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O FERGUSION� <br />WATERWORKS <br />1077 OLIVER PLOW COURT <br />S BEND, IN 46601-2790 <br />Please contact with Questions: 574-46-6199 <br />58251 MB 0.515 E0387 10613 010200731483 S2 P9485979 0005:0005 <br />1�1lnlur'�11���"�111"'Il��"I�IU�il11�1�I�Ir��!l�lul�Irl��� <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 />0307928 <br />1, <br />$1,332.00 <br />7247 <br />I 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 />SEWER REPAIR <br />599 W MARION ST <br />S BEND, IN 46601 <br />SHIP TO: <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 />3390 <br />3390 <br />INE <br />2568 <br />JXW <br />SEWER REPAIR <br />01/19/23 <br />25 61 <br />ORDERED <br />SHIPPED <br />ITEM NUMBER '' <br />DESCRIPTION <br />UNIT PRICE .. <br />UM <br />AMOUNT <br />28 <br />28 <br />SDR35P1214 <br />12X14 SOR35 PVC GJ SWR PIPE <br />29.000 <br />FT <br />812.00 <br />1 <br />1 <br />MMH2195 <br />4BX36 WHOLE RSR SEC <br />305.000 <br />EA <br />305.00 <br />1 <br />1 <br />MMH2190 <br />4BX24 MIHOLE CONE TOP SEC <br />215.000 <br />EA <br />215.00 <br />INVOICE SUB -TOTAL <br />1332.00 <br />LEAD LAW WARNING: <br />IT IS ILLEGAL <br />TO INSTALL PRODL <br />CTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH <br />US FEDERAL <br />OR 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 L <br />AD FREE AND CAN ONLY BE INSTALLED IN <br />NON-POTABL <br />i <br />APPLICATIONS. I <br />UYER IS SOLELY RESF <br />ONSIBLE FOR PRODUCT SELECTION. <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 <br />TOTAL t3UE <br />51,332.00 <br />All past clue 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/contenttwebsite-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 />0005:0005 <br />