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~ J i ) . ~ r ORDER Fi~C ~ t2JI T t_. ~id0.~ DESSRiPTial ~^~T ~ . 0037.2 S/S MlORaCTA~E M/ 6 ~ ~ BJIOCSPLASIi i Wl L.R. cTt~t 9ti S !`-4.434 ~ r ~ U-3096-4381 520.32/EA ~ 0030.0 ~ POTATO TA9LE - STEP/DAWN S/S (FAFC •104) 339.07/EA . _ 0039.0 3 MALL SFE1F M/ POT RACK /8952 i22.48/EA 0039.1 ~ POT RACK I SOPR 303.93/EA 0045.2 ~ SC/1LE M/ M£ELED STAND ACCU-NEIGH MDL 8D 11 200 PK 465.75/EA ~ 0016.1 ~ HEAT LMW~- FIZ~KN FR'Y NDL 21.012 124.20/EA 0017.1 ~ HEAT LAMP- CHICKHd MDL 3La2 189.37/EA 0282.1 CHICKEN CRATE YAT 0M106A 309.35/EA i ~ ~ -1 0014.0 ~ TIMER SAR 15 a4.28/Ea 0046.0 ORDER MlF~Et 16 ~ ' D I A 40.82/EA 0046.1 TICKET STRIPS 2' 1~.95/EA _ 0010.1 ADAPTOR PLJITE • 121 19.95/EA ~ 0050.0 MOBILE INGREDIENT BINS 106.00/EA 0058.1 ~ SS FRIGHTS S63P_ 10.29/EA ' 1 _ _ 0058.4 SS SHFI.VES 52860~F 54.05/EA ~ 0298.0 BOOSTE72 SEAT .5.75/EA 0299.0 HIGH CHAIR ~258SSK 37.19/EA - ~ ~ t i 4 I , hereby agree to the terms and conditiivna vi t ;iS sole. , - i I, further agree, that I have reviewed-the.equi~pment specifications, noting auy changes or additions, and that they agree with my building i requirements. Paywent 2or freight, damage claims and taxes are the sole responsibility of the buyer and/or consignee. Signed: date: (Franchisee and/or authorized buyer . 11579 8~~ ~e~ _ .,_~w _ . , - -