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Invoice <br />Sold by: <br />le, <br />Branch 006 <br />Remit to: Xylem Dewatering Solutions, Inc. <br />m9661 <br />XY <br />194th Street <br />26717 Network Place <br />Let's Solve Water <br />Mokena, IL 60448 <br />Chicago, IL 60673-1267 <br />Tel: 708-889-1560 <br />Phone: 1.855.278.2248 (Opt 1) <br />godw n0i <br />Fax: 708-889-1561 <br />NOTE:Valued customers, please note the NEW remit <br />address change included on this invoice. <br />S <br />S <br />Cust. No. Invoice Date Invoice No. <br />O <br />H <br />L Selge Construction Cc Inc <br />I <br />Selge Construction Co Inc <br />00115704 04-11-2025 401412148 <br />D 2833 S 11th St <br />P <br />900 W. Western Avenue <br />Niles, MI 49120-4421 <br />South Bend, IN 46601 <br />Page 2 of 2 <br />T <br />T <br />O <br />O <br />Customer PO <br />Ordered By <br />Contract Date <br />Rental Contract # <br />Sales Representative <br />Order Taken By <br />Payment Terms <br />Emergency ORDER <br />south Bend/bypass <br />Mr. Scott Riley <br />03-26-2025 <br />206014527 <br />Perre Krizanek <br />Perre Krizanek <br />Net 30 <br />QTY <br />ITEM <br />DESCRIPTION <br />PER <br />DIW/M <br />RATE <br />AMOUNT <br />32 <br />PPQP120010QDOOR <br />12" x 10' Godwin QD Pipe <br />2 <br />W <br />2 <br />BN08090QDGDDOR <br />8" 90 Degree QD Bend <br />2 <br />W <br />2 <br />AD080060QMGFGOR <br />8" MQD x 6" FQD Adapter <br />2 <br />W <br />2 <br />AD080060QFQMGOR <br />8" FQD x 6" MOD Adapter <br />2 <br />W <br />1 <br />TEOBOQFQFQMGOOR <br />8" Godwin QD Tee (F x F x M) <br />2 <br />W <br />1 <br />PLFL002001 R <br />1/4" x 30' Rope & Air Fill Kit W/Gauge <br />2 <br />W <br />1 <br />DZONE04ROLLBACK <br />Delivery Zone 4 - Rollback <br />1 <br />PZONE04HOLLBACK <br />Pickup Zone 4 - Rollback <br />172 <br />FUELSURCHARGE <br />Fuel Surcharge by the Mile <br />1 <br />ENVFEE <br />Environmental Fee <br />ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping Misc. Charges Taxes <br />1 1/2% PER MONTH SERVICE CHARGE $ 8,238.54 $ 0.00 $ 1,732.60 $ 79.92 $ 0.00 <br />Important Information: Due to fraud attempts any communication for changes of bank account Total Invoice $ 10,051.06 <br />details have to be confirmed by a call-back with your respective Xylem contact person. <br />