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Change Order No. 10 - SB One Way to Two Way Conversion Proj No 116-001B - Rieth Riley Construction Co., Inc.
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Change Order No. 10 - SB One Way to Two Way Conversion Proj No 116-001B - Rieth Riley Construction Co., Inc.
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3/28/2025 1:49:57 PM
Creation date
12/14/2016 3:15:29 PM
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Board of Public Works
Document Type
Projects
Document Date
12/13/2016
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INVOICE <br />REPRINT <br />loawmme,IPIdEE19 <br />Remit To: <br />""/� Ffion:?0d1E9I£ <br />IN1i, <br />MIDWEST TILE & CONCRETE <br />_... rrtVOUCiTrJ, far-0lpo-6i37 <br />" weemdxes&Ael <br />4309 WEBSTER ROAD <br />Number <br />106317 <br />WOODBURN, IN 46797 <br />Date__ <br />06/29/2016 <br />Phone: 260-749-5173 <br />_ <br />Page <br />1 <br />Bill To: <br />WOODRUFF & SONS, INC. <br />ship To: <br />TWO CONVERSION PART 1 <br />W00001 <br />2125 EAST US HWY 12 <br />TEMP <br />MIKE 219-872-8605 <br />P.O. BOX 450 <br />MAIN & EWING STS <br />MICHIGAN CITY, IN 46361 <br />SOUTH BEND, IN <br />�tlulsllnullulluusllllusl <br />; <br />Reference # <br />Shipped <br />Salesperson <br />Terms <br />Tax Code Doc # - <br />Wh Freight <br />Ship Via <br />WO CONV PART 1 06/28/16 <br />NH HOUSE <br />NET 30 <br />INNOTAX 071210 <br />01 PREPAID OUR TRUCK <br />Item Description <br />Ordered <br />Shipped <br />Backordrd um <br />Price um <br />Extension <br />STR 162 <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 />MH2184 MH 48 BASE POURED <br />1 <br />1 <br />0 EA <br />MH48PJ MH 48 Plain Joint / O'ring <br />4.00 <br />4.00 <br />.00 FT <br />48" BASE <br />20A PSXDD BOOT 20A DD 16.00 - 17.40 OD <br />3 <br />3 <br />0 EA <br />MH2177 MH 48 FLAT TOP 12" W/24" HOLE <br />1 <br />1 <br />0 EA <br />STR 414 <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 24 X 36 X 52 in (OR <br />1 <br />1 <br />0 EA <br />48" BASE <br />20A PSXDD BOOT 20A DD 16.00 - 17.40 OD <br />1 <br />1 <br />0 EA <br />STR 158 <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 24 X 36 X 52 in (OR <br />1 <br />1 <br />0 EA <br />50" BASE W/3 HOLES <br />STR 162A <br />- "'' 7'i <br />KIOCB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 <br />0 EA - <br />752.00 EA <br />752.00 <br />Consisting of: <br />NM184 MH 48 BASE POURED <br />I <br />1 <br />0 EA <br />MH48PJ MH 48 Plain Joint / O'ring <br />5.00 <br />5.00 <br />.00 FT <br />12" BASE NO HOLES, <br />" <br />48" SECT W/HOLES <br />AM178 MH 48 FLAT TOP 12" W/2' XY <br />1 <br />1 <br />0 EA <br />20A PSXDD BOOT 20A DO 16.00 - 1T40 OD <br />3 <br />3 <br />0 EA <br />STR 167 <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 />
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