ORDER NO. ^c744:~
RF'PROVRI_ OF CONTRRCT WITH WESTERN UNION
On this the LSth day of February 200c, upon motion made by
Commissioners Griffin, seconded by Commissioners Baldwin, the
Co~_rr•t unanimously approved by a vote of 4-Qr-S, the contract
with Western Union that will allow defendants to pay fines and
count costs via Western Union at no cost to the County, other
than the dedicated phone line, and authorize County Judge to
sign any necessary documentation.
COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND NINE COPIES OF THIS REQUEST AND DOCUMENTS TO BE
REVIEWED BY THE COURT.
MADE BY: Russ Duncan
MEETING DATE: February 2S 2002
SUBJECT: (PLEASE BE SPECIFIC)
OFFICE: County Judsre
TIME PREFERRED:
Consider and discuss approval of contract with Western Union that will allow defendants to pay fines
and court costs via Western Union at no cost to the County. Contract has been read and approved by
Assistant County Attorney, Jerry Phillips.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THE COURT:
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Russ Duncan
S Minutes
Time for submitting this request for Court to assure that the matter is posted in accordance with Title S, Chapter
SS1 and 552, Government Code, is as follows:
Meeting scheduled for Mondays:
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:

All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has been
prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be
appreciated and contnbute towazds you request being addressed at the earliest opportunity. See Agenda Request Rules
Adopted by Conunissioners' Court.
5:00 P.M. previous Tuesday.
` aY%18101 TCtE lY; OY FAb 8U05J87885 ttESTERN UNION 1'E[.ES.;LF'S
~ UU2
WFCTFRIV iTNT N OUiCK ('O i ri~ CIFRVIC APPLI .AT'ION
This infommtion will be used to set up your Quick Collect Account. All information in this Application may be verified by Western
Union Financial Services, Ina Clicnt msy cancel this Application at any lima prior to equipment installation or star) of service data.
Please type orprintneatly. //~~ - rn o
I. Clients Nam(e'~~Yr, I.UU C't' ~ Contact fA A] ~'~`
YourNnmal"\ 1~~}(~~~~UIJC41f~ ~Tiptlpe D111J ~„ CC
2. Address ~~_I ~ IR 11~ ~~~ T~rM I O~ C
City ~~P V~P ~.~^ Q er State ~~ 2iPZ~_~~
3. 7elephon~~ ~~ ~gx( D~-~ Q~ ~ ~tD ~ 4. SIC Code
5 Type of industry (check One): 6. Number of collectors at this location
(] Credit Card Issuing Hanle
Q Finance Company 7. Chant's Bank
Q Crovemmant ~ Address
[] Mortgage Company _
~] Collection envy Account No.
O(her .~~~etpil, Clicnt Taa 10 No.: t
8. Clienfs expected monthly Quick Cellece trenaeotion volume: (] 100-099 [] 500-999 Q 1,000 plus
9. Number ofpayments received by overnight delivery aetviee each month (Quick CotfecJ normally displaces this
type of service).
ricr_ t 'eN
10. During a`9t~ad y tr7a1 ~e~'t Wtutem Union will provide Client with a cheakwriter system free of charge For n cdeckmiter
system thereafter, Client hereby elects the option indicated below:
[) Client will purchase s checkwriter sysem from Western Union and pay n one time enazge of5 ~.
Q Client wilt have a fight to access n checkwriter system provided by Wesurn Union end pay S ~ ~~
per monde. Upon kmtination, Clicnt wilt return th[s checkwrikr aYStem ro Weatem Urtbn in good opemdng
condition. If Client fails to make eny psyment for more than 30 days after la due deli, Clien[ will return the
checkwriter system m Wesum Union upon tsgttast.
[] Cheat will make other atrangemenu fbr a cheekwritcr system meeting Western Uaien's spec~eadona.
Telephone line number to be used with printer (If known) f 1 ~~
Hy signing this Appl-watioa, Clirn[ agrees to the proviaion+haroin end to the Terms end Conditions stmcited hereto.
}~tr C ~ Cl~ s aF~s~ w>rsT~NtnvloNFtNatvcwLS;rttvlc>~s,>NC,
C6mt c
~Hy; Hr ~ 6'Q~2Sy
T~•Kerr Counhy Judge Tide:
,2/27/02 Dau:
Note: For provlatoa of tde Quick GbQecr serv(ee, Weseera Union requires current Cheat fiaanclai Infortrwdon. Please send us
your most recent Annual Report w[tt. ehls Apptlcatton or complete sad return tde Western Ualon Cradle Appttcadon. Client
agrees to provide to Wedarn Unba IInanelal statements or similar Oaanda- information from tame to ttme upon requnt.
For [ntcrnel Use: Account No : Instal! Dnte:
rotas:ontw.xotaaroawswcsmrratooe
to use e:ltaevatwc r.,w.~

I"L~Iai UI TCiE IY~U3 FAS &0U33a73v5 WESTERN UN[UN 1ELESALE;S
.~_ -_, t61UU3
CNnt and waetem Union Flnandal Services. 4rc agroo as blbxs
t. Wostem Unun apnes b rauHe paymenle kom Custanwrc d CYanC Client vAlf Riswa Cusromen m provide Weskm lkdvn wiM It) lM eodDUni
number b udarh Ne payment ~s b be credited and (b) rash equal m d1e tltnouM m be pod on Me deW, pWa Wotlem t1MOnY snndard fee as pmvlded n Mo
wrrent pndng sUedWa.
Z. Waebm VMm will nnsmv Quick Collect payments doeaenicaay ro a che6cWriter system located on CllenYt premiers. Tna System wIM Genaitt d a
prinw and • modem whk:h meal Westam Uniaya spedYeetiw~t, coupled wiM a anndaN,,Ati.r--oi++ce gnde• da``dkekd n pulpped vAtlt an RJ•11C jedc
7. If Client obtain: the chtekwdter system Inm Western Union, Clem wlli "makeak~t er8foln~a+p and wiA ba nsponslble m
ropfacs Mc system in Yre ovens a! a casualty bsa and b rouxn Ne ayskm m Wectem UnbfiaDOUhmtkktadan dthis Ageemont. The manufacluran' warralkiaa
tin Ma sok and exciusivs wartantles whim wAl eCPIY• Client agrees Ynt Wukm Urdon makes ro w"ayrerigr1ezpreta ar rnpsad, of merchantatiltey, of Amesa 1w
am perkvulu purpoca, er d any ether type Or kind whatever, Weakm Union's AabWty for any and all tlamagek d n.Wre and klntl, b any way aflshq at of
a retNarp Irani Ma tak or kale d Ina checkwrita aYakm, ehaN not esuad Me pursnase pries or sum d Iesae pe aid Nectar by CserL In ne went
ahaY Watem lk+ien b I'ubk for airy Indirect, Inddennl, apetlal, sr consegwralal damages.
4. Weelem Union wIY pravlde Cnant oriel quick Colleo! dteokt b fH pmoessed enough the syalam. Eacn Qulok Cd/aof check wa plw the Herne and
account number furr:ehed by Ihs Cusbmx. Weston UN~n ahdl pnvide troiNnp of pasonntl in the procgaing and handling e( qufelt Colhet eansadions.
CYNm end WeNem Unlan Shsl wont logamer ro develop an appropriate train:tp prcgrem.
8. Wptem Unbn shall by raspensible for nsDarding to end ncdlving inquires and eovptatnts from Cuslomen eating out of Wegem Unisys Quick
Collect Sella. CIIeM wit rmprak oath Westam UMon in Jeaolving wch ingtdriea and cortpalnb end wit ba nsponalbk fee reedvlnp any lnqurias or
campkiM+aher ffttn Mvaa eaueed by Westom Union tt arlaing 4ul of aw QWelr Gaiter seMa.
8. WesUm Unbn agrees b ltsep ary eonkdmtlal dab aupplkd by pknt about iK Cusbmerc cardldengal and b make rro dtdoswe thereat m any Mkd
Pally, accept as required b)' kw. par purposes d Mls Seulpn, ere names and addrsiea of Customua wtreet tuppded p Waoem Unbn by ate cwmms n wetl
as kdormafron tokected by Weetom Union ro efiaelRtp eansacbons for Cuatomsre that rat be ttaemed ConAdentkt infamadan of QknU
7. dknt agrees dial a eheY not ehnar dYecdy or indhttly dorJme, tliseeminsn a othenvke make avaYebla m any Mtd party an). Wamatien wlaminp
vie Gems d Mb 4ulek Cdfad AQraemant, any rotated polkiex proeedum, rystsmt or protesaes of Wesmm Union, sny inbnr~aaen wnaming Watiem
UMon's Qukk Coeaetagerc network or any Mlarmadon ngardirp the giam'a aenaattlan volume, except as nquked Uy kw.
d Clkrit egroea dot during Me full Balm d Mk Agreemen. Weskm Union ehaY W CYent'a sob and Sztluslvs provider of fhs types d conies Wovkkd nr
luea Mretmder.
Q CYaM obeli campy fond shell auea kc ampmyeea, agents, and euboortbevlore m wmpty) will a0 low:. orders, NOS all repuletbnc appfic^ab b
giant's kusinass, Mcbtllnp tort rot mMwa m, vw fork Cart Cdaealon ProNm Ads client egroea b IndamNy Woenm Union and hob g Mm~ksc tram err,' and
all dakm, bWS, damages, kebdples err algarmee (uxsud'mp ataxney'a fees) of every rkmro and kYq krcurted ore a resuk d Client's (elute a aasged (apart b
wmOlY wah appdade kaa, ceders, n,lee and nigulttlae. Any aU rx omisaien b bnaeh d wry euclt nor, order, ruk m ngunt1011 shall tbfnlink a material
broach al Mla ApreemaM.
10. CYam vdA IndamNy Waatem Union kom any bss rWUnp b qukk GUrnct chackr caatng kb Genre pesseatlen, nepaMka d Me pnesna N
abaanm d napdgatce a a4ninN eortducU b e madrrsan Ikitl( par eheclr peal b the mex:num amount stared Maras. Western llniort'a aok rcsponetbANy (pr
damapas mr era, dairy. a rwnpaYme^t, wtheaw yr ndt seated by rspipenaa (apart from Wassem UNon's nsponsbuly m aaaun payment d v+a prindpal
amount alxaple0 ken Customer). aM1 N ArniW b a nMd d VGe aarvkz fa pakt it araiedion will aw averasd aarsactlon. and Wotan Unite than haw no
faNiN MeratW b CYant. Ursa M dmumaynaa vria Western Unbn be Aade m gienl a Cuabmen br bdlnd, InddeMal, speda6 a mesequantlal dsmapea,
aSleMx a riot aRMr pa:tY knew ahtd teeter b knew Rr: rAtS' mkta ax inc+.vred.
tt. b rasa d any ovaryaymeM 6y Weetem tkllwt to liked, far any Haan, CYead sgrea b FAY. upon squat refund ill iyfaipaymaM m 1Yeskrn
U+Ion, CAeM clad apnes m pranpdy, upon nquset, rairreurp Wutem 11MOn for anY dvpkate pa~ardc, anY paY~ nkmd.a m Cuabinss h1l MhsO.m
tAYon err any aloonaa pe~na~. CYant my eerwet or refuu ^ lirdeR ColMef paymarc Halved kon area Of Rs CUetarwrc only by tonptybp nAh ill YtYdrArq
twndldea: Cllra moat ) ew#ly WaRtm Union by kkphons..n0 Paler 1rn is na# latair~a day 6vewi!q CAenfs rorrJpt d the pymerlt d p desire b mnotl
a rekse vte peG,mem, IB) lokvw 1Yeekrrr IYitlon>, Inatructloro vrMlt resPkt b tic dtptnitiat d a,. tgWeR Ceaect aierur. aN (C) paY Waekm UnbMa aunaan
arwtlaaon Ulytro chore F aA`att at tfN thre, d cwrc mess Mesa cadMva. Woolen Unbn wW arnrge for Ma ranacativn d the banaeoion and wia raked
Ma pMtcptl amaliM b Cuatvmse. IA CYerd lase m rotes ttwsa tbrrdkbna, CYant wBt dapalt e+e Qufek Collect ekeek ktm CkenPs ecauM end rnaka any rekad
nnrigalrnn aeDaareb trill grelornar.
12 The Heal urn ClnYlal ielm9 d lhie Apnsmant tlnp dontllwe for a perkd dyne (1) Year Iron pta start d seMaa dace. Unku famdlletad o<Mia w#
d Me klitiW Tatm rc enY renewal lam by raRten fatido 1~ at Ifxq Holes)' (80?Jaya Mldr tMnm by aknsr party b err orler, thla Agroanent eheA eidonvitiaay
iaMw for wioafaive lddlibnal one p) year nMwal4ms.
1PMc'tpM-agent aso~Ntar busatcsa e.rarVamant. Trek Apiement sMtl red ke vonakued p tmhod0' for apnesparty ro as for Meotlwr D~iR~y N +I+aDOyaa•
a otiae aimYar espaely.
It. YTYt /Iproxnsnt, GtgeMM sMh erry Addenda adadiad (prom, nPr'esenGG the erRire agreentallt d ate paNas wan teepee m the aubj.tl maWr Mnof.
and may W tnpdiFad OeYy b wAtMlp algned M duty arModzed represenreuva a dla Dawes b be beuld Mereby Thk Agrlemenl k made under. and atpv M
eonaewd h adcadalas wah, era nwa d Ms 6kre at lrew York CAeM asY hot assign aothemise trarrfer kc Aptns ann sasgatlas Wnvsm b thK Agreonbm
MDtsa Was4m Unbn'a ptbr en mnxrW.
M Siprtalun Rpulred:
'' __ ``k1COdY0MwVGCat/~nrdWSWR7D.IrW.bOC =
7111x1 C!esawbWC 6ladaaax
f
12/18/01 TC1E 1Y:Ud PA1 80UJJ87Je5 WESTE1tN UN [ON TBI.ESd1.B5 t~004
'Zt'RSTFT2N UNION O Ii K .OLLE Tm SERVCCE APPLICATION
This lafonnation will be rued to set up your Quick Collecr Accwnt All information in this Application tray be verified by Wostatn
Union Financial Srn'ices, Inc Client may cancel this Application at any time prior to equipment installation or start of service dste.
Please type orprint neatly. ,
t. Clients Name
YourNamc~[1Scj ~.~1NCLlt~
3. Address
City R
3. Telephone r~ar~~~c(_e~y.+ 5-~ olD
5 Type of Industry (check one):
[] Crodit Card Issuing Bank
r] Finance Company
[] Govcmment
[] IvIortgage Company
[] Collodion A eney
'(Other -'~'y~~Gleil.
u
~~Tit~~le,, x..11.5 `C`1^C~ U~-~\~
'IriiiorM ~ ~ l .~ !''-Q~~ Q
State T~, ZiP`78n~.R
4. STC COdc
6. Number of collectors at this location
7. Client's Bank
Address
Account No.
Chant tax 1D Ne.:
8. Clients expected monthly Quick Collect transaction volutnc: Q 100A99 [] 500-999 (] 1,000 plus
9. Number of payments received by ovemlgh: delivery service oath month (Quick Collett normally displaces this
type of service). °
10. During a`9l~ ar~zl e~io, esie rt Union will provide C[itnt with a chockwriter system frce of charge. For a chakwriter
system thexeafter, Client btrehy elects the option indicated below:
[J Client will purchase a checl~vriter system from Westem Union and pay a one time charge of S d .
[] Client will have a right to access a ctuckwriter system Dmvided by Westem Union sad pay S ~. 0~
pa mottth. Upon terntlnation, Client will rcturt this ehcakwtiter system to Westem Union in good operating
condltiort If Client fails to make any payment for more than 30 days after its due dart, Client will return the
checkwriter system to W astern Union upon request
Client will make other artangatnea~ for a checkwriter system meeting Western Union's specifiahtutc
Telephone lire number m be used with printer (if (mown} (,_
O~y sy~ng this Applkxtion, Client agrees m tlhe_prov[sions herein and to the Tema and Cottdi6ons attached hereto.
~4~~~~ O~t~ G~Cr1~ WffiTERN UNION FMANCIAL SERVICES. INC.
may. ClientN a --~-
?i~BY
71t1e: Kecr County Judge
Dato• 2/7/02
Note: For provisloa of the Quick Caftect service, Waters Union requiree current Cflent firmnclal in[orntatioa. Please send us
your most rectal Annual Reparl with this Applieation or complete sad rctura the Western Un[on Credit Appllmtion. Client
agrees to provide to Western Union RnanMnl etatemenh or similar llnancid laformation from time to time apon request.
For Internal Use: Acwunt No.: Install Dote:
1.'[dMiaMNxIDNAaraaNSdCrmlRAtenG
7/1 sal QktltldpC flrW N.~

1Yi18: 01 TCtE 1P:04 FAd 800JJB7y85 aES1ERN CNIOti TE1.ESdLES
WESTERN LTi~IION OLII K CQjJ FC7'® RV?LCE APPLTCATION
~ 005
This infomtation will be aced to se[ up your Quick Collect Account, All information in this Application may 6a verified by Westem
Union Financial Services, loc. Client msy cenoel this Application Yt any time rior to equipment installation or start of service dote.
Please type or print neatly'. ~ ~p (~ ~ r .r-'
I. ClienrsNamo,)lyB,tet~
e~li~fiC~ ~P I CocttaeeVANC.2.
LL o~,_`
~
^
Your Name~~S~
4.~1J~t~
s	-1
n
Ti
'F~.~tPC~.
de
~y~tet O~'
T
(y
~~
2. Address ~ OO 1 ` W I lJ .~''t	Q
y
~
(
~
'Flavrm I O~S_ I~
Ctty l~'eaav~l~e.	s,a~ `('~ Zip~Ba~,~
9 p'
3. Telepho.~l~'~+c(~~~D~? ~ Clo (	4. SIC Code
5 Type of Industry (check one):
^ Credit Card Lssuing Bank	6. Number of collectors at this location
n Finanoe Company	7. Client's Bank
[] Govemrnent	Address
n Mortgage Company _	
[]Collcetion ancy
~Oiher •~~t4eu(-.	AccouncNo.
C11entTaslDNu.: ~ Q~_.
$. Client's expected monthly Quick Cellecr transaction volume: [] 100-099 . [] 500-999 ~ 1,000 plus
9. Number ofpayments received by overnight delivery advice each month (Quick Colleen normally displaces thls
type of service). °
tt ~J
I0. During a`9I~ a~ y G ul eho~estcm Union will provide Client wlth a eheckwriter system free otchargn. For a eheckwriter
system thereafter, Client hereby elects the option lndieazed bclaw:
[] Client will purchase a eheckwriter system firotn Western Union and pay z one time charge of S ~. ~
U Client will have a right [o a,:oess a eheckwriter system provided by Western Union and pay.S ~. ~~ _
per month. Upon termination, Clirnt will return this eheckwriter system to Westem Union in good operating
condition. If Client fails to make any paymrnt for more than 30 dsys a8ec is due date, Client will realm the
eheckwriter eysrem to Westem Uaion upon request.
~ Client will ttutke other arrangements for a eheckwriter system meeting Westem Union's spccificatioas.
Tdtphtate line number to be used with pr(nter (if known) ( 1
By tignittg this App~l~icpat~ion~iCllent agteescto~the provision herein sad to the Terms and Conditions attached hereto.
~V t<. O~TY~. l~.•S 1'" ~ WESCERN [JNION FINANCIAL SERVICES, INC,
Client N
~' By:~~~~~ By:
7itfe: Kerr Countv Judge Tidt
Date: 2/27/02 Dau
Nola: For provision of the Quick Collect service, Wattera Union requires current Client riaandal Intormatioa. Please sand us
your most recent Annual Report with chit Apptlcatlan or eompltte and return the Western Union Credit Application. Cllent
agred to provide to Wasters Union Cinaneial ststcments or Nmtlar Qnanclal Information from Nme to time upon request.
For Internal Use: Account No,t lefts!! Dste:
tnW nwawocattnwatsatstnruttwc
vtwt ov,a.rgca.+..t,n.

12i18/Ol TCtE 12:05 FAS b003387385 aBSTHRN UNION TELES3LE5
WESTERN UNION OUICIC CO i C"i'® CjsR'VI~E APPLTCAT[~N
t~0U5
This information witl be used [o set up your Quick Collect Account, All itSottnation in this Application may be vtzitied by Weston
Union Finanoial Services, Inc, Ctient may cancel this Applipdon at any time prior tD equiament installation or elect of aeniae date,
Please type or print nea`tly~.,~,~ Q ~.p -~~i~~ ' ' `
I. Client's Nam'e.X3S1 IrCC o~-~'!`~J9CJF J U e~, contact ~1.I N ~1rlQ~~
YourNemc~(SSm~'J~ tl[`At~ Tide~UST1t:~C O~~CAC
2. Address ~ ~~ 1 r JWI I ~~~
City ~~CCPit~V ~j1P . p p~
3. TolephoaE~y'2~~y~f ~~~ O~]-) a0
Type ofindustry (chock one):
[] Credit Card ksWng ErUrk
Q Finance Company
Q ('ipvtmmcnt
j] Mortgage Company
] Collecrion AAggency
~Olhar •~udic.tavl.
~r"`t 103 C'.f~
State ~~ Zip] ~e1~.$
4. SIC Code
6. Number of co:lectors at this location
7. Client's Bank
Address
Account Na.
Ctlanc 7sx 10 No.:
8. Chants expected monthly Quick Collect transaction votnme: p 100-499 Q 500-999 ~ 1,000 plus
9. Number ofpaytttents teoeive4 by overnight delivery service each month (Quick Collect normally displelxs this
type of servioe). ~ ~,~' °
i0. Durin n`4r~ ~~cd, ~
g - ar~ y t'~Ia1 e i Western Union will provide Cliant wilt a theckwriter system free of charge, For a checkwtiter
system dtereatter, Client hereby elects tiro option indicated 6e1ow:
Q Client will purchase a checkwriter aystem from W astern Union and pay a one Lima charge of 2 ~ -
D Clirnt will havo a right to access n ahoekwriter system provided by Western Union and pay S ~. ~a
per month. Upon terminntIon, Client will return this checkwritcr system to Western Union !n good operating
condidon. If Cliant fade to tcwke any payment for torte thsn 30 days atkr its due data, Clirnt w31! carom the
eheckwriter aystem to Western Union upon request.
(] Chant will make other arrattgamettt for a checkwritcr aystem meeting Western Union's epeeifications.
Telephone tine number m be used with printer (it known) [. 1 ` _
~By signing this Applicati~pn, Client-aygre~eslt~o the provisions herein and to the Terms and Conditions attached hereto.
"~\L° ~~-S'~~ 1adS_~°U WESTERN UNION FINANCIAL SERVICES, INC.
Cliem N e
By: 8y:
Title; Kerr County Judge Titlt
Dare; 2/27/02 Dau
Note: For provision oC the Quick Collect serY(ee, Western Union requires current Client finaoeial tararmatloa. Please send us
your most recant Aanuat Report with this Applleatlon os complete ^qd return the Watcra Ugian Credit Application. Client
agrees !d provide to Wurera Untoa tinanctal statement or timilar tlnanclal information from time to time rpan request.
Far Internal Uae: Aeeouut
ktoo~MOMrnlC0lMtvoatd-0dmraa[ooc
7/IINI aiurla/a1QC f W Wp(Iee
Cnstall Date•

~• 12/18/01 TGE 12: U6 FAI 80USS8TJ8S.
-.--- .- - tYEST131N L'.\lOIV '1'til.tSAI.L~J W'j UU7
WF~C3N UtYION (7CTICK CO LEC'I'® SERVICE APPI ICATCON
This information will be used to set up your Qukk GTI(ecr Recount. All information is this Appliation may be verified by Weatem
Union F'inencial SendcW Inc. Client rosy cancel this Appiicatioa at any time prior to equipment itutallntion w start of service date.
Please type or print neatly.1 -` t~ ~ (~ S ~-~'
1. ClientsNamA~1~C.1CL^6~'+~c~QRGG~p~ Contact~y ~ 1eN G~
YaurName US '~I.JUN~_1J (T~Etl~ey~uS 1tc30~''~I'e~.~C~iC.'l.
2. address ~ ~i~ ~ ~~'~ '}sloer~ I o3 Ct~
city l___,_~~[] ~ f S° , stato T~ Zip~~t$
3. Te!cphonF(t ~Qe~JL~S~xtSJt~~~`^a+ 4. SIC Codc
Type of Industry (check one): 6. Number of col lectors a[ this location
[] Credit Card Cawing Bank
[] Finance Company 7. Clients bank
(] QOYCrarrlenl / Addrrsr
[] Moregago Company _
Collection A$$cncy ACCCUnt No,__
~(Qther -'S, •udtUa~l- Cltent Tax ID No.t
8. CBents expected monthly Quick Collect transaction volume: [] 100.499 Q 500-999 (] 1,000 plut
9. Number of payments received by ovem[ght delivery service each month ~~(QuickCallecr nomtaily displaces this
typeofaervicc)~ ~ {j'~'
10. During g`91~-dny oral iod, Was m Unton wil! provide Client with a cheekwriter system free ofcharga For a checkwriter
system ehereafox, Client hereby elects the option indicated below:
(] Client will purohaze a chet:kwritcr system from Western Unioa and pay a ore time charge ofb ~- ~
[] Client will have a right to access a checkwriter system provided by Western Unart and pay S ~. ~~
per month Upon tetmination, Client will tetum this checkwr(ter system to Western Union to good operating
condition. ICCticnt falls to make soy payment for more than 30 days after its due date, Client will return rho
checkwriter systom to W astern Union upon request
(] Client wilt make other arrangemeats for a checlcwtiter system moctiag W astern Union a cpecilcations.
Telephone ilea number to be used with printer (if knoNm) I 1 _
Ey signing this Applicuion, Cdant agrees ro the provisions 6etein end m the Tents and Conditions attached hereto.
~[ ~. OQ~~~ ~Q3 WESTERN UNION EnvANCIAC. SERVICES. INC.
Giant
BY'
Title: Kerr County-.TUdge
Date: 2/27/02
Noce: For provision of the Quick Cofred service. Wertern Union requires current Client GnanHal information. Please send us
your most recent Aanual Reporf with this AppiicnUon or complete and return the Western Union Credit ApplEcatlon. Carnt
agrees to provide to Westcro Union ttnanclal statements or atmtlar [lnanelal Information from time to time upon request.
For internal Use: Account No.: fnstsh
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IY: 18/Ol TOE 12:08 F:92 800JJ87985 WESTERN UNION TELESALES
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W):,CTFTLN QN QTTTCIf COLL t"'I`'e' ERV'[C • APP[.TCA'1'iC)N
This irtfotmarion will be used to set uP your Quick Collect Account, All information in dtis Application may 6e verified by Wesmm
Union Fittatteial Services, Inc Client may cancel rtsis Applicadort at any lime prior to equipment installatlan Or start of service djte.
Pleue type or print Heady. "
1. CliantsNam{a'~111~1t~0~~1 ~tl>T~
Your Name \'~i~r~y~~QuN{`fatf
2. Addrns WO I s IR(a ~~~
city ISJe.RRy ~ ~~ ,
3. Telephon~9 '1~txL0~~'k.] ~~~
cnntactTy,~c. Wm( RAas e _
QQTide,L ,srT1tC c O~Tj' ~~~
~iiierm ~ V ~ ~. L,
State ~'x 2iP78a~.R
4. SIC Code
5 Typc of Industry (check one):
Q Cred[[ Card Issuing Bank
[] Finance Company
[] t;rovemment
[j Mortgage Company
Q Cotla;tion Aggency
~Dttrcr -3udiual,
6. Number of coltcetors a[ this location
7. Client'c
Account Na.
Client 7az iD Nca
B. Clients expected monthly Q„iclc tbllec! transaction volume; [] !00.499 ~ 500-999 ~ I,OOD plus
9. Number of payments texived by overnight delivery service each month (QvickCollect normally diaplaees dtis
lyp6 Of peNice). u
~ t't 'PA.1
10. During q~ a-(y t+~! eh~ Western Union N•ill prov[de Client with a checkwriter system fret o£ charge. For q cheekwtitcr
system thereafter, Client hereby elects the option Lrdicated 6elaw:
(] Client will purchase a checkwriter system from Western Union and pay a one time charge ofs 0.
(] Client will have a right to access a chezdtwtiter system provided by Western Union sod pay S ~. Qb
per month. Upon rctrnination, Client will return this checkwriter systttn to Western Union in good Operadng
condition. If Client [ails w make any payment for more tltatt 30 days after its due date, Client will return Ute
checkwriter system to Western Union upon regrsest.
Client will make other atrangemetus fora eheckwritcr syatcm meeting Western Un(m:'s sptzifcations.
Telephone line number to be used with printer (i[known) ( ~
ay signing this Application, Cltatt agrees ro the pmviaiona heroin and w the Terms and Conditions attached here W.
.'~)ts`'t'tcrt: Err~R\~C;,~.., WESTERN uN[ON FIAfANCtnt sERYICES, iNC,
Client a
i~ sy: -~ sy:
T(tlr. Kerr Count Judge Tith
Date: 2/27/02 boa
Note: For provision o[ the Quick Collect service, Western Union requires current Client [lnancial tnformaNoq. please rend us
your mast recent Annual Report with this Apptcatlon or complete and return the Western Ualon Credit Application. Client
agrees to provide to Western Union finarteiat statements or similar flnanctal tn[ormat(on from Ume to ttme upon request
For Internal Use: Aeeoant Na: Insmll Date:
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