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Public Notice-ORDER FORM SIGN DEPOT 1813 E. Colonial Dr., Orlando, FL 32803 WholeSale Coroplast Signs Company PHONE: 407-894-0090 FAX: 407-894-0008 Or 1-866-341-9394 www.YardSignWholeSale.com DesignMySign@aol.com PURCHASE ORDER Ordered By Northampton Office of Planning and Development Name Wayne Feiden Shipping address 210 Main Street, Room 11 City Northampton State/Province MA Zip/Postal Code 01060 Phone Number 413-587-12165 Fax Number 413-587-126 Email WFeiden@NorthamptonMA.gov Qty Description Size Unit Price Amount 100 Two Sided, One Color Coroplast Yard Sign 18” by 24” by 4 mm $2.40 $240.00 100 Double H Wire Stand $0.85 $ 85.00 Coroplast Color: Print Color: Total $325.00 White Blue Packing & Shipping $ 65.00 Yellow XX Yellow Red Red Sale Tax @ 6.5% (Applicable to Florida customers only) $0 Black Green Grand Total $390.00 Navy Blue XX Black Other : Other: Pls confirm Coroplast & Color Enclose your Check / Money Order made out to SIGN DEPOT Or charge American Express info as required here : 3743 – 500421 – 500421 – 98348 Expiration date Card Number 11/10 CCV _8425_____ Billing Zip Code __01060 ______________ I Wayne Feiden agreed to purchase this signs as final layout PER EMAIL proof as is and I will be responsible for any error that is MY FAULT after I submit this order form to SIGN DEPOT. _ Signature