Laserfiche WebLink
Store # Space #L <br />I (Y10. <br />Last <br />7 Billing Address: <br />Street Address <br />5. (4 i?-44 r ode- Ave_ <br />.51dCg- 16" <br />City <br />Owner Name; .4)Ct-ft, <br />First <br />State <br />Apartment/Unit <br />q5 245 <br />ZIP Code <br />SEM/IL:ES AGREEMEN <br /> <br />E-mail Address: oise, <br />Mobile Phone: (z)91 St4 1 61;7 Home Phone: ) <br /> <br />Truck and Driver Information <br /> <br />License Plate #: Reseller #: <br />Driver #1: <br /> <br />c-4'' Taft\ mccA..0 S Cell Phone #: <br />'zzo 9 <br /> <br />)7 );v 2 •7 <br />Driver #2: <br /> <br />c r2 260(C Cell Phone #: <br />Insurance Co.: Policy #: <br />Services arid Rate <br />Full Service (space, electric, ice, waste) 1 Barrel of ice per day Y2 barrel more if available: <br />No Electricity— one (1) receptacle per truck/trailer = two extension cords allowed. <br />Waste Only — Only business related waste allowed in LAC dumpsters. <br />0 Other—Keep your parking space clean and free of debris. <br />Start bate Monthiy Totai $ <br />By signing your acknowledgement below, Owner agrees to pay for the Services listed above at the rates quoted <br />and beginning as of the Start Date shown above. Service Fees are due in advance and payable on the 1s1 day of <br />each calendar month; a $25 late fee shall be owed if payment is not received by the 10th day of each month due. <br />La Comercial is not responsible for any damage caused to your vehicle by other parking tenants or for any lost or <br />stolen property. Owner is responsible for maintaining proper insurance at all times for your vehicle and operating <br />personnel. Owner agrees to reimburse La Comercial for all damage done to the La Comercial facilities by you, your <br />vehicle and personnel. Either La Comercial or Owner may terminate this agreement with 30 days written notice, or <br />immediately in the case of breach of this agreement by either party. <br />Accepted and Agreed to as of CI — 3 1 C' <br />-Owner: j La Comercial Corp.