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Microsoft Volume Licensing <br /> Program Signature Form <br /> MBAIMBSA number Al KENEverettRebill <br /> Agreement number 01E73965 <br /> Note: Enter the applicable active numbers associated with the documents below. Microsoft requires <br /> the associated active number be indicated here, or listed below as new. <br /> For the purposes of this form, "Customer" can mean the signing entity, Enrolled Affiliate, 1 <br /> Government Partner,Institution,or other party entering into a volume licensing program agreement. <br /> This signature form and all contract documents identified in the table below are entered into between <br /> the Customer and the Microsoft Affiliate signing, as of the effective date identified below. <br /> 1 <br /> Contract Document Number or Code <br /> , <br /> <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> . <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> Amendment CTM-PSC (80384624) <br /> Document Description Document Number or Code <br /> Document Description Document Number or Code <br /> Document Description Document Number or Code <br /> By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read <br /> and understand the above contract documents, including any websites or documents incorporated by <br /> reference and any amendments and(2)agree to be bound by the terms of all such documents. <br /> Customer <br /> Name of Entity(must be .=•: •1 a,tity name)* City of Everett <br /> Signature* <br /> Printed First a . ame* i Q AC l e ,r '7✓ <br /> Printed Title M 4 a ora_ <br /> Signature Date* 08// 1?I <br /> - C49 <br /> Tax ID <br /> 'indicates required field <br /> rtz ` ` .0d/OR A ST: 1 /. <br /> --/ - - City Clerk <br /> ProgramSignForm(MSSign)(NA.LatAm)ExBRA,MLI(ENG)(Aug2014) Page 1 of 2 <br />