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<br />Order Information: <br /> <br />Bill To: _____________________________________________ Ship To: _____________________________ <br /> <br />Company: ___________________________________________ Project Name: ________________________ <br /> <br />Attn: ________________________________________________ Attn: _____________________________ <br /> <br />Address: _____________________________________________ Address: ____________________________ <br /> <br />City, State, Zip: _______________________________________ City, State, Zip: ______________________ <br /> <br />Contact: ______________________________________________ Contact: ____________________________ <br /> <br />Tel: _________________________________________________ Tel: ________________________________ <br /> <br />Fax: _________________________________________________ Fax: ________________________________ <br /> <br />Acceptance of quotation: <br />Accepted By (printed): _________________________________ P.O. No: _____________________________ <br /> <br />Signature: ___________________________________________ Date: ________________________________ <br /> <br />Title: _______________________________________________ Phone: ______________________________ <br /> <br />Facsimile: __________________________________________ Purchase Amount: $106,130.14 <br />Minnesota / Wisconsin Playground <br />5101 Highway 55, Suite 6000 <br />Golden Valley, Minnesota 55422 <br />Ph. 800-622-5425 | 763-546-7787 <br />Fax 763-546-5050 | jong@mnwiplay.com <br /> <br />CONSULTANT: JON GILBERTSON <br />08/08/2023 <br />Quote # <br />103876-01-03 <br />Silver Point Park - St. Anthony, MN - D11864G - M <br />Page 4 of 4