HomeMy WebLinkAboutCanon Business Solutions ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 77 OF 2005 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 15, 2005:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Suoervisor Joshua Y. Horton to execute a lease a~reement with Canon Business Solutions-
East, Inc. for two (2) new Canon Image Runner 5020 and one (1) new Canon IR2870 digital
copy machines for usc at the Town Hall Annex, 54265 Main Road, Southold, New York, at a
total cost of $1,276.12 per month for a period of sixty (60) months beginning on the date of
delivery, all in accordance with the approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
NOTE TO FILE: Delivery date was 2/28/05
Cost Per Copy Rental Agreement
¢ anon
CANON BUSINESS SOLUTIONS - EAST, INC.
ACCOUNT#
EQUIPMENT DESCRIPTION SERIAL MONThl.Y MINIM UM SENTAL MON~'ILY EXCESS COPY CHARGE
("EQUIPMENT") NUM~E~ (Plus apphcable sales ~ax) COPYALLOWANCE (Plus applicable sa~s tax)
J./.z 7o $ h l,. .
Agreemect includes black toner based on manufacturer's
INITIALTERM OFAGREEMENT: ~ O MONTHS SECURITY DEPOSIT [-35
If Sales Tax Exempt, a valid tax exempt certificate
* Plus applicable sales tax must accompany this Agreemen Advanc~ Payment-1 st & Last i'-I$
Equipment Location (if different then billing addj'ess)
Street City State Zip NAME: SS~.
Customer Contact for
ADDRESS:
Meter Readings: !
CORPORA11ON/PARTNERSMIP: TAX ID~
Purchase Order #
~ this information differs for each machine, please attach schedule. Fax No. ( )
~o u r ~f~ANtioDnRt oE .1~...:. ~.._m~__n,! ..~_..11~ _c~ ?e? ~ ~e day that a~y..o~ the~ Eguipmem is delivered to yo~ (the "Commencemem Date'). ECC sha!l be payable in anea~s, ~ billed. MMRs shall be payable in advance.
US,E~ (FULL LEGAL NAME[ . -- X~z~NATURE ~POr~,TLEOr
b~ 6 ~ /'~aP1 )~O¢c-P(- Josh/a Y. Horton
GUARANTY
i uncogdibon~er will perform all obligations uncle[the Agreement fu ly and pmmpMy. I also agree that Owner may make other arrangement~
I will still ~ncon .~thos~ payments and obligations. Owner does not have to notify me if th~f~th~e A.greeme?t
ff User d~ed'~ue in accordance with the defau~y s fees and ot~e[ costs.
I agree th
12 of the A~ .............. ~'"~"
FORM 201-REV10/03
cA.o. BOS,.E B SO'.T,O. I 8 7 0 i 2
Canon Business Solutions-East, Inc. ("Canon-East")
3oo Commerce Square Blvd., Burlington, NI 08o16
(800) 220-4000
Cust Code
Company Q//~ (].~p ~-rO~
Address
City State
Zip
Acquisition Agreement
Contact Phone #
Email
PLEASE PRINT
Item Code
C) S't, COT.-
Equipment Lease by Leasing Company to Customer:
[] CWO
Order Date
Cust Code
E~I ~ ~}~~ ~ ~'J~l
/ / Delivery Date / /
Description
Shipping Instructions:
Ship Via:
#Steps
NoD
Unit Price Total Price
Other Requirements:
[] EO. Required/EO. #
[] Tax Exempt
(Attach Certificate)
Loading Dock? Yes[] NoD
Qty
2-
I
!
(
Subtotal
Delivery / Install
Sales Tax
Total
Deposit
Balance Due
Special Instructions
[] Return Original Order#
[] Move only [] Trade In
Item Code
o If, typo ~
dReturn to Leasing Company
[] Other
Description
Serial
bI/tp~ o BoB
RCA# ~
Meter Reading Ship/Handling
Total
Special Instructions
Customer hereby authorizes Canon-East to remove the trade-in items listed above·
CUSTOMER, BY 1TS SIGNATU~ELOW, AGREES TO PURCHASE THE ITEMS SPECIFIED ABOVE. CUSTOMER ACKNOWLEDGES RECEIPT OF
A COPY OF THIS AGREEMEI',~'.aToHE ADDIT~NAL TERMS AND CONDITIONS ON THE REVERSE SIDE HEREOF ARE INCORPORATED AND
bt{:~:DE PART Op ~GP, g~NT
.~Authorized Signatu._~
Sup.rvi~ar
Salesperson ,}'~,~.//~u-~..it..../ ReplD# ~Off 1~' '7 Manager 0'4~'{5;r~
CANON BUSINESS SOLUTIONS
Customer Code
ACQUISITION AGREEMENT ADDENDUM
Acquisition Agreement #
J,'3-7 O i z
Item Code
o l
Description
Qty Unit Price
I
i
Total Price
Item Code
,~'~ / ~.il
Description
Subtotal
Meter Rd~ling
Ship/Handling-
PURSUANT TO THE TERMS AND CONDITIONS OF THE ACQUISITION AGREEMENT REFERENCED ABOVE,
CUSTOMER ACKNOWLEDGES RECEIPT OF A COPY OF THE ACQUISITION AGREEMENT AND THIS ACQUISITION
Printed Name Joshua' Y. Horton Title Supervisor
/
SLS-004B 5/04
.
COPIER MACHINE PROFILE
(/)
a:
z w
a: oll...J CD
0 .-: w :iE
ci i= :J WW ::::l
<( D.. D.. ~c Z
z 0 W D.. <(0
0 C ::::l :iE:iE ...J
<(
...J (/) ii:
W
(/)
1 Southold Main Office Canon Business Canon IR5020 JCT07316
Solutions
2 Southold Main Office Canon Business CanonlR5020 JCT07621
Solutions
3 Southold Main Office Canon Business Canon IR5020 JCT18854
Solutions
4 Southold Main Office Canon Business CanonlR5020 JCT18866
Solutions
,
5 Southold Main Office Canon Business CanonlR2870 KGCOO278
Solutions
6 Southold Dept. of Justice Canon Business CanonlR5070 SXP17589
Solutions
7 Mattituck Human Canon Business CanonlR2270 SLH23659
Resource Ctr. Solutions
8 Peconic, NY Recreation Canon Business CanonlR2270 SLH33890
Solutions
9 Cutchogue, NY Solid Waste Canon Business Canon IR1023N TJE01121
Solutions
,
,
,
v