Vendor has read and understand the above penalty/violation schedule. I understand that should I incur any vioations Including You Inc. will bill the amount of the violation according to the above schedule.
Including You, Inc. reserves the right to pursue restitution resulting from the penalties/violations, but not limited to, resulting legal fees.

Amount Paid Cash / Check Money Order
Vendor Name:

Vendor Signature:

IY Representative Signature:

IY Finance Department:­­­­

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