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Z FERGUSON® <br />WATERWORKS <br />1077 OLIVER PLOW COURT <br />S BEND, IN 46601-2790 <br />> Please contact with Questions: 574-406-6199 <br />5625 1 MB 0.515 E0387 10612 010200731377 S2 P9485979 0004:0005 <br />Irllrrlrn�rl!'�Irr'!!!nrll"nl�ll1�11!l�Irl�Ir�yl�lnlrlrlr�r <br />HRP CONSTRUCTION INC <br />PO BOX 266 <br />SOUTH BEND IN 46624-0266 <br />INVOICE NUMBER <br />TOTAL DUE <br />'.CUSTOMER. <br />PAGE <br />0307782 <br />$301.75 <br />7247 <br />1 of1 <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 />2563 <br />JXW <br />MARION ST <br />01/19/23 <br />25061 <br />ORDERED <br />SHIPPED <br />ITEM NUMBER '- <br />DESCRIPTION <br />UNIT PRICE <br />UM <br />AMOUNT <br />1 <br />1 <br />PSLUBXL1Q <br />1 QT 2 LB PIPE JT LUB NSF NEW FORM <br />9.070 <br />EA <br />9,07 <br />1 <br />1 <br />MULD43276 <br />12X6 PVC SWR GXGXG WYE <br />225.000 <br />EA <br />225.00 <br />1 <br />1 <br />MUL340611 <br />8X6 PVC SWR SW RED COUP <br />67,680 <br />EA <br />67.68 <br />INVOICE SUB -TOTAL <br />301.75 <br />LEAD LAW WANING <br />IT ISRILLEGAL <br />TO INSTALL PRODi <br />CTS THAT ;ARE *NOT "LEAD FREE" IN ACCORDANCE WITH <br />US FEDERAL <br />R 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. I <br />DYER IS SOLELY RESPONSIBLE <br />FOR PRODUCT SELECTION. <br />a tl i <br />Need our 2023 W-9 Form? <br />w-9 Log 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 TOTAL DUE <br />$301.75 <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 />0004:0005 <br />