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<br />VENDOR PAYABLE ACCOUNT <br />PAYMENT REQUEST FORM # <br /> <br />Lessee hereby requests Lessor to pay from the Vendor Payable Account, to the person or <br />corporation designated below as Payee, the sum set forth below such designation, in <br />payment (of all/a portion) of the cost of the Equipment described below. The amount <br />shown below is due and payable upon receipt of a Partial or Final Acceptance Certificate <br />and an invoice with respect to the Equipment described below. The description of <br />Equipment below has not formed the basis of any prior request for payment. <br /> <br />LESSEE: City of San Marcos, TX <br /> <br />~ t.J~ <br />Signature <br /> <br />Printed Name: Larry D. Gilley <br /> <br />Title: City Mana~er <br /> <br />Date: t}lc(v(.~ '3 ,<1qq <br /> <br />lESSOR: Associates Commercial Corporation <br /> <br />Signature <br /> <br />Printed Name: <br /> <br />Title: <br /> <br />Date: <br /> <br />Page. 13 of l-l <br />Document: Leasepur.doc rev 0497 <br />