(A)Dealer Information with Meter Rental Agreement Dealer Office Number: Dealer Office Name: Phone#: Date Submitted: 697 Great Plains 763 452 3520 7-23-2013 Section(B)Billing Information Section(C)Installation Information(if different than Billing Information) Company Name(Full legal name): Company Name(Full legal name): City of Elk River City Of Elk River DBA: DBA: Billing Address: Installation Address(No PO Boxes or General Delivery): 13065 Orono Parkway 13065 Orono Parkway Billing City: State: Zip Code+4: Installation City: State: Zip Code+4: Elk River MN 55330 Elk River MN 55330 Billing Contact Name: Contact Phone Number: Installation Contact Name: Phone Number: Carol Hanson 763 635 1000 n 763 635 1000 Billing Contact Title: Contact Fax Number: Installation Contact Title: Fax Number: 763 635 1090 763 635 1090 Billing Contact email Address: Purchase Order Number: Installation Contact email Address: CHanson@ElkRiverMN.gov Section(D)Products Quantity Model/Part Number Description(Include Serial Number,if applicable ❑ See additional listed products on attached continuation schedule. 1 1 IM440PLUSSYSA IM440 Mailing System 2 1 IMUSBKEY IM Series USB Key 3 1 IMDU100 100 Department Accounting 4 1 IMWP30 30#Scale 5 1 IMWP30DW 30#Differential Weighing Section(E)Lease Payment Information&Lease Payment Schedule Section(G)Postage Meter&Postage Funding Information Tax Status: Monthly Payment Main Post Office Name: Post Office 5-Digit Zip Code: ® Taxable Period #of Months (plus applicable taxes) Elk River 55330 ❑ Tax-Exempt. First 60 153.21 Postage Funding Method: Postage Funding Account: Certificate attached. ® Bill Me ❑ OMAS /CPU ❑ POC ® TMS Billing Frequency: Next ❑ Prepay by Check OMAS Agency Code ❑ New ® Existing ❑ Monthly ❑ ACH Debit Existing Account Number Next Attach ACH Attach USPS CPU 236318 ® Quarterly Authorization Form Authorization Letter ❑ Annually Next Billing Method: Section(H)Services Current Lease Number: ❑ Standard H09031520 Rate Protection: ® Online Postal Rates Covered Product: ® Government New Lease Number: ❑ RCP(Shipped Update) Payment in Arrears ❑ None Section(F)ACH Direct Debit for Lease Payments(Attach Voided Check) iMeter Apps: ❑ Online Postal Expense Management Bank Name Bank Contact Name ❑ Online E-Services ❑ Online E-Services with Electronic Return Receipt Bank City,State Bank Contact Phone Number Covered Product: Software: El Software Advantage Bank Routing Number Bank Account Number Dealer Services: ® Maintenance ® Installation/Training Section(I)Approval Existing customers who currently fund the Postage account by ACH Debit will not be converted to neoFunds/TotalFunds unless initialed here This document consists of a Government Product Lease ("Lease')with MailFinance Inc., a Postage Meter Rental Agreement, Product Maintenance Agreement, an Online Services Agreement,Software Configuration Services Agreement,and a Software License Agreement with Neopost USA Inc.,and a neoFunds Account Agreement with Mailroom Finance,Inc.Your signature constitutes an offer to enter into the Lease and, if applicable, the other agreements, and acknowledges that you have received, read, and agree to all applicable terms and conditions (versions GL-05-12), which are also available at http://www.neopostinc.com/terms/GovLease-05-12.pdf and that you are authorized to sign the agreements on behalf of the customer identified above.The applicable agreements will become binding on the companies identified above only after an authorized individual accepts your offer by signing below,or when the equipment is shipped to you. Authorized Signature Print Name and Title Date Accepted Accepted by Neo ost USA and its Affiliates Date Accepted MailFinance Inc. . 478 Wheelers Farms Road . Milford, CT 06461 Form GL51186e-05-12 revision 05/12