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<br />FROt 1 ~ F=lSSOC 1 F=lTES DETRO I T tt~602 TO <br /> <br />214785851'3 <br /> <br />19'31.11-11 <br /> <br />06~0'3PM ~408 P.1S/1S <br /> <br />. , -.. - - .. - - - . -.. ~.. " ,'- <br /> <br />DELIVERY AND ACCEPTANCE CERTIFICATE <br /> <br />, <br />Tho vndar$lgned L-eS8te hereby aQknowleogos receipt of Ihe Equl~mlnt deaerlb.d belOw ("Equlpmant") .e lully <br />In$lillllld and In good working cOl'ldltion ano L888&O horaby acoapts Ihe EQuipment att.r lull Inep.clion thereol &I IlItis- <br />faOlOry fOr all purposes under the Equipment Lease-Purchaee Agreement ("Lease") exllcuted by LIS.1I11 and _ <br />("Lessor") as 01 the lease Oal' lal forth belOW, <br /> <br />lEASE <br />CATE <br /> <br />LE!AS~ <br />NUMBER <br /> <br />SCHeOULE A <br />DATE <br /> <br />DEL-IVERY PURCHASe r PURCHASE! <br />NUMaer; OATE OROEn NO. <br /> <br />I <br />i <br /> <br />. <br />EQUIPMeNT INPOAMA TION <br /> <br />I ~~"~ <br /> <br />DESC~If'TION (MANUFAOTUi"IeR, MODEL. AND SERIAL NO.) <br /> <br />SUPPLiER <br /> <br />-- <br /> <br />LESSEe: <br /> <br />By: <br /> <br />TITLE: <br /> <br />DATE ACCEPTED: __ <br /> <br />"1lO~ <br />