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Inv# I2857066 - ALLIED UNIVERSAL CORP. - 05/12/2023
INVOICE Invoice Date:5/12/2023 Invoice No:I2857066 Order Date:5/3/2023 Ship Date:5/9/2023 Customer ID:122687000 001 Salesperson:SAM KORNBLUM __________ __________ BILL TO: CITY OF DANIA Attn: 954-924-3747 WATER PLANT P O BOX 1708 DANIA FL 33004 SHIP TO: CITY OF DANIA Attn: KEN GIBBS X312 1201 STERLING RD DANIA FL 33004 F.O.B. POINT CUSTOMER ORDER #SHIP VIA TERMS DELIVERY TICKET # TSU NET 30 DAYS O3071267 SITE 02 ALLIED UNIVERSAL (MEDLEY)ORDERED BY: PART NUMBER QTY ORDERED UNITS QTY SHIPPED QTY BO PRICE DISC %EXT. PRICE 6810 4,257.000 GAL 4,257.000 0.000 0.780 0.00 3,320.46 COT-SOD HYPO 12% VOL/BULK, AQUA GUARD CHLORINATING SANITIZER 91467 1.000 EACH 1.000 0.000 0.000 0.00 0.00 FUEL SURCHARGE 5501 4,257.000 GAL 4,257.000 0.000 0.004 0.00 15.58 Superfund Excise Tax-Gal 10.5% REMIT TO Allied Universal Corporation 3901 N.W. 115th Avenue Miami, FL, 33178 Phone: (305) 888-2623 Fax: (305) 885-4671 EIN: 59-0776285 Sales Total:3,336.04 Tax Total:0.00 3071267 TOTAL 3,336.04 Page: 1 of 1