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<br />if::1' <br />16' <br /> <br />ePoliceReport™ Order Form <br />ePoliceReport, LLC <br />Tel 877.IT4.COPS <br />Fax 408.528.8226 <br /> <br />Date: <br /> <br />October 8. 2008 <br /> <br />Order Number: <br /> <br />081008-001 <br /> <br />Please complete the following (print/type): <br />Bill To: <br /> <br />Contact Name Ken Gominsky <br />TItle Commander <br />Email address KGominsky@santa-ana.org <br />Company Name Santa Ana Police Department <br />Address 1 60 Civic Center Plaza <br />Address 2 <br />City Santa Ana <br />State CA <br />Zip 92701 <br />Country USA <br />Telephone 714-245-8040 <br />Fax <br /> <br />1. <br /> <br />Initial Term I SubscriDtion Period: <br /> <br />Annual <br /> <br />2. Service commencement: November 1. 2008 <br /> <br />3. Payment: <br /> <br /> <br />250 Plan <br /> <br />Amount <br />495 <br />500 <br />$ 500 <br />2500 <br />2640 <br />6635 <br /> <br /> <br />All applicable payments will be invoiced each subscription period and are due upon receipt. <br />Payment amounts as set forth above do not include any applicable sales, use, excise or <br />similar taxes, which will be set forth on each invoice and paid by Agency. <br /> <br />4. <br /> <br />Users and Reoorts: <br /> <br />Number of permitted admin Users <br /> <br />5 <br /> <br />Number of incident reports per month 250 <br />(Reports over monthly are charged at pro-rated rate + 20%) <br /> <br />Customer confirmation: <br /> <br />By: <br /> <br />~~- <br /> <br />ePoliceReport Sales Rep: <br /> <br />L/)I.( kVln,-f:- <br /> <br />By: <br /> <br />ePoliceReport, LLC. tel 877.IT4.COPS. fax 408.528.8226. www.epolicereport.com <br />5655 Silver Creek Valley Road, San Jose, California 95138-2473 <br />