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Midwest Tile and Concrete Products, Inc. <br />4309 Webster Road <br />Woodburn, IN 46797 <br />Phone: (260) 749-5173 <br />Fax: (260) 493-2477 <br />Sold to: HRP010 <br />HRP CONSTRUCTION <br />5777 CLEVELAND RD. <br />SOUTH BEND, IN 46628 <br />MIDWESfi TILE <br />CONCRETE MOUCTS, INC. <br />ake checks payable to Midwest Tile & Concrete Products. <br />INVOICE 172175 <br />Invoice Date: 1/18/2023 <br />Job Number: 23-10839 <br />Ship to: SOUTH BEND JOB 2568 <br />523 W. MARION STREET <br />South Bend, IN <br />1 1/18/2023 1 Jon Shelton 1 9493 1 1 1 1 <br />VERBAL JEFF <br />NET 30 <br />NH <br />01 <br />1 172175 <br />Qty <br />UOM <br />Item <br />Description <br />Weight Unit Price TX <br />Extension <br />Structure: 60 <br />2 <br />EA <br />MH60S36 <br />MH 60 SECTION X 36 IN <br />7,800 $465.00 ❑ <br />$930.00 <br />Structure Total <br />$930.00 <br />Structure: Structures <br />1 <br />EA <br />MH60BS <br />MH 60 BASE SEPARATE 4000 LBS <br />4,000 $431.00 ❑ <br />$431.00 <br />1 <br />EA <br />MH60TL <br />MH 60 TRANSITION LID X 48 IN 1900 LBS <br />1,900 $518.00 ❑ <br />$518.00 <br />5 <br />RL <br />CS125x14 <br />Crete-Stik Sealant 1 1/4 X 14.5 (5 ROLLS P/BOX) <br />37 $24.75 ❑ <br />$123.75 <br />12 <br />EA <br />MHStepLoose <br />MH STEP LOOSE <br />0 $15.25 ❑ <br />$183.00 <br />1 <br />EA <br />MIS FRGT <br />FREIGHT <br />0 $800.00 ❑ <br />$800,00 <br />Structure Total <br />$2,055.75 <br />Taxable <br />$0.00 <br />Non -Taxable <br />$2,985.75 <br />Sub Total <br />$2,985.75 <br />Tax <br />$0.00 <br />Invoice Total <br />$2,985.75 <br />Less Deposit <br />$2,985.75 <br />Invoice Balance <br />$0.00 <br />A 1 1/2% per month service charge is added to all past due invoices. This is an 18% annual percentage rate. <br />Any items/structures that are special order and non -stock are not eligible to return for credit. <br />