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<br />lDENTlX PURCHASE ORDER WAIVER FORM <br />FOR <br />lIME ANDJ0'\:rER,IALS.1HLLABLE STiR VICE <br /> <br />Date: <br /> <br />SR# <br /> <br />PRIOR TO RECEIVING SERVICE TIllS FORM MUST BE FAXED TO: <br /> <br />408-731-2170 <br /> <br />This form confirms that the Accounts Payable Department at <br /> <br />(name of customer) <br />does not require a hard copy purchase order or a purchase order number to process payment for <br />this Identix Time and Material invoice. <br /> <br />Accordingly, this letter authorizes Identix to bill for parts and labor associated with services <br />rendered per Identix Maintenance Agreement Terms and Conditions Section II, B, a, b, c and D. <br /> <br />Information contained on the invoice will be sufficient to secure prompt payment of all invoices <br />in accordance with the authorized signature on this waiver form. <br /> <br />Signature <br /> <br />Date <br /> <br />Printed Name and Title <br /> <br />-. <br /> <br />Organization <br /> <br />. <br /> <br />Bill To Address: <br />