MailFinance
ANeopost USA Company
Government Product Lease Agreement
with Meter Rental Agreement
Section (A) Office Information
Office Number
Office Name
Phone # Date
6101
Formax
05/23/2019
(603) 516-2653
Section (B) Billing Information
Section (C) Installation Information (if different from billing information)
Company Name
City of Nashua
Company Name City of Nashua
DBA
Installation Address | 229 Main Street
Billing Address 229 Main Street City State Zip+4 Nashua NH 03060
City State Zip+4 Nashua NH 03060 Contact Name Accounts Payable Phone | (603) 589-3175
Contact Name Accounts Payable Phone } (603) 589-3175 Contact Title Accounts Payable Fax |
Contact Title
Accounts Payable
Fax Email Address vendorapinvoices@nashuanh.gov
Email Address
Main Post Office
Nashua, NH | PO 5-Digit Zip Code | 03060
| PO#|
Section (D) Products
Qty Model / Part Number Description (include Serial Number, if applicable)
1 INDW30 IN Series 6/7 Base 30lb. Differential Weighing
1 WP3070STDN Scale Stand for ISWP30/70 & INWP30/70
4 INDU100 IN Series 100 Department Upgrade
1 IN700SH IN Series 700 Base w/ Mixed Size Feeder, sealer and drop tray
1 INWP30 IN Series 30 lb Weighing Platform
1 INDS7 Dynamic Weighing Platform for IN Series 700/750 Bases
Section (E) Lease Payment Information & Schedule Section (F) Postage Meter & Postage Funding Information
Tax Status: Number of Monthly Payment Meter Model | IN7O0AI Machine Model | IN700SH
Months (Plus applicable taxes)
Taxable - : Postage Funding Method: Postage Funding Account:
First { 60 | $337.18
[| Tax Exempt
Certificate attached
Billing Frequency:
[| Monthly
Quarterly
| Annually
Billing Method:
Poc [J]tms
New L_] Existing
Existing Account Number:
[| Bill Me Prepay by Check
[| ACH Debit (Submit customer authorization form)
CJomas [J] cpu (include authorization form)
Agency Code [| Sub Agency Code [ ]
Service Products (Check all that apply)
[_] Standard
Current Lease Number:
Online Postal Rates iMeter™ App (SP10)
[_] Arrears
C] ACH (Customer to submit authorization form)
Online Postal Expense Manager iMeter™ App (SP20/NeoStats)
| Online E-Services iMeter™ App (SP30)
[_] NeoShip PLUS (EP70PLUS)
| NeoShip Install & User Guide (EP70GUIDES)
[|] RunMyMaii |_| 3G/4G Cell Service
Maintenance
Installation/Training
| | Software Support for premise (non-cloud) solutions
Section (G) Approval
Existing customers who currently fund the Postage account by ACH Debit will not be converted to NeoFunds/TotalFunds unless initialed here
This document consists of a Government Product Lease (“Lease”) with MailFinance Inc.; and a Postage Meter Rental Agreement (“Rental Agreement”), and an Online
Services and Software Agreement with Neopost USA Inc.; and a NeoFunds/TotalFunds Account Agreement with Mailroom Finance, Inc. Your signature constitutes an offer to
enter into the Lease and, if applicable, the other agreements, and acknowledges that you have received, read, and agree to all applicable terms and conditions (version
Government-Equipment-Lease-Terms-USPS-Dealer-v4-16), which are also available at https:/Avww.neopost.com/terms/government-equipment-lease-terms-usps-dealer-v4-
16.pdf, and that you are authorized to sign the agreements on behalf of the customer identified above. The applicable agreements will become binding on the companies
identified above only after an authorized individual accepts your offer by signing below, or when the equipment is shipped to you.
sett SEE PURCHASE ORDER *****
Authorized Signature
Print Name and Title
Date Accepted
Accepted by Neopost USA and its Affiliates
Date Accepted
MailFinance Inc., 478 Wheelers Farms Rd, Milford CT 06461
Form L51186e-04/16 Terms Revision R-04-16 (PF)
