HomeMy WebLinkAboutInv# PC - 729 - UNITED SITE SERVICES OF FLORIDA, INC - 10/27/2021 (3)Bill
To:
Terms:
CITY OF DANIA BEACH CRA
100 W DANIA BEACH BLVD
DANIA, FL 33004
Due Upon Receipt
Customer ID:
P.O. No:
Our Order No:
Ship
To:
PATCH
1201 W DANIA BEACH BLVD
DANIA, FL 33004
Invoice No:
USS-66465
0-341953
Page:
114-12458089
1
Invoice Date: 10/06/21
United Site Services of Florida, LLC
Customer Service: 1-800-864-5387 INVOICE
Item / Description Quantity Term From / Thru Unit Price Total Price
10/31/21EachStandard Restroom
91.7591.7510/01/2111STD
10/31/21EachDamage Waiver
7.957.9510/01/2111DW
10/31/21EachHand Sanitizer
5.005.0010/01/2111HS
10/31/21EachADA Wheelchair Accessible
129.50129.5010/01/2111ADA
10/31/21EachDamage Waiver
12.0012.0010/01/2111DWP
10/31/21EachHand Sanitizer
5.005.0010/01/2111HS
10/31/21Each2 Station Sink
94.7594.7510/01/21112SS
10/31/21EachDamage Waiver
7.957.9510/01/2111DW
Environment/Energy/Compliance
40.77EEC
Bill
To:
Terms:
CITY OF DANIA BEACH CRA
100 W DANIA BEACH BLVD
DANIA, FL 33004
Due Upon Receipt
Customer ID:
P.O. No:
Our Order No:
Ship
To:
PATCH
1201 W DANIA BEACH BLVD
DANIA, FL 33004
Invoice No:
USS-66465
0-341953
Page:
114-12458089
2
Invoice Date: 10/06/21
United Site Services of Florida, LLC
Customer Service: 1-800-864-5387 INVOICE
394.67Total:
Pay Your Invoices Online at www.UnitedSiteServices.com/BillPay
0.00 394.67
Invoice Number: 114-12458089
Please detach this coupon and include with your payment in the enclosed envelope.
USS-66465Customer ID:Subject to Tax Exempt from Tax
Our Order No: 0-341953
CITY OF DANIA BEACH CRA
See Reverse for Terms & Conditions, which are part of this Agreement
wherein United Site Services of Florida, LLC is referred to as "Company"
394.67Total:
00000000114-1245808900000394670
United Site Services
PO Box 660475
Dallas, TX 75266-0475
DATATADTDFADFTDDDTTDDDDTDFDTFTADTATAFFADATDDADDTADDTFTTTFFTDDFTDA
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change your address or decline damage waiver, and you
have completed the necessary form(s) on the reverse.