IDENTIFICATION REQUIRED

NOTICE OF REPLACEMENT COST OF EQUIPMENT

All Equipment is used at Lessee’s Risk. We exercise precaution in keeping our equipment in good condition.
Conditions which prevent optimum satisfaction of equipment does not relieve Lessee of his/her responsibility of rental charge. Lessee assumes all responsibility for equipment while out of possession of Lessor and promises
to return such equipment to Lessor in as good condition as it was at the effective time of lease. Natural wear from reasonable use expected. Lessee shall be responsible for loss, theft, damaged or destruction of leased property. All equipment lost or damaged beyond repair will be paid for by lessee at the regular replacement price and all damaged equipment which may be repaired will be repaired by the Lessor and the cost of such repairs will be paid for by the Lessee. All charges must be paid for by the Lessee for the purchase price or cost of repairs of such damaged or lost equipment. I agree that all charges or rental damages will be paid for along with collection fees, court costs and/or any expense involved will be borne by me in the court of the county in which the debit is incurred.

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SIGNED