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1999-02-01-R
CITY-OF-BATESVILLE
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1999-02-01-R
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(e) Schedule A-3, Resolution of Governing Body; Extract of Minutes, use this <br /> • format provided or attach a statement authorizing the transaction and the <br /> individual(s) responsible for signing and witnessing/countersigning. The names <br /> listed should be the same as those listed on the signature page of the lease <br /> agreement and on Schedule A-4, Certificate of Lessee. The Secretary/Clerk should <br /> also sign and affix seal at the bottom of page. A copy of the Board minutes is also <br /> acceptable. <br /> (f) Schedule A-4, Certificate of Lessee - Complete printed names and signatures of <br /> the duly authorized representatives of the Lessee, to sign and witness/countersign <br /> on this transaction. The names should be the same as those listed on the signature <br /> page of the lease agreement and in Section 1 on Schedule A-3, Resolution of <br /> Governing Body; Extract of Minutes. The witness signature at the bottom of the <br /> page should be signed by the secretary/clerk. <br /> (g) Schedule A-5, Insurance Coverage Requirements - If you purchase insurance or <br /> have a blanket policy, please complete section 1. If you are self insured for all risk, <br /> physical damage and public liability, circle "2"and provide proof of such self- <br /> insurance in letter form together with a copy of the statute authorizing this form of <br /> insurance. <br /> 4. Attachments: <br /> (a) Attachment 1, Payment Request Form - requires execution at time of delivery of <br /> a partial portion, or all of the equipment. Please send this form along with original <br /> invoice from vendor. <br /> (b) Attachment 2, Name of County- is necessary, to file the UCC-1 form in the <br /> county in which the municipality resides. <br /> (c) Attachment 3, Lessee Invoice Information form to insure prompt, accurate <br /> invoicing. <br /> (d) UCC-1 Financing Statement - please have proper official sign. It is necessary to <br /> return two (2) original UCC-1 Forms, as we file one with the state and one with the <br /> county. <br /> 5. The original invoice from the vendor should be sent to AAI with the documents or should be <br /> provided upon your receipt. The invoice should reflect the municipal entities name as <br /> purchaser. <br /> • <br />
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