ADDITION Park Bench Memorial
IN KIND CONTRIBUTION RECORDING FORM
DONOR INFORMATION
Name: O’Neil Electic
Address: 6143 N Osgood Ave, Stillwater, MN 55082
Phone: Office: 651.342.0906
Cell: 651.239.6026
Email: ashley@oneillelectricmn.com, http://www.oneillelectricmn.com
DESCRIPTION OF SERVICES, EQUIPMENT, AND/OR MATERIALS PROVIDED,
QUANTITY, HOURS AND PURPOSE:
1 bench – 6’ Poly wood boards with cast metal legs – to be placed on the South side of the
Scandia warming in the rock area on the east side of the Zamboni garage.
Memorial bench –
DONOR SIGNATURE: ________________________________________________________
STAFF SIGNATURE: __________________________________________________________