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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 2 of 10 PAGEID #: 11
SCHEDULE A

ascentnim TO

CAP^iTAL AGREEMENT No. 2167754

test of BtrmN propwty u eM«ni% dnortet btksr. Ainitem ma OottetewM agn* fort OalaM dtao^ioa of te

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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 3 of 10 PAGEID #: 12
Invoice MTl® Equi|»nent

830 South Wver Rd

Englewood, FL 34223 inwwe*#

I t.'6/ldiS 206

mto Ship Jo

Cmni USA Wiretej, LLC

WSBnixrUne

Au»tin.TX 47453

CeoinU USA Wi«l«4. UC

SOSO Centxt Polni Dri«

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Wat Oetm. OH 45069

P.O. Ngmbof Jwtm

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Qtme^ WooEoch Amount 'i.

Mite. Item •2012 Dildh Witch JT2020 Mach 1 Oirwtioaal Barifli 100.000.00 100.000.01

Machine, i/r.CMW|2020PC0(X>(«27. New Fireukk Style

Drive Chuch

•400* ofNew rireilkk Style Dirt Drifl Stem

•New Melfred Barael) IO^sms Ckvk X Oeva SwKei

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I- 27,000.00 27,000.0?

New OUdi Witch FMt3V Mud Mixint Syttem, 

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Su{>j>ty Ho*e

New Dirt HoustRf Packiee (HcBd/S^id/4* Stecj Tepor Itua

Bil/FireiRkl; £2 Conneet/OcL Celitur)

1 Mise. IletB i7.moo 17.500.06

Sch«3uis A

This document asttsttutes all part erf the Sch Jdule A j

attacrfwd to and made part of^re«nerrt No._ o *" /

solely for die purpow of identifying the propert being

.'foanced uaite..^fa.A9t3aaaaeol„—............... I .............

'nhit coflincterMid tuhccMractor ehtJI chide by the tequiremena of41 CFR i| 60>l.4{(), 60-300.S<>)

ud 60-7414(1). Tbcae retulNktai peoharit ditcrictioaiion ifaiM* qMliCed bditithiali bawd on thee 

tssna m prateciecl vtdetans cr htdivithiali with (labilities, tad probthit diicrimffiiiida ail

HtdSviduals baaed o» Sieirface, cftior. tel^ioo, ux ofcatioftal oritbc Mcnom, fhne tegutaUsoi w^ire

tbal eoveted prime eoBtracton and wlKxiaUaclOia ttbe a/RtSMtlvt aoiiea to employ aad advance in

enmiaymeiil indK-HSusls withoiit necard le race, color. iett|>on. ttx, national origin, proieewd vttmn

xuiui at dtsabill^."

Totaf $144,500.00

SEUJER BUYER

DATE DATE,

Papa 1

Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 4 of 10 PAGEID #: 13
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Senior Vice President

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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 5 of 10 PAGEID #: 14
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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 6 of 10 PAGEID #: 15
dSCSntnim authorkatiom to perform verbal verircatjon

Aicvnmjr* U.C

m79Niyri9N

AgttmurnCtPimfm CAPtTAl

AsrMm«nt No. 2117754

Tlw unS#m^ h«r#i)y wlKwaaA»ein8»n Cs«>aai aC»peffeOT » v«rta< v»#a«kM *cce?>»i8 »»t«nn* *«c«<0i8on* orIhf

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PtiiM Mtmm CHRISTOPHER HltDgBRAHT

ehl/£^ •/ Tkta.' CWefEitoc^feeOffiow Utm

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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 7 of 10 PAGEID #: 16
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ascentium VENDOR/RETAIL

VERBAL VERIFICATION FORM

Agmmi No. 21677^

Hello my name is anc (am «th Astsntkim Capital ILC, I would like to take a lew mmuws o( ymr ftne and ask you 8 f«w qoastorss rogaring die eodpmeni di« y|u

are ftnanettig witti Mcenaum Capa ILC. For yourinlofmaticw youf agfeemeni number <s 2167?54 Tte converiiatiOfi a t>8«§ recotited tof ipitity m\imc6 pufposijs.

m-tmw

Contact Name: CHRiS'^OPHER HILPEBR^ Tie Olid Executive Oficef PhorwHo.:

(513)477.0547

Susaiess Piwie No 513459-1500 Personal Guafanty. CHRISttyHER HIlDEBRANT Phone Ho:

Name of Person at Buswss ConSrmng Inlomnabon:

Is yot» FstJeral Tax ID Nurofeer

|i *No'. wtiat IS your Federal Tax © Nuntier? /

^3^

^ TT-IfSf/

Tide:

46.26272S5

Are y. you exempt from saiesi'use tax’

It "yes' arw you are exempt from S8ie$.'iise tax. please provtoe a valid tax exemjjticw certitete

Is the equipment address? ~-t1gW80NTt»MERYmCBjlI£RWLiE..(y 45429... _________ _

rfife

■.•■■-4-'...

nix re >; M 'No' wha is dig KKrecs «qui{xtient »1dres5?

11210 MONTGOMERY RO. CENTERVillE. OH 45429 t,- Is the wlt-lo address?

H 'No', what IS the corfKa &i«4o address? , , ______ _________ / ______

What is your e-mad address?

Can you give me an altem^ phcxie numfc« where you can be readied? (513)477.3547

1 c BEOWIWO OF P«E FUNDIf«J SECTION OM-Y

.....

_ for t-he ^sburseiwit

Do you tKtfwrize Aaoankm aC to reieiM I**tliburaenMrt to

Q Yes • H ■Yas* starting today ywj will be cnarged a per diem rate d S__

Nc If"No’ , whyf _____________ ________________________

Do you wittwtn AacafiSura CapM IXC to ral«as« the 2^ t&towrnantto

Yes - II ■Yes', startinj today you wil be charged a per dem rate of $___

O No • If ‘No', why? ......................................

hjf the disburs«menl

Total disbursements (1“ * 2’“’) 1 -L

Do you auSwta Asceofem CitpisI LLC to irtea** #»« 3^4 <ls<)Uftemar< to

Yes • !l "Yes', starlmg today you wii be charged a per d>«m rate of $__

No • If W,why7____________________

for ffie disBursement

rTda! dtstwrsemerris (I* 2'^ * 3«) $

1

[ EM) Of PPe=lM>WG SECTION

nj'in •SfMiK/HftOt DKwa

> '■houappOS/DocMaide/Scnd/'SendMail 112/3/2

Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 8 of 10 PAGEID #: 17
Pige 3 (

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( VBm VHWCATK?W fORM (confd) ]

Hss sll 0? the 9qu¥ff>er« ijeen ttef.vefe<j and ratalea »t your place cf bctsinsss'’

Yes Gte

t! "No’, wnen «»(expeaed? _____________________________ _

Wien was 8ie equipment recaved at your ptaoe at txJSinessY _______

is the Equ<Jw«n[ New Used or O(tolh) New and Lfsed?

If ’Used*, how ts ttie cqs^iment? __________________ _

Oo you auSwue Ascanlkim Capital LiC to pay yorf ec^iipmeni suppliers and start your Agreement? 

H -No*, whyt ________ ____ ____ ___________ ______________________________

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NOTES ]

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Completed By

Compteted By

Compleled By:

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0£C &320B

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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 9 of 10 PAGEID #: 18
*K««URlC*(S>MaC

JMrOMWMN

KsntpDoe: nrrttt-ts3s asc^fitluni AittrUuiaCtoM (o«

DaiVERY AND ACCEPTANCE CERTIFICATE

CAOITAk

Agr*tniwil No. JlfflM

A*M^umC«pfta!LLC

m un<lwtip«d >»f»6y Mifflte (1)o« th« pfciMity fteo«>ed r&juipnwn wl'teh U to b« fewncwJ pwwiinl to tfw lease. Krtwnent

fcwK* note, secu% tan inO wcurtiy *gr*«(iienl w OocwwW retewcsO atww (t» *Afl(W>fwMl b«*w

AKtntoCi^W lie MteMOf.lwxlwwMetfwJ party and tf»w<S*^n«dw teases. datowotfw'oWsof.lwbawddivwwJ te.andwolviKf

0/. th» iKKJW'riBoed, (K| the confamie « •* reepedi to that ortewJ by the iniefi^?n«h pIt cowfton la asttitactBfy In af f»^ec« to

Vv wtaalcwj and fiv) S«« tie Eqi*m#f< it acewted by tie wtaw^ad imder the A§nmmi in aS nttfwets. and She und«i^td hereby

irreweaSty dinicta Awwifenn Capital IIC to pey #» wipitan^ aupfiere toe pattoaat prtot ol toe 6jwpni«fR

Cqtipmait: Sea £<>utpRwa*Sche(tutt A* attachad hereto and made a part hereel

The uwfcea^yned asree* ih« a laertrfle orodier copy erf Wi Detoety and Aeoepfance CerMc^e, aa esacutod, atiait be daemed toe e»A«Senl c# tha

grigh^anadedcopytaadpwpotet. %axw%jiri9toiaDefi4«yandAwepteica<>tilcato(heui)denisrMiditTev«»b<yacia»e4edseiandai^

tt>at toe tffid«<iri3r«d*t norvlatmWto tataNnMT^ payenent and otier obigiltaw undertoe A^a«nenf have cocnimmcad.

To;

COSTOIBER; CENTRAt USA WBffiLESS, tLC

Sleiwitrt.'

PUnladNania: CHRISTOPiCR HtlDEBIWIT

Chlsl EMOitive Offioff

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Case: 1:17-cv-00744-SKB Doc #: 1-1 Filed: 11/06/17 Page: 10 of 10 PAGEID #: 19