(EST PUB DATE) MISC RE GOOGLE INC. ACCOUNT WITH WELLS FARGO BANK

Customer (Full Legal Name): Address: City, State, Zip: Phone: Fax: Email: Purchase Order # (Required): Google Search Appliance TM Number of Collections Google Search Appliance TM (b) (4) (b) (6) Bill to, Ship to: VAT or applicable tax #: Software Revision # Number of Documents Price Valid Until Total Fees (excluding applicable taxes ) , $ Shipping Method: Deal Type: Direct Sale Sales Region: U.S. GOOGLE TO COMPLETE THIS SECTION UPON RECEIPT 2400 Bayshore Parkway Mountain View, California 94043 S...