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w <br />Program Signature Form <br />N1:W1vIBSA rr.inihpr <br />Flare?men[ numher F a Y+14 S <br />Volume UCt''nsing <br />004-kayleed-S-04 <br />Note: Enter the applicable artive numbers nstioci;jled v ilh the documents below, Microsoft requims <br />the associated active number be indicated here, or listed below as new. <br />For the purposes of this form, 'Customer" can mean the shining entity, Enrolled Affiliate, <br />Government Partner, Institution, or other party entering into a volume licensing program agreement. <br />This signalwe form and all conlracl documents identified In the table below are entered into between <br />the Customer and the Microsoft Affiliate signing, as of the effective date identified below. <br />� � � ,yy:'- : gip, <br />.;•j.' .rl�' `. ` r . � � � ,� �,,,=„��:. f.�:.`i <br />Enterprise A reernent <br />X20.10209 <br /><Choose A reernent%' <br />DOCUment Number or Code <br /><Choose Agreement.- <br />Document Number or Code <br /><Choose Nreemenl> _ <br />Document Number or Code <br /><Choose Agreement> _ <br /><Choose EnrallmentlRe istration> <br />Document Number or Code - <br />Document Number or Code <br /><Choose EnrollrnentlRe islratiun> <br />Document Nruarber or Code <br /><Choose Enrollment/Resistration> <br />I Document Number or Code <br /><Choose EnrollmentlRe istration> 1 <br />Document NUrnber or Code <br /><Choose Enrol lment/Registration> _ <br />Amendment to Contract Documents <br />Document Number or Code <br />CTM-CPT•OPT'-FWK {ne.v} <br />I <br />By signing below. Customer and the Microsoft Affiliate agree that both parties (1) have received, renal <br />and understand the above contract docuinenls, including any websites or documents incorporated by <br />reference and any amendments and (2) agree to be bound by the terms of all such documents. <br />Name of Entity `(m��e tity name)* County of Riverside <br />Signature.' <br />Printed First and last Name' R�rr (,i r-d #l�A <br />Printed Title s r P/OCttr_e&l,E Kr trofa C1C�1-�ai��Cris �r <br />Siynahrre Data' D S <br />lax ID <br />indicales inquired yield <br />4 <br />Pur�r.3w5iynFn rnSWt5 iigryrprA,LalVrr:yExBHA.MLIt£NG1(Hug"c71•Ij F"ug4 1 61 2 <br />