This Schedule “A” is to be attached to and becomes part of the above-referenced Agreement by and between the undersigned and UBEO West, LLC.
EQUIPMENT DESCRIPTION
MAKE/MODEL/ACCESSORIES
SERIAL NO.
STARTING METER
NOT FINANCED
UNDER THIS
AGREEMENT
CUSTOMER ACCEPTANCE
This Schedule “A” is hereby verified as correct by the undersigned Customer.
X
CUSTOMER SIGNATURE TITLE DATED
36237 (2017)(v2) Rev. 11/03/2022
APPLICATION NO.
AGREEMENT NO.
2047042
SCHEDULE “A”
Attachment 5