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.,,;;V, INVOICE <br />'.Wk ' �� <br />- REPRINT <br />6?f9Pidmli.4YMC <br />Falltlym¢,91VEE09 Remit To: <br />PRODUCTS, INC. MIDWEST TILE &CONCRETE <br />1'11�tiErE Il <br />x;xmi&,tismlenel 4309 WEBSTER ROAD Number 106397 <br />WOODBURN, IN 46797 Date_ 06/29/2016 <br />Phone: 260-749-5173 Page 1 <br />Bill To: <br />WOODRUFF & SONS, INC. - Ship To: WOODRUFF - ED 219-898-6831 <br />W00001 <br />2125 EAST US HWY 12 TEMP TWO CONVERSION PART 1 <br />P.O. BOX 450 MAIN ST & MADISON ST <br />MICHIGAN CITY, IN 46361 SOUTH BEND, IN <br />�rin �r�Irur�Iullunilll�nr� : <br />Reference # Shipped <br />Salesperson <br />Terms Tax Code Doc # wh Freight Ship Via <br />WO CONVERSION 06/29/16 <br />NH DAVID MILL <br />NET 30 INNOTAX 071256 01 PREPAID OUR TRUCK <br />Item Description <br />Ordered <br />Shipped Backordrd um Price UM Extension <br />145 (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 0 EA 752.00 EA 752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x52" W/ HOLES <br />1 <br />1 0 EA <br />IN6142 SQ IN SECT 24x36xl8 (NO HOLES) <br />1 <br />I 0 EA <br />MA341 BIDCO C-56 1" X 14' 6" <br />1 <br />1 0 EA <br />- 126A (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 0 EA 752.00 EA 752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x50" W/ HOLES <br />1 <br />1 0 EA <br />142(CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 0 EA 752.00 EA 752.00 <br />Consisting of.- <br />SIB24 SQ IN BASE 2406x52" W/ HOLES <br />I <br />1 0 EA <br />136 (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 0 EA 752.00 EA 752.00 <br />Consisting of.- <br />SIB24 SQ IN BASE 2406x50" W/ HOLES <br />1 <br />1 0 EA <br />20A PSXDD BOOT 20A DD 16.00 - 17.40 OD <br />1 <br />1 0 EA <br />.iX <br />142E (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 0 EA 752.00 EA 752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x52" W/ HOLES <br />1 <br />1 0 EA <br />150 (CB K-10) <br />K10CB INDOT CATCHBASIN TYPE K-10 <br />1 <br />1 0 EA 752.00 EA 752.00 <br />Consisting of: <br />SIB24 SQ IN BASE 24x36x5I" W/ HOLES <br />1 <br />1 0 EA <br />20A PSXDD BOOT 20A DD 16.00 - 17.40 OD <br />1 <br />1 0 EA <br />Continued on next page ... <br />