HomeMy WebLinkAboutFire Department Key Lock Box
THE DAMA CO.
FIRE DEPARTMENT
KEY LOCK BOX
AUTHORIZATION AND ORDER FORM
PLEASE READ
4 ORDERING INFORMATION:
1) This order must be signed with the signature ot the
authorized Fire Department official on tile with Hie DAMA CO
2) The key box will be shipped to you without any keys and will Sit, Pp
be locked in the open position. Contact your local File eD n
Department for specific mounting reqUirements. vCT:: .
3) Please Include 6.5% Minnesota sales tax and shipping charge " "on"
4) Full payment must accompany order Make cfleck payable to THE DAMA CO . ~J
5) Allow 1-2 weeks tor delivery.
FIRE DEPARTMENT INFORMATION
NAME:
CUSTOMER INFORMATION
\
City/St/Zip ?1
Attention ot: ~~Oi\ )1,j{ev
--------------------
Address
City/St/Zip
PRIOR LAKE FIRE DEPT.
MAIL TO:
ORDER FORM _ Payment must be submitted with order
QTY
PRICE
$10700
$13100
$ 16800
$16000
$ 186 00
$ 5900
ITEM
S2-SURFACE MOUNT (NO MTG KIT OPTION AVAILABlE)
S3-SURFACE MOUNT
S3-SURFACE MOUNT WrTAMPER SWITCHES
R3-RECFSSED MOUNT
R3-RECESSED MOUNT WrTAMPER
MOUNTING KIT (OPTIONAL FOR 5-3 & R-3 MODELS ONLY)
I
SUB TOTAL
SHIPPING & PROCESSING CHG
SUB TOTAL WITH SHIPPING CHG.
_ ~",I c h.OL
TOTAL
DAMA-MP INC
F)O BOX 47824
PLYMOUTH, MINI
55447
I ' t:b{)U
DARRYL SUNDB
763-559-3660
54 . {Jo
1'2. 7.0D
$9.00
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