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QUALITY WELL AND PUMP Invoice <br /> PO BOX 577 <br /> GREELEY, CO 80632 Due Date Date Invoice # <br /> Phone# 9703533118 5/10/2014 5/10/2014 2014-1398 <br /> Fax# 970-284-6445 <br /> Bill To <br /> JANET SNOW <br /> 503 CHERRY AVE <br /> GREELEY, CO 80631 <br /> 970-396-9258 <br /> ❑ Please check box if address is incorrect or has changed,and indicate change(s) <br /> on reverse side. Balance Due $0.00 <br /> New e-mail address?Enter here: <br /> QUALITY WELL AND PUMP PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT. <br /> P.O. No. Terms Project Rep <br /> Due on receipt DLE <br /> Qty Backordered Item Description Unit Price Amount <br /> SERVICE REQUESTED ON 5/5/14 BY <br /> JANET-PUMP IS BUZZING &NOT PUMPING <br /> ANY WATER <br /> 5/5/14-TRAVELED TO LOCATION, <br /> INSPECTED SYSTEM, FOUND PUMP WAS <br /> NOT LOW ENOUGH,AND WOULD NOT <br /> PUMP OFF, CONTROL BOX ALSO NEEDED <br /> REPLACED, LOWERED PUMP 4 MORE FEET <br /> &REPLACED CONTROL BOX,TESTED <br /> SYSTEM. <br /> 2 0 TMMAS5 MALE ADPT STEEL INS 1.25" 5.75 11.50 <br /> 1 0 TM529012 CPLG GALV 1.25" MERCHANT 7.38 7.38 <br /> 4 0 TM12580 PVC PIPE SCH80 DROP PIPE 1.25" 2.17 8.68 <br /> 1 0 TMFECB0502... FE BOX .5HP 230V 100.51 100.51 <br /> 1 10 DOMESTIC SERVICE, HOURLY RATE 137.50 137.50 <br /> 8 0 MI-10 MILEAGE - DOMESTIC 2.85 22.80 <br /> State Sales Tax- La Salle 2.90% 3.71 <br /> Total $292.08 <br /> Payments/Credits -$292.08 <br /> Balance Due $0.00 <br /> The title to the merchandise and personal property covered by this invoice shall remain vested in Quality Well and Pump,LLC until the purchase price is paid in full. <br /> Customer agrees to pay a service charge computed at a periodic rate of 1.5%per month(18%APR)applied to all past due amounts after deducting current <br /> payments/credits. <br /> Customer Signature: <br />