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2017.12.18 CC Packet
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2017.12.18 CC Packet
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12/14/2017 3:45:54 PM
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12/14/2017 3:37:52 PM
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City Council
Document Type
Agenda/Packets
Meeting Date
12/18/2017
Meeting Type
Regular
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Accela SaaS Master Services Agreement Page 4 of 19 <br />Form Approved by Legal (v.1 09/15/2017) City of Hugo, MN <br />Accounts Payable Contact Information (Required) <br />First Name <br />Last Name <br />Title <br />Phone Number <br />Email Address: <br />Billing Address <br />Delivery Address <br />Method of Invoicing <br />All invoices will be sent electronically to the Email Address provided above unless otherwise specified in Special Invoicing Needs. . <br />Special Invoicing Need <br />Invoice Delivery by Post is Required <br />SectionSignature <br />Vendor <br />Accela, Inc. Customer <br />City of Hugo, MN <br />Signed By <br />Signed By <br />Date <br />Date <br />Title of Authorized <br />Signatory <br />Title of Authorized <br />Signatory <br />Name (Print) of <br />Authorized Signatory <br />Name (Print) of <br />Authorized Signatory <br />Additional Signatures• • • <br />Customer <br />City of Hugo, MN Customer <br />City of Hugo, MN <br />Signed By <br />Signed By <br />Date <br />Date <br />Title of Authorized <br />Signatory <br />Title of Authorized <br />Signatory <br />Name (Print) of <br />Authorized Signatory <br />Name (Print) of <br />I Authorized Signatory <br />Purchase Order Reference (Optional) <br />If Customer requires PO number on invoices, it must be provided to the right and Customer must provide PO# (If required): <br />Accela copy of the PO prior to invoice issuance. If no PO number provided prior to invoice issuance date, <br />invoices issued on this Order Form will be valid without a PO reference. <br />Accela SaaS Master Services Agreement Page 4 of 19 <br />Form Approved by Legal (v.1 09/15/2017) City of Hugo, MN <br />
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