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VEHICLE # 3 <br />Conversion Kit (Specify manufacturer or name brand & <br />modal number and all parts included in kit) $ <br />L.P. Gas Underbody (specify manufacturer or name <br />brand, model number & size) <br />Remote Fill (specify manufacturer or name brand <br />& model.,number) <br />Labor for final adjustments <br />Total Vehicle Cost $ <br />VEHICLE # 4 <br />Conversion Kit (specify manufacturer or name brand <br />& model number and all parts included in kit) $ <br />L.P. Gas Underbody Tank (specify manufacturer or <br />name brand, model number & size) <br />Labor for final adjustments <br />Total Vehicle Cost $ <br />VEHICLE # 5 <br />Conversion Kit (specify manufacturer or name brand <br />& model number and all parts included in kit) $ <br />L.P. Gas Underbody Tank (specify manufacturer or <br />name brand, model number & size) <br />Labor for final adjustments <br />Total Vehille Cost $ <br />TOTAL CONVERSION COST FOR ALL VEHICLES $ <br />II. Fuel Supply <br />Annual Lease price for dispensing equipment <br />(Specify Tank Size and Equipment Features) $ <br />Propane price per gallon $ <br />SIGNATURE: <br />DATE: <br />1r, <br />