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EQUIPMENT LEASE <br />LESSEE'S ACKNOWLEDGMENT OF RECEIPT AND ACCEPTANCE OF EQUIPMENT <br />Lessor <br />Address: 4 2 z `, <br />Lessee; (', 7y ' f <br />Address /T/ / <<. 1/1/2 <br />Account No. <br />7-/ i <br />The equipment leased hereunder is as follows: <br />// <br />NEW/ <br />USED <br />QUANTITY <br />MAKE - DESCRIPTION <br />MODEL NO. <br />SERIAL NO. <br />Address of installation Si s" f <br />l., //7r <br />(7. <br />/t t/ <br />3. Lessee shall pay Lessor at the above address of Lessor or at such other place as Lessor may hereafter designate, the sum of $ _ c'./ c < per <br />month, plus applicable taxes, commencing ,19 and on the 2c' K day of each and every consecutive month <br />thereafter, for a period of months, the lease term hereunder The - first- andlast paymentislin.the.amount.of "S. -. <br />plus - applicable- taxes,- being- .payable at- the- time.ot..signing_this Agreement, <br />(Important — This must be executed and returned before payment can be made to supplier) <br />' it <br />/F Fir �.( ( /c roc �� ^iC /! <(FJ �'t' <br />=�C�C <br />eve/ .,!A, c /'/i C..:i.. /C cNr^ <br />To: Lessor <br />We are pleased to confirm to you as follows: <br />1. ALL OF THE EQUIPMENT REFERRED TO ABOVE HAS BEEN DELIVERED TO AND HAS BEEN RECEIVED BY THE UNDERSIGNED; THAT ALL INSTALLATION OR OTHER <br />WORK NECESSARY PRIOR TO THE USE THEREOF HAS BEEN COMPLETED; THAT SAID EQUIPMENT HAS BEEN EXAMINED AND TESTED AND IS IN GOOD <br />OPERATING ORDER AND CONDITION AND IS IN ALL RESPECTS SATISFACTORY TO THE UNDERSIGNED; AND THAT SAID EQUIPMENT HAS BEEN ACCEPTED BY <br />THE UNDERSIGNED AND COMPLIES WITH THE DESCRIPTION IN TH_ .EASE. <br />2. IN THE FUTURE, IN THE EVENT THAT THE EQUIPMENT FAILS TO PERFORM AS EXPECTED OR REPRESENTED WE WILL CONTINUE TO HONOR THE ABOVE LEASE BY <br />CONTINUING TO MAKE OUR MONTHLY PAYMENTS IN THE NORMAL COURSE OF BUSINESS AND WE WILL LOOK SOLELY TO THE SELLER OR MANUFACTURER FOR <br />THE PERFORMANCE OF ALL COVENANTS AND WARRANTIES. <br />The above information correctly sets forth the equipment leased by <br />to us which has been assigned to <br />' lease dated that _ day of <br />31 <br />19 <br />and you are hereby authorized to install serial numbers on the <br />