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Inv# I2930202 - ALLIED UNIVERSAL CORP. - 04/19/2024
INVOICE Invoice Date:4/19/2024 Invoice No:I2930202 Order Date:4/12/2024 Ship Date:4/15/2024 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 O3159726 SITE 02 ALLIED UNIVERSAL (MEDLEY)ORDERED BY: PART NUMBER QTY ORDERED UNITS QTY SHIPPED QTY BO PRICE DISC %EXT. PRICE 6810 4,124.000 GAL 4,124.000 0.000 1.570 0.00 6,474.68 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 4,124.000 GAL 4,124.000 0.000 0.004 0.00 15.09 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:6,489.77 Tax Total:0.00 3159726 TOTAL 6,489.77 Page: 1 of 1