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OISPI /NVOIC <br />E <br />11111��fiollylwood 11iiincMi <br />in "ll 567 Antleir Polir'it, Eagain, INAIN 55122 1, <br />"llpphone 651 45A . ..... 71976 -651-454-:7975 <br />Display Date:: Jul 2e, 20-17Rr-mlInDate: Ju123!d,2JM7 <br />Name/Orpenhmtlom, ENO iDf C sinteirwille Il inyweauta <br />................................................... .... <br />Contact Nairne: Mike Eirlicson Tel: 651 79'2.,'793'1 Fax: 651 42.M.629 <br />..................................... 11.1 . . ......................... . . I .......... . ....... .... . . . . . ....... I ..... . ....... - . . .... ...... . . .................................................................... . .... <br />E lWaill lWdim= MlEirilirsoin@CeniorvilielAtig,,lcoR[rw <br />... . ........................................................... . ............. . ............. . ......... ..... <br />Addirem: 18180 IV alin ft 011y: 11r.1111inteinville flan MIN Zip: :5583B <br />...................................................................................... <br />Billilng Name.: Same TO Fax <br />............. <br />Dayou need an extenslon iiiK our Insurance? 0 3 NO <br />.............................. <br />0 lol"m)od Pyn.ftc hinim Choreo: grapheW and Fired <br />I WhnL—.ah--.- Order <br />.............. <br />DelI,vM,,I4rwi-ne,. ILnurlelLarnoftelPark Tel: 651-454-7976 Fax: <br />Adiilimsw.. 6,970 i-amAls Drive City: Centerville statw IMIN ZIP. -I 55038 <br />County: Anoka <br />. . ..... . ....... .................. ................ ..... . ....... <br />for beat )effoirrnarwica. <br />Show s1hot alectrical1l, and olhoiro—,""", �tLqg <br />New for this ear —INater, b 15 <br />........ . ..... ...... ................................................ ........ <br />tow to eirea,500" ImDIIUf z1hicoire of i-fidd2iw!LSpirh Is Pkiark <br />qpff!�� ....... . ..... <br />tlI qin used lin,'11:tp p , Show W111111 be ballartic'ecIll <br />......... . ..... used ...... M!�j ............. . ....................... .......... <br />. .. . ... ... .. <br />IMP th <br />lb �:Ylf iIilIh <br />! SOlvi W11Ht <br />Ufli"Z ii:.D.2-5" T-' and W' materiall,with mulid shot,calkes. 110 2"". <br />--nlyi <br />. ..... . ...... . .... . .... . ..... — — - - — — -- - - -- --- - ------- - -- - ------- <br />...... .. . ................. .............. <br />.............................................. . ................. . ............... <br />THIS AGREEMENT is made and entered into the date signed on following page, <br />by and between Hollywood Pyrotechnics, Inc., a Minnesota corporation, having Fireworks Subtotal: $47610 <br />its principle place of business at 1567 Antler Point, Eagan, Minnesota, 55122, Discount: $3010 <br />hereinafter mutually referred to as Seller, as named on the this Display <br />Agreement. Insurance Extension: $7210 <br />Seller shall fumish to Buyer fireworks display(s), as per this Display Agreement PermItFee: $0 <br />accepted by the Buyer, including the services of the Sellers as Pyrotachnician to Shoot Fee: $600 <br />take charge of and fire the display. Haz-Mat Delivery: $200 <br />Continued on next page Total Due: $6,000 <br />......................................... ............. ............................. . . ....... .......... 1.�'..�.� ................................... ............ — . .............. <br />Multi -Year client free bonus of extra product - 5% <br />IIS AYRENT: U 31%damrn,IBWiiiinicoanus DhIplinyllWlle,-, U 1111 ICI Prepay, <br />IJ 30 IlDays IPPpzy; U Purchim Ordor# ........................................................................................... <br />..................................................................................................................................................................... ..................... . ..... <br />OFIF1111ME USE 101111"ILY Saws 1-4ap., Fw.innile Netriey . ...................... <br />* I",ax.. Exemot CenlificatelRecWhend 0 Order Fcmm SIgned 13 Insurance Questionnaire Received <br />* l2eMfltR—OW-..WWj 0 Full Paywrient ReoOviedCD 'IPe,. ..... . ...... <br />