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Quote

From:

717 S Zero st
Fort Smith, AR 72901

Sales@Humimic.com

Quote Number QUO-5812
Quote Date April 3, 2018
Total $774.30
To:
Medtronic
Hrs/Qty Service Rate/PriceAdjustSub Total
1 11in long x ~9in wide x ~6inch tall Gel
$360.620.00%$360.62
1 11in long x ~9in wide x ~4inch tall Gel
$246.740.00%$246.74
1 Custom Mold

This is a onetime charge.

$125.470.00%$125.47
1 Shipping

FedeX Ground.

$41.470.00%$41.47
Sub Total $774.30
Tax $0.00
Total $774.30

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