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O FERGUSON <br />WATERWORKS <br />1077 OLIVER PLOW COURT <br />S BEND, IN 46601-2790 <br />Please contact with Questions: 574-406-6199 <br />4845 1 M8 0.515 E0381 10632 010183981949 S2 P9479577 0002:0003 <br />Inl�ll,�r�u�lllllln�ru�llrrlrrr�i�Irlrr�rrrl��ri�nlurlr��r� <br />HRP CONSTRUCTION INC <br />PO BOX 266 <br />SOUTH BEND IN 46624-0266 <br />INVOICE NUMBER TOTAL.DUE CUSTOMER PAGE ` <br />0307801 $178.20 7247 1 of 1 <br />PLEASE REFER TO INVOICE NUMBER WHEN <br />MAKING PAYMENT AND REMIT TO: <br />FERGUSON WATERWORKS #1934 <br />PO BOX 644054 <br />PITTSBURGH, PA 15264-4054 <br />MASTER ACCOUNT NUMBER: 602206 <br />SHIP TO: <br />COUNTER PICK UP <br />1077 OLIVER PLOW COURT <br />S BEND, IN 46601-2790 <br />SHIP <br />SELL <br />TAX CODE <br />CUSTOMER ORDER NUMBER <br />SALESMAN <br />JOB NAME <br />INVOICE DATE <br />BATCH <br />WHSE. <br />WHSE. <br />10 <br />3390 <br />3390 <br />INE <br />2568 <br />JXW <br />SEWER REPAIR <br />01/18/23 <br />25047 <br />ORDERED <br />SHIPPED <br />ITEM NUMBER <br />DESCRIPTION <br />UNIT PRICE <br />UM <br />AMOUNT " <br />132 <br />132 <br />SEW912 <br />9X12 ECO WORM <br />1.350 <br />FT <br />178.20 <br />1 HAD A CUT HALF WAY THRU <br />CHARGED FOR 11 ROLLS <br />INVOICE SUB -TOTAL <br />178.20 <br />LEAD LAW WARNING: <br />IT IS ILLE <br />AL TO INSTALL PRODLCTS <br />THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH <br />US FEDERAL OR <br />OTHER APPLICABLE <br />LAW IN POTABLE <br />WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION <br />PRODUCTS W <br />TH *NP IN THE DE <br />SCRIPTION ARE NOT LEAD <br />FREE AND CAN ONLY BE INSTALLED IN <br />NON -POTABLE <br />APPLICATIONS. <br />BUYER IS SOLELY RESF <br />ONSIBLE FOR PRODUCT SELECTION. <br />Need our 2023 W-9 Form? <br />w_9 Lag in to your Ferguson.com account and find the current form under 'Resources' on the left-hand side. <br />Not enrolled? it's easy! Go to Ferguson.com and click LOGIN I REGISTER in the upper right to get started. <br />TERMS: NET 10TH PROX ORIGINAL INVOICE <br />TOTAL DUE <br />$178.20 <br />All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to pay within terms, then in <br />addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable attorney fees. Complete terms and conditions are available <br />upon request or at https://www.ferguson.com/content/website-info/terms-of-sale, incorporated by reference. Seller may convert checks to ACH. <br />*Any reference to or incorporation of Executive Order 14042 and/or the EO-implementing Federal clauses (FAR 52.223 -99 and/or DFARS 252.223-7999) is <br />expressly rejected by Seller and shall not apply as Seller is a materials supplier and therefore exempt under the Executive Order.* <br />0002:0003 <br />