Verity Catalog Order Form

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Revised 9-27-2022 How to place your order: Complete contact, billing and shipping information. Enter quantity for each item you want to order. Save file with a new file name. Print a copy for your records. Attach completed form to email and send to: electionsupplies@hartic.com or print and fax to 800.437.3532. All items shipped ground via a common carrier unless expedited shipping is requested. Shipping and handling charges are billed separately and are not included in quoted cost. Minimum order of 75 required. Verity Catalog Order Form Today's Date (format m/dd/yy) Jurisdiction (Sample County, TX) Contact Name Billing Address City Phone State/Zip eMail Shipping Address Same as Billing Shipping Address (if different from above) Shipping Address (no PO Boxes) City Phone State/Zip eMail 1

Revised 9-27-2022 Product Name Product Description Item # List Price Quantity Electronic Voting Voting Devices Verity Controller Controller for Verity Touch polling place equipment 3005351 Call for pricing 866.216.4278 Verity Touch Electronic voting unit 3005355 Call for pricing 866.216.4278 Verity Touch w/ Access Disabled access voting unit 3005353 Call for pricing 866.216.4278 AutoBallot Kit Barcode scanner kit for automatic Verity access code creation from VR/electronic poll book data 3005174 445.00 Thermal Paper Roll (White) Thermal paper roll for Verity voting device 1003705 1.80 Verity Standard Booth w/ Transport Bag and Privacy Screens Standard voting booth for Verity Touch 3005358 430.00 Standard Booth Transport Bag Transport bag for Verity standard booth 1005172 60.00 Daisy Chain Cable Daisy chain cable to connect Verity Touch devices 2005312 40.00 Verity Accessible Booth w/ Transport Bag and Privacy Screens Wheelchair-accessible voting booth for Verity Touch w/ Access 3005359 430.00 Accessible Booth Transport Bag Transport bag for Verity Touch w/Access booth 1005074 60.00 Jelly Switches Low-impact input switches for accessible units 1001-364 183.70 Verity Headphones Headphones for Verity accessible units 2005230 20.00 Headphone Covers (Box of 100) Headphone covers, 100 per carton 1001-660 31.50 Daisy Chain Cable Daisy chain cable to connect Verity Touch devices 2005312 40.00 Verity Scan Precinct-based ballot scanning unit 3005350 Call for pricing 866.216.4278 Verity Touch Writer Ballot marking device with accessibility 3005352 Call for pricing 866.216.4278 Verity Controller - Accessories, Parts, and Consumables Verity Touch - Accessories, Parts, and Consumables Verity Touch w/ Access - Accessories, Parts, and Consumables Paper Voting Voting Devices 2

Revised 9-27-2022 Product Name Verity Print Product Description Item # List Price Quantity Call for pricing 866.216.4278 Paper ballot printing unit 3005356 Verity Ballot Box w/ Transport Bag and Privacy Screens Ballot box for use with Verity Scan 3005357 535.00 Ballot Box Transport Bag Transport bag for Verity Ballot Box 1005173 60.00 Secure Ballot Transport Bag Bag for easy and secure removal and transport of ballots from ballot box 1003910 60.00 Scan Calibration Kit Kit to calibrate and test scanning speed of precinct scanner 2004000 42.00 Thermal Paper Roll (White) Thermal paper roll for Verity voting device 1003705 1.80 Verity Accessible Booth w/ Transport Bag and Privacy Screens Wheelchair-accessible voting booth for Verity Touch Writer w/ Access 3005359-TW 430.00 Accessible Booth Transport Bag Transport bag for Verity Touch Writer accessible booth 1005169 85.00 Jelly Switches Low-impact input switches for accessible units 1001-364 183.70 Verity Headphones Headphones for Verity accessible units 2005230 20.00 Headphone Covers (Box of 100) Headphone covers, 100 per carton 1001-660 31.50 Thermal paper roll for Verity voting device 1003705 1.80 510.00 Verity Scan - Accessories, Parts, and Consumables Verity Touch Writer - Accessories, Parts, and Consumables Thermal Paper Roll (White) Verity Curbside Cart Cart to facilitate curbside voting for Verity Touch Writer 2009170 Verity Touch Writer and Print - Accessories, Parts, and Consumables AutoBallot Kit Barcode scanner kit for automatic Verity access code creation from VR/electronic poll book data Okidata B430 series Printer w/ Starter Cartridge Laser printer for ballot printing Custom USB Printer Cable Custom cable to connect Verity Touch Writer and printer Toner Cartridge, Okidata B430 series, Black 3005174 445.00 380.00 22.00 Black toner for Okidata B430 series printer 165.00 Drum Kit, Okidata B430 series, Black Drum kit for Okidata B430 series printer 175.00 Printer Stand Small table for printer accompanying Verity Touch Writer 50.00 2005414 3005376 3

Revised 9-27-2022 Product Name Product Description Item # List Price Quantity Corrugated Plastic Transfer Case for Printer Case used for shipping and warehouse transfer of Okidata B431D printer 1005397 58.00 Uninterruptible Power Supply (UPS) for Printer UPS for printer accompanying Verity Touch Writer 3005362 725.00 Corrugated Plastic Transfer Case for UPS Case used for shipping and warehouse transfer of printer UPS 1005396 77.00 Extender Plate Plastic extender plate to support 17" ballots on printer for Verity Touch Writer 3003863 15.00 Verity Scan Digital ballot scanner for Verity Duo 3005800 Call for pricing 866.216.4278 Verity Controller Controller for Verity Duo polling place equipment 3005825 Call for pricing 866.216.4278 Verity Duo Ballot marking device (produces summary ballot) 3005700 Call for pricing 866.216.4278 Verity Ballot Box w/ Transport Bag and Privacy Screens Ballot box for use with Verity Scan 3005357 535.00 Ballot Box Transport Bag Transport bag for Verity Ballot Box 1005173 60.00 Secure Ballot Transport Bag Bag for easy and secure removal and transport of ballots from ballot box 1003910 60.00 Verity Curbside Cart Cart to facilitate curbside voting for Verity Duo 2009170 Scan Calibration Kit Kit to calibrate and test scanning speed of precinct scanner 2004000 42.00 Thermal Paper Roll (White) Thermal paper roll for Verity voting device 1003705 1.80 AutoBallot Kit Barcode scanner kit for automatic Verity access code creation from VR/electronic poll book data 3005174 445.00 Thermal Paper Roll (White) Thermal paper roll for Verity voting device 1003705 1.80 Hybrid Voting Voting Devices Verity Scan - Accessories, Parts, and Consumables 510.00 Verity Controller - Accessories, Parts, and Consumables Verity Duo - Accessories, Parts, and Consumables Verity Standard Booth w/ Transport Bag and Privacy Screens Standard voting booth for Verity Duo 3005358 430.00 Verity Duo Accessible Booth w/ Transport Bag and Privacy Screens Wheelchair-accessible voting booth for Verity Duo 3005701 525.00 4

Revised 9-27-2022 Product Name Product Description Item # List Price Quantity Standard Booth Transport Bag Transport bag for Verity standard booth 1005172 60.00 Accessible Booth Transport Bag Transport bag for Verity Duo accessible booth 1005074 60.00 Jelly Switches Low-impact input switches for accessible units 1001-364 183.70 Verity Headphones Headphones for Verity accessible units 2005230 20.00 Headphone Covers (Box of 100) Headphone covers, 100 per carton 1001-660 31.50 Daisy Chain Cable Daisy chain cable to connect Verity Duo devices 2005312 40.00 Verity Access Detachable ATI module for use with Verity tablet 3005018 520.00 Duo Cleaning Kit Kit to clean rollers on Verity Duo device (5 sheets) KIT-6675017 25.00 Accessories, Parts, and Consumables for All Verity Devices Verity Key Electronic security token 3005361 109.00 vDrive Flash memory card/audio card for use with Verity devices 2005535 66.00 Thermal Paper Roll (White) Thermal paper roll for Verity voting device 1003705 1.80 Privacy Screen (Black) Black privacy screen; sold individually 1005161 15.00 Verity Caddy with Casters (4' wide) Storage unit for Verity voting devices; assembly required 3005375 860.00 Verity Caddy Cover (4' wide) Protective cover for Verity storage caddy 2005374 250.00 Verity Caddy with Casters (5' wide) Storage unit for Verity voting devices; assembly required 3005382 990.00 Verity Caddy Cover (5' wide) Protective cover for Verity storage caddy 2005377 315.00 Verity Battery Charger, 1 Bay 1-bay charger for Verity voting device battery 3005360 185.00 Verity Battery Charger, 6 Bay 6-bay charger for Verity voting device battery 3005365 704.00 Verity Voting Device 2 hr Battery Rechargeable battery for Verity voting device 1005015 110.00 Verity AC Power Cord 6' power cord for Verity voting device 1005325 6.00 5

Revised 9-27-2022 Product Name Product Description Item # List Price Quantity Verity Power Supply Power supply for Verity voting device (cord sold separately) 1003845 89.00 Verity Booth Rear Leg, Standard Removable rear leg for Verity standard booth 2005167 83.00 Verity Booth Rear Leg, Accessible Removable rear leg for Verity accessible booth 2005166 97.00 Verity Booth Front Leg Removable front leg for Verity booth 2005168 42.00 Verity Booth Upper Leg Assembly, Standard (Pack of 5) 2005151-5PK 930.00 Verity Booth Upper Leg Assembly, Accessible (Pack of 5) 2005150-5PK 950.00 1005155 21.00 Verity Booth Panel (Standard and Non-Duo Accessible) 1005154 49.00 Verity Booth Panel (Duo Accessible) 1005701 75.00 Verity Booth Band Metal guiderail for Verity booth legs ELECTION OFFICE Computers and Peripherals Verity Workstation Workstation for Verity software 2005340 Call for pricing 866.216.4278 Canon DR-G1130 Central Scanner Central ballot scanner 3005437 Call for pricing 866.216.4278 Canon DR-G1100 Central Scanner Central ballot scanner 3005436 Call for pricing 866.216.4278 Okidata B430 series Printer w/ Starter Cartridge Laser printer for report printing Okidata C831 Ballot Printer w/ Starter Cartridges Ballot printer 3005433 Call for pricing 866.216.4278 Okidata C911 Ballot Printer w/ Starter Cartridges Ballot printer 3005434 Call for pricing 866.216.4278 23" Flat Panel Monitor Monitor for use with Verity Workstation 1005400 350.00 Headphones with Microphone Headphones w/ microphone for voice recording 2001-656 40.00 Hard Drive, 1 TB Hard drive for Verity Workstation 1005255 Hard Drive Sled Removable sled for installation of hard drive in Verity Workstation 1005256 380.00 Election Office Accessories Call for pricing 866.216.4278 350.00 6

Revised 9-27-2022 Verity Catalog Order Form Product Name Product Description Item # List Price Quantity Ethernet Switch, 8 Port 8-port ethernet switch to network Verity Workstations 1005399 89.00 Ethernet Cable 10' ethernet cable 1005398 20.00 Verity Build Dimensional Overlays Provide quality assurance for ballot printing 2005342 110.00 Drum Kit, Okidata B431D, Black Drum kit for Okidata B431D printer 1005401 175.00 Drum Kit, Okidata B432dn, Black Drum kit for Okidata B432D printer 175.00 Drum Kit, Okidata C831, Black Drum kit for Okidata C831 printer 175.00 Drum Kit, Okidata C844, Black Drum kit for Okidata C844 printer 210.00 Drum Kit, Okidata C844, Cyan Drum kit for Okidata C844 printer 210.00 Drum Kit, Okidata C844, Magenta Drum kit for Okidata C844 printer 210.00 Drum Kit, Okidata C844, Yellow Drum kit for Okidata C844 printer 210.00 Drum Kit, Okidata C911, Black Drum kit for Okidata C911 printer 370.00 Drum Kit, Okidata C931e, Black Drum kit for Okidata C931e printer 450.00 Drum Kit, Okidata C931e, Cyan Drum kit for Okidata C931e printer 750.00 Drum Kit, Okidata C931e, Magenta Drum kit for Okidata C931e printer 750.00 Drum Kit, Okidata C931e, Yellow Drum kit for Okidata C931e printer 750.00 Toner Cartridge, Okidata B431D, Black Black toner for Okidata B431D printer 2005430 165.00 Toner Cartridge, Okidata B432dn, Black Black toner for Okidata B432dn printer TONER-B432BLK-3K 97.00 Toner Cartridge, Okidata B432dn, Black (Medium Capacity) Black toner for Okidata B432dn printer (medium capacity) TONER-B432BLK-7K 145.00 Toner Cartridge, Okidata B432dn, Black (High Capacity) Black toner for Okidata B432dn printer (high capacity) TONER-B432BLK-12K 197.00 Toner Cartridge, Okidata C831, Black Black toner for Okidata C831 printer 2005420 130.00 Election Office Consumables 1005402 1005403 7 eMail order form to ElectionSupplies@hartic.com or FAX to 800.437.3532

Revised 9-27-2022 Verity Catalog Order Form Product Name Product Description Item # List Price Quantity Toner Cartridge, Okidata C831, Cyan Cyan toner for Okidata C831 printer 2005421 300.00 Toner Cartridge, Okidata C831, Magenta Magenta toner for Okidata C831 printer 2005423 300.00 Toner Cartridge, Okidata C831, Yellow Yellow toner for Okidata C831 printer 2005422 300.00 Toner Cartridge, Okidata C844, Black Black toner for Okidata C844 printer 129.00 Toner Cartridge, Okidata C844, Cyan Cyan toner for Okidata C844 printer 185.00 Toner Cartridge, Okidata C844, Magenta Magenta toner for Okidata C844 printer 185.00 Toner Cartridge, Okidata C844, Yellow Yellow toner for Okidata C844 printer 185.00 Toner Cartridge, Okidata C911, Black Black toner for Okidata C911 printer 2005424 130.00 Toner Cartridge, Okidata C911, Cyan Cyan toner for Okidata C911 printer 2005425 515.00 Toner Cartridge, Okidata C911, Magenta Magenta toner for Okidata C911 printer 2005427 515.00 Toner Cartridge, Okidata C911, Yellow Yellow toner for Okidata C911 printer 2005426 515.00 Toner Cartridge, Okidata C931e, Black Black toner for Okidata C931e printer 215.00 Toner Cartridge, Okidata C931e, Cyan Cyan toner for Okidata C931e printer 405.00 Toner Cartridge, Okidata C931e, Magenta Magenta toner for Okidata C931e printer 405.00 Toner Cartridge, Okidata C931e, Yellow Yellow toner for Okidata C931e printer 405.00 Official Ballot Security Stock Ballot Stock, 8.5" x 11" Unit price per 1000 sheets 17-BALLOT-11 67.50 Ballot Stock, 8.5" x 14" Unit price per 1000 sheets 17-BALLOT-14 78.50 Ballot Stock, 8.5" x 17" Unit price per 1000 sheets 17-BALLOT-17 97.50 Ballot Stock, 8.5" x 18" Unit price per 1000 sheets Call for part number 135.50 Ballot Stock, 11" x 17" Unit price per 1000 sheets 17-BALLOT11X17 123.00 8 eMail order form to ElectionSupplies@hartic.com or FAX to 800.437.3532

Revised 9-27-2022 Verity Catalog Order Form Product Name Product Description Item # List Price Quantity Ballot Stock, 8.5" x 19" Unit price per 1000 sheets Call for part number 146.50 Ballot Stock, 8.5" x 20" Unit price per 1000 sheets Call for part number 156.00 Thermal Ballot Stock, 8.5' x 11" Unit price per 1000 sheets 1005575 185.00 Thermal Ballot Stock, 8.5' x 11" (Numbered) Unit price per 1000 sheets 1005575-N 190.00 Thermal Ballot Stock, 8.5' x 14" Unit price per 1000 sheets 1005580 240.00 Thermal Ballot Stock, 8.5' x 14" (Numbered) Unit price per 1000 sheets 1005580-N 250.00 Thermal Ballot Stock eMail order form to ElectionSupplies@hartic.com or FAX to 800.437.3532 9

Removable front leg for Verity booth ; 2005168 42.00 Verity Booth Upper Leg Assembly, Standard (Pack of 5) 2005151-5PK 930.00 Verity Booth Upper Leg Assembly, Accessible (Pack of 5) 2005150-5PK 950.00 Verity Booth Band ; Metal guiderail for Verity booth legs . 1005155 21.00 Verity Booth Panel (Standard and Non-Duo Accessible) 1005154

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