CONTRACT 5723B AmendmentTraining Order Form
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Customer Contract
Details
Account Name FI Segundo circ nepar[mcnt (CA)
Contact Name Scott Martinez
Phone (310)524-i990
Ship To 314 Main S r
EI Segundo, CA 90245
Package / Service Summary
Training - 5 Days j 46-13 1 00
Billing Summary
County
Agreement No. 57236
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Created Date 1/14/2019
Expiration Date 1/31'2019
Customer Type Existing
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$6,750.00 j 10.00 $6,075.00 5 Consecutive Training Days
Initial invoice will be issued upon receipt of the order fond. If this
represents a problem for the accounting department nlease contact your
sales rep
Order Agreement
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Sig nature
Date
Total Training Cost $6,075 00
Please complete a signed order and fax :c: 866.929.6157 9N
scan and arnall to: orders@emergencyreporting.com
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DEEPT PO or PO PX(MENT'