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WoodbwYe(d <br />E TILE & <br />FoditoeYaid <br />!J.'•f'�h iaflul <br />tiO3WMueArtmre <br />4iw,l'A YIiIN <br />fa Wpa,,W4M <br />ff;` 491:'' <br />CONCRETE PRODUCTS. INC. <br />M+I?4N <br />k'iM'mi wlie.nH <br />1l i,l i ,_,j _i. .... —.-- <br />REPRINT <br />Remit To: <br />MIDWEST TILE & CONCRETE <br />4309 WEBSTER ROAD Number 109243 <br />WOODBURN, IN 46797 Date 09/29/2 <br />Phone: 260-749-5173 Paoe 1 <br />Bill To: <br />W00001 <br />WOODRUFF &SONS, INC. <br />2125 EAST US HWY 12 <br />P.O. BOX 450 <br />MICHIGAN CITY, IN 46361 <br />lilnlillnullnl�unil�l�u�l <br />Ship To WOODRUFF KD�219-898-6831 <br />TE TWO WAY CONVE SIGN <br />WAON IN STREETS <br />SO , IN <br />Reference # Shipped <br />.. _. <br />Salesperson <br />Terms <br />Tax Code Doc # <br />wh Freight <br />Ship Via <br />_.. <br />WO WAY CONVERS09/27/16 <br />...._._... .. _ .__.___ . <br />NH DAVID MILL <br />_.__._____.._.._..__.__-_1 <br />NET 30 <br />. ..... ... ..... _ <br />INNOTAX 072925 <br />_ ... ... <br />01 PREPAID <br />OUR TRUCK <br />.. <br />Item Description <br />Ordered <br />Shipped <br />Backordrd um <br />Price um <br />Extension <br />168(C)3 K-10) <br />XHCB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 <br />0 EA <br />752.00 EA <br />752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x50" W/ HOLES <br />1 <br />1 <br />0 EA <br />- 418 (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 <br />0 EA <br />752.00 EA <br />752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x48" W/ HOLE <br />1 <br />1 <br />0 EA <br />419(CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 <br />0 EA <br />752.00 EA <br />752.00 <br />Consisting of.- <br />SIB24 SQ IN BASE 24x36x44" W/ HOLE <br />1 <br />1 <br />0 EA <br />j 159 (MH C-4) <br />C4MH INDOT MANHOLE TYPE C-4 <br />1 <br />1 <br />0 EA <br />695.00 EA <br />695.00 <br />Consisting of: <br />M 12184 MH 48 BASE POURED <br />1 <br />1 <br />0 EA <br />NIH48PJ MH 48 Plain loins / O'ring <br />2.00 <br />2.00 <br />.00 FT <br />(2) BOOTS S106-20AWS NPC <br />(1) - 24" BASE W/ BOOTS <br />NIH2177 MH 48 FLAT TOP 12" W/24" HOLE <br />1 <br />1 <br />0 EA <br />MA341 BIDCO C-56 V X 14' 6" <br />1 <br />1 <br />0 EA <br />NM5612 MH STEP <br />2 <br />2 <br />0 EA <br />157 (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 <br />0 EA <br />752.00 EA <br />752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x48" W/ HOLES <br />1 <br />1 <br />0 EA <br />412A (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 <br />0 EA <br />752.00 EA <br />752.00 <br />Continued on next page ... <br />