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<br />D&B Order Form (04-07 PC) <br /> <br />~ <br />~ <br /> <br />SHIPPING and SALES TAX: Will be billed to Customer. PA YMENT TERMS: Due uoon receiot of invoice unless <br /> stated otherwise herein. <br />AGREED TO BY: <br />DUN & BRADSTREET, INC. Company Name: City of Santa Ana <br />Authorized Signature: Authorized Signature: <br />By: By: <br />Name (Please Print): Name (Please Print): DAVID N. REAM <br />Title: Title: City Manager <br />Date: Date: <br /> <br />Decide with Confidence <br /> <br />RM/AE #: <br />RM/AE Telephone #: 973-605-6105 <br /> <br />E-Mail: heimw@dnb.com <br /> <br />Center #: <br />Ext: <br /> <br />3065 <br /> <br />RM/AE Fax #: <br /> <br />866-800-4244 <br /> <br />ATTEST: <br /> <br />_~If~ <br />~PATRICr.t\ll. HEALY <br />Clerk of the Co~ncil <br /> <br />RECOMMENDED FOR APPROVAL: <br /> <br /> <br />- FMSA <br /> <br />APPROVED AS TO FORM <br /> <br /> <br />pC Generated <br /> <br />Page 3 of4 <br /> <br />