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, c,JJ <br /> 7 <br /> '� ! In-Situ ,��` �� gCE Invoice <br /> '4 Inc.I , . ►A <br /> uL_ _ 1� _� Number: 00098888 <br /> 221 East Lincoln Ave., Fort Collins,Colorado 80524 Date: 6/22/2015 <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: PLATTE RIVER REC IMP PROG NE Ship To: HEADWATERS CORPORATION <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 I <br /> 00004986 NET 30 DAYS FEDEX GROUND NEBRASKA <br /> Ordered By Sales Representative Order Date Our Order No Customer ID <br /> DAVE ZORN ERIC PAULK I 6/18/2015 20084411 014213 <br /> ' LIN DL Order Qty Shipped Qty Part Number Description/Comments Unit Unit Price Extended Price <br /> 01 01 2.00 2.00 0089010 LEVEL TROLL 500, 15PSIG EA 1170.00 $ 2340.00 <br /> S/N: 414050 <br /> S/N: 414275 <br /> 02 01 2.00 2.00 0052000 Rugged Twist-Lock Cable EA 289.00 $ 578.00 <br /> FT VENTED POLY CABLE <br /> Qty: " 40.00 <br /> NO REEL 0-100' <br /> RUGGED 485/232 VENTED <br /> S/N: 260852 <br /> S/N: 260853 <br /> 03 01 2.00 2.00 0053550 Large Desiccant EA 69.00 $ 138.00 <br /> ABS Twist-Lock Connector <br /> COMMENTS: <br /> 4030-030000/LH/AW 6 Percent 186.69 <br /> sartoris @headwaterscorp.com 0.99 Percent 30.80 <br /> .00984 Percent 0.31 <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 /> 3056.00 0.00 3056.00 55.50 3111.50 217.80 0.00 $ 3329.30 L <br />