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, f <br /> � .,� . SMALL BUSINESS CONTRACT - II�IA�����I���I � <br /> 3U81 UE05 � <br /> 1 <br /> CON7RACT m��J� NSTOMER , lOB m IEAD � { <br /> DA7E i� v L_L_l� L�J ACCOUNT NO NO SOtlRCE � <br /> • • � • � <br /> ' ' ' � <br /> Alarm Monitoriny and Notlflcadon Services Momh Service C harge Monthly Serviw Charge � <br /> ---------------.�.--.._-i--- -- --------------------- I <br /> � 8 4�9�a�I' (BN �� l � G On Sibe Sarvices � <br /> � Hold-u (HU/� I� 1 � O Guard Re �� � <br /> p `� ` spo�ue O Interlor O EMerior i I <br /> ----------------------- - ---------- - I <br /> � Duress � � �,� � � OOther '----- -J------T I <br /> I <br /> oTwo-way wice � Totel 6Aonthly Service Charge $�qr-��� I <br /> --f-----='- - ----�----- � <br /> O Crkical CondHlon Monitoring (CCM) ^ � � <br /> .Q Fload - O Temperoture � 01ua � � � <br /> I <br /> O Paraliet Protedion I� O Annual UL Certlficate Fee �' � I <br /> _ ,..._��----------- . •----r- ------- -----------. I <br /> O ADT Select' DataSource $ O ADT to obtain electriwl permit � <br /> I <br /> ' O Custaner ho obtaln a� pay for initiaVannual mur�dpal alarm use permlt Fallure to � <br /> O Open/Close Login � abtaln and provi� ADT with the muntc�al alarm ase permk rcglstratian number wuld � <br /> ; resuh in nc munkipal flrdpolke responu m an alazm Gom the pcemises and/or a flne. � <br /> ---- —�---� 1 <br /> q Supervised Scheduled OpeNClose � O other � � <br /> -------- - t - -- - � <br /> j I <br /> O ADT Select Entry � Instaliatlon Prica f� � O 7 <br /> ---- -- � - I <br /> Ot6ar Services Taxable Amount (Leave 61enk+f ADT-Owner� �$ 'S �--_ � <br /> I <br /> O Quafity Service Plan (QSP) I ' � Non Taxable AmouM (lsave blank tf ADT-Dwne� i� f� (� I <br /> r--� � <br /> o It Quality Se ' e PI � Is Declined Customer { �^ I <br /> mUSt Ihitia! t�e _ Connectlon Fee `� � � <br /> i I <br /> O Preventative Maintanancellnspections Per Year �� � Sala Tax on Installation" �^j`� � <br /> 01 02 03 d4 06 012 7��emptNo. j <br /> 1 <br /> O Training f� I Tax Expiret?on Date I <br /> -- ------.� __.� ---____-------{-- __ _ <br /> ------ - - --------- � <br /> Q Dlrect Connectlon Servlces I � Total Inrtaliation Charge• ��,�„ 7 <br /> O MoMhly Recurcing,lulunicipal Fee � i beposk Received: 1001(o deposit requlred�< f500 �� G .F j <br /> (Subjeitio �liantJtb�sedon local Iaw) � Minlmum 50% depositrequlred f500+ � ,y <br /> O Cusmmer m ubtae� and pay for m�nldpal alarm use pctmit ' O Money Order O Check O CreiJiVDebit Card 1 �•S-�t �� •:-.� <br /> *If applicabfe sales tax not shown, it will be added to the flrst Invotce. 6alance Dua* � 5(J t-�,, n I <br /> ,I <br /> • • � <br /> I <br /> QuaMity Oavke Desufptbn Device Locatton 1 <br /> - -------.�._._��_�.�.._..-.. .,� <br /> -- � --�-�t � - 4� ���� ---- �ti Q C� r, �; -___ $ � � <br /> � <br /> .-.._Z c�c�c�fs _ c�.x.G�-E __-------------------- � <br /> --- ---- —�- — 1 <br /> � I <br /> I <br /> l. �G-�.z_ ��.�oc, C-E�' �� �(DU � <br /> -- � <br /> I <br /> --- ---- ----- -- - ------� 1 <br /> - - -- � � � <br /> I <br /> � �� _ i <br /> ___---------- ---�---- -----�-- __----____._.__ ._— „ i <br /> --�-,#; ------=-- i <br /> _ i <br /> — � --- � ' ---------- I <br /> ------- � ---- � <br /> .�_---- -_---�--------____-�-__----- , -- --- - ; <br /> . � <br /> ----------- --____.--- -� -- --------_T__---___----------------------- ; <br /> -- " - - �- �_-______.�----------. '� <br /> ---r--------- � <br /> � � <br /> I . i <br /> i � <br /> � _�—_ ---� -- i <br /> , <br /> -�-----�----- ------------�------=------------__ ----�--_--�------- i <br /> . i <br /> � i <br /> f <br /> /��}/�� I <br /> Estimated lnstallation Start Date m/ W/ W � <br /> Z Of 6 02091 ADT. All rights reserved. (OMt 1) � <br />