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A ril-Y/ / 4//r'Al-e---t' <br /> !:-- Q J.6 f\-\ e- <br /> lln-Situ Inc o C�E�M Invoice <br /> � ��� Number: 00093249 <br /> 221 East Lincoln Ave., Fort Collins, Colorado 80524 Date: 7/25/2014 <br /> Tel: 1.970.498.1500/ Fax: 1.970.498.1598 /www.in-situ.com <br /> Fed ID: 83-0245889 GSA: GS-24F-00-45M Page 1 of 1 <br /> Bill To: HEADWATERS CORPORATION NE Ship To: HEADWATERS CORPORATION NE <br /> 4111 4TH AVENUE 4111 4TH AVENUE <br /> SUITE 6 SUITE 6 <br /> KEARNEY,NE 68845 KEARNEY, NE 68845 <br /> Customer PO Number Terms Ship Via Final Destination <br /> - <br /> 0045 NET 30 DAYS NOT APPLICABLE NEBRASKA <br /> Ordered By Sales Representative Order Date Our Order No Customer ID <br /> SCOTT GRIEBLING ERIC PAULK 7/24/2014 20078859 014213 <br /> OLIN DL Order Qty Shipped Qty Part Number Description/Comments Unit Unit Price Extended Price <br /> 01 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> 02 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> 03 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> 04 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> 05 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> 06 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> 07 01 12.00 12.00 0098320 DATA SERVICE 101 MONTHLY FEE PER EA 43.00 $ 516.00 <br /> COMMENTS: <br /> 4031-030000/TM/AW <br /> grieblings @headwaterscorp.com <br /> Contact for Invoice Questions: Sandy Shaner-Accounts Receivable-Ext 527 <br /> Line Item Totals Discount Sub Total S/H Taxable Amount Tax Misc Invoice Total <br /> 3612.00 ` 0.00 3612.00 0.00 0.00 0.00 0.00 $ 3612.00 L <br />