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380 New Yorlc Street y <br />es r r ® Redlands, CA 92373 Quotation <br />0 Phone: 009- 793 - 28632816 Page 2 <br />Fax A 909.793 -4801 <br />Date: 12/31/2013 Quotation No: 25613038 Customer No: 156392 <br />Item Qty Material# Unit Price Extended Price <br />IF YOU WOULD LIKE TO RECEIVE AN INVOICE FOR THIS MAINTENANCE QUOTE YOU MAY DO ONE OF THE FOLLOWING, <br />• RESPOND TO THIS SNAIL WITH YOUR AUTHORIZATION TO INVOICE <br />• SIGN BELOW AND FAX TO 909- 307 -3083 <br />• FAX YOUR PURCHASE ORDER TO 909- 307 -3083 <br />REQUESTS VIA EMAIL OR SIGNED QUOTE INDICATE THAT YOU ARE AUTHORIZED TO OBLIGATE FUNDS FOR YOUR <br />ORGANIZATION AND THAT YOUR ORGANIZATION DOES NOT REQUIRE A PURCHASE ORDER. <br />If there are any changes required to your quotation, please respond to this email and indicate any changes <br />in your invoice authorization. <br />If you choose to discontinue your support, you will become ineligible for support benefits and services. <br />All maintenance fees from the date of disaontinuaticn will be due and payable if you decide to reactivate <br />your support coverage at a later date. <br />This transaction is governed exclusively by the terms of the above- referenced contract, if any, <br />or Hari -a standard terms and conditions at www.aeri.com /legal. <br />In order to expedite processing, please reference the quotation number and any /all applicable Sari <br />contract number(s) (e.g. NPA, ELA, SmartBuy, GSA, BPA) on your ordering document. <br />By signing below, you are authorizing Seri to issue a software support invoice in the amount of <br />0 plus sales tax, if applicable. <br />Please check one of the following. <br />I agree to pay any applicable sales tax. <br />I am tax exempt. Please contact me if Seri does not have my current exempt information on file. <br />Please indicate on your purchase order if this purchase is funded through the American Recovery and <br />Reinvestment Act, and whether Sari is a Prime Recipient, Sub - recipient, or Vendor for reporting purposes. <br />Signature of Authorized Representative Date <br />Name (Please Print) <br />Title <br />(CeaATCHDOMI <br />