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DocuSign Envelope ID: 77490F52-CF5B-4826-AB2C-2C89947ECO63 <br />AUTHORIZED ADMINISTRATOR FOR PURPOSES OF ACCOUNT BOARDING AND IMPLEMENTATION MEANS AN OWNER, PARTNER, OFFICER, EMPLOYEE OR OTHER AGENT <br />OF THE. MERCHANT THAT HAS BEEN APPOINTED BY AN EXECUTIVE OF MERCHANT AND WHO IS DULLY AUTHORIZED TO PROVIDE INFORMATION AND EXECUTE <br />DOCUMENTATION ON BEHALF OF AND RELATED TO MERCHANT IN ORDER TO FACILITATE THE INITIAL SET UP OF MERCHANTS'S ACCOUNT WITH CHASE PAYMENTECH. <br />PER CHASE PAYMENTECH POLICY, AUTHORIZED ADMINISTRATORS ARE NOT PERMITTED 1"O MODIFY THE MERCHANT'S ACCOUNT WITH CHASE PAYMENTECH AFTER <br />COMPLETION OF THE INITIAL SET UP A E MADE, BY AN EXECUTIVE OR FINANCIAL CONTACT, AS APPLICABLE AND AS MERf.HANTS'S ACCOUNT. SUCH CHANGES MUST R <br />THOSE ROLES ARE DEFINED BY MERCHANT._ <br />NAME (Please print) Francisco Gutierrez � TITLE (please print) Finance. Director( <br />_ J <br />TELEPHONE NUMBER 714-647-5400 EMAIL ADDRESS: fgutierr,ez@santa-ana.org <br />SIGNATURE DATE: <br />1, the undersigned, being an officer/principal of represent and warrant that the statements made on this document are correct and factual. JPMorgan Chase <br />Bank, N.A ("Member") and Paymentech, LLC ("Paymentech" or "Chase Paymentech") are authorized to conduct any necessary Investigation, Including without <br />Ilmitatton, authorization far a bank to release Standard banking infonnatlon. <br />(Photocopy of signature below is valid for the release of information and will remain valid until the termination or expiration of the Merchant Agreement <br />NAME (please print) Francisco �iUtIE'rYCZ TITLE Iplcase print) (-IndI10E'QIrCCtOr <br />SIGNATURE DATE <br />s <br />SUBMITTER NAMEInvoice Cloud, Inc. <br />*Note: Each Merchant is required to submit a W9 with this application, regardless if Paymentech will be utilizing the Submitter'S TIN for IRS <br />reporting purposes. <br />Page 2 of 2 I"aymentoch C'oneract No. 063576 <br />