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<br />.' <br />~-- <br />. > <br /> <br />s <br /> <br />I~, () l\'\ H F 1\ C; <br /> <br />Step 1: Client Information <br /> <br />Company Name: Gty of Sunny Isles Beach <br />DBA Name: <br />Company Contact: Jean Watson <br />E-mail Address:GWatson@sibfl.net <br />Billing Address: 18070 Collins Avenue <br />Gty/State/Zip: Sunny Isles Beach, FL 33160 <br /> <br />Title: Finance Director <br /> <br />Delivery Address: <br /> <br />IF DIFFERENT FROM ABOVE; PO BOX IS l'OT ACG:PTABLE FORDEUVERY ADDRESS. [ATTAGI ADDITIONAL SHEETS IF NECESSARY} <br /> <br />State: Zip Code: <br />Ext: Fax: L-J _ - <br /> <br />Gty. <br />Telephone: (305) 792-1805 <br /> <br />Step 2: <br /> <br />Order Form <br /> <br />Qty Item # Descliption AMA Unit Plice Total <br /> 1 CE-SQL-150 Stromberg Enterprise Edition SQL 150 Employees 1 $6,750.00 <br /> 1 CE-SQL-150SU e-Access Supervisor 150 Employees 1 Included <br /> 1 CE-SQL-150EK e-Access Employee Kiosk 150 Employees 1 Included <br /> 1 CE-SQL-150PI Payroll Interface Paychex 150 Employees 1 Included <br /> 1 CE-SQL-150TE e-Access Time Entry Suite 150 Employees 1 Included <br /> AMA-G <br /> 5 CB-2-B-110BT TimeClock, Ethernet, Biometric 1 $2,080.00 $10,400.00 <br />A Customer agrees to license the above software ("Software") and to purchase the Software - AMA - Gold $1,350.00 <br /> above associated hardware ("Hardware") and services, as described further herein Hardware. AMA - Gold $1,800.00 <br /> (Software and Hardware are collectively referred to herein as the "Products"). Implementa lion $4,500.00 <br />B. Customer agrees that purchases and/or licenses of the Products, suppon and Sub Total $24,800.00 <br /> maintenance for the Products, and training in the use and operation of the Products <br /> are governed by Stromberg, Agreement anached hereto. Shipping & Handling $70.00 <br />C Customer agrees that this quote is valid through 1/31/2006 . Sales Tax 1BD <br /> GR.>\1'II) TOTAL <br /> DEPOSIT $12,400.00 <br /> BALM'ICE <br /> <br />Step 3: Payment Information <br /> <br />o Credit Card 0 Check Check Number: <br /> <br />Hardware: Select payment tenns <br />o 50% down payment, balance due upon invoice <br /> <br />Software: Select payment tenns <br />o 50% down, balance, payment in full within 30 days following hardware installation <br /> <br />Charge the above items to my 0 American Express 0 MasterCard 0 Visa <br />Card Number: Expiration Date (NIM/YY): / <br />Cardholder's Name: Cardholder's Signature: <br /> <br />Customer acknowledges and agrees that this Agreement shall not be binding on Stromberg ("Stromberg") until signed by Stromberg and delivered to <br />Customer. This Agreement is the entire understanding of the panies with respect to the purchase of the Products and shall govern in the event any <br />inconsistent tenns and conditions are set fonh in any Customer purchase order, confirmation, or memorandwn, tmless.Stromberg signs such document. <br /> <br />.omberg Representative c:ust~ "'.' '. j (,j/ //:' i ,t' ~~. <br />SlgnaWrel )I/Flt,,.< '71..- ;< .d-- t.. C? <br />Name: S. Edelcu <br />Date: / / Title: Date: 02 /16 I 2006 <br /> <br /> <br /> <br />Kapp at: 1-407-805-0725 <br /> <br />Page 1 of 4 <br /> <br />SIB <br />