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1980-34 Agreement #80-34 Additional Work Order Form Customer Number Jl; - RIDER - . THIS RIDER made this :)tL day of If U,:l)S '. is part of and is to be attached to Agreement made the day of by and between ELECTRO PROTECTIVE CORPORATION hereinafter called the "Contractor", and fort} .~~f elf r;i;ont hereinafter called the "SUBSCRIBER", for E Ij I. t. : ~)t)c '!l service in the premises of the Subscriber at in the City of ., i ~'l'r..~"';- , State of F 'j :' r ! ( ; .. ,- , '~ ~,. 1 I,';, ;.,i.}.J: SCHEDULE OF PROTECTION ,.>" t. , ./I ~ l:t f~lLt(" l./~\JC ; ':;upt,rv;;" , on ,. t ~" ) r "'i.: i-. ." t! ~ r L\'\'f' " .,uocrv~:, ~Ol"i ..I r_; ~ ~"J' ' ~.... Jr, ,'\I:' , F' ':' .,;~f' :-,~:J 1 t C~1~S f ,) orr:!; ~~ t~. , ' ' ":r,: ":'," : f'.' , (! (. i. ~ I nstallation Charge t' ....,.. ...,.;", ',10: Annual Service Charge <. ~ ~i p \ I ' \ "'L r/ JII" Except as amended be this Rider agreement, all the terms and conditions of said Agreement shall remain in full force and effect and the terms and conditions of the within Rider Agreement shall be a part of said Agreement, as if originally in- corporated therein. ELECTRO PROTECTIVE CORPORATIOl\l CONTRACTOR ~ 1 t \' T'j f : 1 {' l' , t .. SUBSC RI BER By AGENT By Title EPC 001619 (2/78)