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By signing this signature block below, Lee County Sheriffs Office agrees to the terms and <br />pricing stated in this proposal for the product and services as referenced above. My <br />signature below constitutes the acceptance of this order and authorizes IDEMIA, LLC to <br />ship and provide these product and services: <br />Signature Authorization for Order: <br />Signature <br />Name <br />Date <br />Total Purchase Price (including any Options): <br />Please provide Billing Address: <br />Check if Billing Address is same as Shipping Address: ❑ <br />Please provide Shipping Address (if different from Billing Address): <br />PLEASE PROVIDE A COPY OF YOUR CURRENT TAX <br />EXEMPTION CERTIFICATE (if applicable). <br />Reference: IDNC-1-021819-04 Page 6 of 9 <br />Idemis Identity & Security USA LLC . 5515 East Le Palma Avenue, Sufte 100, Anaheim, CA 92807 • www.idemia.com <br />