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HomeMy WebLinkAboutInv# PC - 1665 - UNITED SITE SERVICES OF FLORIDA, INC - 12/08/2021Bill 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: 114-12670611 1 Invoice Date: 12/09/21 United Site Services of Florida, LLC Customer Service: 1-800-864-5387 INVOICE Item / Description Quantity Term From / Thru Unit Price Total Price 12/31/21EachStandard Restroom 91.7591.7512/01/2111STD 12/31/21EachDamage Waiver 7.957.9512/01/2111DW 12/31/21EachHand Sanitizer 5.005.0012/01/2111HS 12/31/21EachADA Wheelchair Accessible 129.50129.5012/01/2111ADA 12/31/21EachDamage Waiver 12.0012.0012/01/2111DWP 12/31/21EachHand Sanitizer 5.005.0012/01/2111HS 12/31/21Each2 Station Sink 94.7594.7512/01/21112SS 12/31/21EachDamage Waiver 7.957.9512/01/2111DW Environment/Energy/Compliance 40.77EEC 394.67 paid with Visa XXXXXXXXXXXX6367 Exp. Date: 07/24 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: 114-12670611 2 Invoice Date: 12/09/21 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: 114-12670611 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: 00000000114-1267061100000394673 United Site Services PO Box 660475 Dallas, TX 75266-0475 DATATADTDFADFTDDDTTDDDDTDFDTFTADTATAFFADATDDADDTADDTFTTTFFTDDFTDA Please Remit to: Amount Paid: Check this box if you would like to pay by credit card, change your address or decline damage waiver, and you have completed the necessary form(s) on the reverse.