HomeMy WebLinkAboutRESOLUTION NO. 2016-07 RESOLUTION NO. 2016-07
RESOLUTION TO APPROVE PAY APPLICATION NO. 1 FROM
RATHJE CONSTRUCTION, CO. FOR THE PHASE 4 WATER MAIN AND
VANDERBILT PAVEMENT RECONSTRUCTION PROJECT IN THE CITY OF
FAIRFAX, LINN COUNTY, IOWA
WHEREAS, the City Council of Fairfax, Iowa has contracted with Rathje
Construction Co. for the Phase 4 Water Main and Vanderbilt Pavement Reconstruction
Project within the corporate limits; and
WHEREAS, Hall and Hall Engineers, Inc., has recommended approval of Pay
Application No. 1 from Rathje Construction Co. for a current payment due of$140,749.06.
NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of
Fairfax, Iowa, to approve Pay Application No. 1 from Rathje Construction Co. for the
Phase 4 Water Main and Vanderbilt Pavement Reconstruction Project and issue a check
for$140,749.06.
BE IT FURTHER RESOLVED, by the Fairfax City Council of the City of
Fairfax, Iowa,that the Mayor and City Clerk/Treasurer are hereby authorized and directed
to execute said resolution.
Passed and approved this 9th day of February, 2016.
AYES: Beer, Daly, Volk, and Wainwright
NAYS: None
ABSENT: Kell
t ----e--eel(df---L--,5-V ----
urnell G. Frieden, Mayor
ATTEST:
laait Via .
C�y hia Stimson, City Clerk/Treasurer
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APPLICATION FOR PAYMENT
APPLICATION NO. 01
Project: Phase 4 Water Main Replacement and Vanderbilt Street Paving Reconstruction
Improvements in Fairfax, Linn County, Iowa
Contractor: Rathje Construction Co.
P.O. Box 408
Marion, Iowa 52302
Owner: City of Fairfax, Iowa
Original Contract trj cyc• ta..F 6)4
Amount: $752,644.32
Revised Contract s ►•1W-7-v,11^t�C
Amount: $752,644.32
Date: January 28, 2016
The Contractor noted above, in accordance with the provisions of the contract documents, hereby requests
approval of this application for payment on the following estimates of contract work completed:
Original Contract Work Completed $ 46,887.15
Materials Stored On Site $ 101,269.76
Change Orders:
Change Order No. Date Approved Amount
Total Change In Contract Amount from Change Orders $ -
Total Change Order Work Completed $ -
Total Complete and Stored to Date $ 148,156.91
Retainage 5% $ 7,407.85
Total Complete and Stored to Date Less Retainage $ 140,749.06
Less Previous Payments $ -
Current Payment Due $ 140,749.06
Distribution: Owner Engineer Contractor Other
Page 1 of 1
CONTRACTOR'S CERTIFICATION:
The undersigned Contractor certifies, to the best of the Contractor's knowledge, that the above
information and estimated values of completed work covered on this Application for Payment have been
completed in accordance with the provisions of the Contract Documents, that all amounts have been paid
by the Contractor for work for which previous Applications for Payment have been made and payments
received from the Owner, and that the current payment billing requested is now due.
Contractor's Authorized Representative:�iv
' By-:-ina_z-�-�Ul C�4z At(Date: Z- 7-20/
ENGINEER'S/ARCHITECT'S RECOMMENDATION:
In accordance with the provisions of the Contract Documents and based on the Engineer's/Architect's on-
site observations of the work included in this Application for Payment and based on the
Engineer's/Architect's review of this Application for Payment including the accompanying supporting data,
and to the best of the Engineer's knowledge, information and belief, the work included in this Application
for Payment is completed substantially in conformance with the Contract Documents and payment by the
Owner is hereby recommended.
Engineer's/Architect's Authorize epres tative:
By: Date: 2i/0A' /b
CITY OF FAIRFAX PAYMENT RECOMMENDATION:
Payment to the Contractor is hereby recommended based on the Application for Payment submitted by
the Contractor and the Engineer's/Architect's recommendation.
City of Fairfax Authorized Representative:
PBy: C_.0`j'___.-,,-(' Date: 1(.'
ATTACHMENTS REQUIRED:
1. Line Item Schedule of Contract Values Summary, Amounts Completed This Period, and Amounts
Completed To Date. Recommend use of AIA Document G703.
2. Line Item Schedule of Contract Materials Stored and Values (if applicable).
ACCOUNTING USE ONLY:
- - $
- - $
- - $
- - $
- - $
- - $
Page 1 of 1
APPLICATION FOR PAYMENT
APPLICATION NO.01
Project: Phase 4 Water Main Replacement and Vanderbilt Street Paving Reconstruction
Improvements in Fairfax,Linn County,Iowa
Contractor: Rathje Construction Co.
Engineer: Hall&Hall Engineers,Inc.
Revised Contract Amount: $752,644.32
Date: January 28,2016
Bid Prices This Period To Date
Sndard Bid
item Item�Number hem Description Units Quantities Unit Price Street/ Water Main
Storm Sewer Total Quantity Amount Quantity Amount %Complete
1 01100-01 MOBILIZATION LS 1 $ 30,000.00 $ 12,000.00 $ 18,000.00 $30,000.00 0.50 $15,000.00 0.50 $15,000.00 50.00%
SUBGRADE AND SUBBASE COMPACTION LS $1,700.00 0.00 $0.00 0.00 $0.00 0.00%
2 01110-02 TESTING 1 $ 1,700.00 $ 1,700.00
3 01200-01 TRAFFIC CONTROL LS1 $ 5,900.00 $ 5,900.00 $5,900.00 0.10 $590.00 0.10 $590.00 10.00%
4 01200-41 INSTALL TEMPORARY WALKWAY'S(TRAIL) LF 30 $ 70.00 $ 2,100.00 $2,100.00 0.00 $0.00 0.00 $0.00 0.00%
TEMPORARY EROSION AND SEDIMENT LS $600.00 0.00 $0.00 0.00 $0.00 0.00%
5 01300-01 CONTROL 1 $ 600.00 $ 300.00 $ 300.00
FILTER SOCKS AT STORM SEWER EA $525.00 0.00 $0.00 0.00 $0.00 0.00%
6 01300-12 STRUCTURES 7 $ 7500 $ 525.00
TEMPORARY SEEDING AND MULCHING AC $1,500.00 0.00 $0.00 0.00 $0.00 0.00%
7 01300-15 (CONTINGENCY ITEM) 1 $ 1,500.00 $ 500.00 $ 1,000.00
8 01400-01 CLEARING AND GRUBBING LS1 $ 1,000.00 $ 500.00 $ 500.00 $1,000.00 0.50 $500.00 0.50 $500.00 50.00%
REMOVAL OF EXISTING DRIVEWAY(PCC SY $5,550.00 0.00 $0.00 0.00 $0.00 0.00%
9 01400-10 AND ASPHALT) 925 $ 6.00 $ 1,387.50 $ 4,162.50
REMOVAL OF EXISTING DRIVEWAY SY $540.00 0.00 $0.00 0.00 $0.00 0.00%
10 01400-10 (AGGREGATE) 180 $ 3.00 $ 540.00
REMOVAL OF EXISTING SEALCOAT STREET SY $180.00 0.00 $0.00 0.00 $0.00 0.00%
11 01400-10 PAVEMENT(RAILROAD Street) 90 5 2.00 0 180.00
REMOVAL OF EXISTING PCC STREET
PAVEMENT,INJCLUDING PORTION OF
ASPHALT OVERLAY(VANDERBILT STREET, SY $12,100.00 0.00 $0.00 0.00 $0.00 0.00%
INCLUDING PRAIRIE AVENUE AND S.FRONT
12 01400-10 STREET INTERSECTIONS. 2.420 $ 5.00 $ 12,100.00
13 01400-11 REMOVAL OF EXISTINGSIDEWALK SY 50 $ 5.00 5 187.50 $ 62.50 $250.00 0.00 $0.00 0.00 $0.00 0.00%
REMOVAL OF EXISTING SIDEWALK,BRICK SY $12.00 0.00 $0.00 0.00 $0.00 0.00%
14 01400-11 PAVERS 4 $ 3.00 $ 12.00
REMOVAL OF EXISTING SEWER EA $25.00 0.00 $0.00 0.00 $0.00 0.00%
15 01400-40 STRUCTURES 5 $ 5.00 $ 2,250.00
REMOVAL OF EXISTING STORM SEWER AND
CULVERT PIPE(INCLUDES F.E.S.).ALL PIPE LF $2,916.00 0.00 $0.00 0.00 $0.00 0.00%
16 01400-41 24"DIA.OR SMALLER 324 $ 9.00 $ 2,916.00
17 01400-55 ABANNDOMENT OF EXISTING WATER MAIN LS1 $ 1,200.00 $ 1,200.00 $1,200.00 0.00 $0.00 0.00 $0.00 0.00%
18 01400-60 REMOVAL OF FIRE HYDRANT EA 7 $ 1,100.00 $ 7,700.00 $7,700.00 0.00 $0.00 0.00 $0.00 0.00%
19 01400-61 REMOVAL OF VALVES EA 5 $ 400.00 $ 2,000.00 $2,000.00 0.00 $0.00 0.00 $0.00 0.00%
UNCLASSIFIED EXCAVATION AND CY $15,400.00 0.00 $0.00 0.00 $0.00 0.00%
20 02000-01 EMBANKMENT 1,100 $ 14.00 $ 15,400.00
21 02000-02 STRIP AND RESPREAD TOPSOIL CY 220 $ 32.00 $ 7,040.00 $7,040.00 0.00 $0.00 0.00 $0.00 0.00%
22 02100-01 SUBGRADE PREPARATION SY 3,700 $ 1.00 $ 3,700.00 $3,700.00 0.00 $0.00 0.00 $0.00 0.00%
SUBGRADE STABILIZATION(CONTINGENCY CY $12,600.00 0.00 $0.00 0.00 $0.00 0.00%
23 02100-20 BID ITEM) 350 $ 36.00 $ 12,600.00
GEOTEXTEXTILE FOR SUBGRADE SY $1,837.50 0.00 $0.00 0.00 $0.00 0.00%
24 02100-35 STABILIZATION(CONTINGENCY) 1,050 $ 1.75 $ 1,837.50
GRANULAR SUBBASE,B"THICK(UNDER SY $14,150.00 0.00 $0.00 0.00 $0.00 0.00%
25 02100-50 VANDERBILT STREET PAVING) 2,830 $ 5.00 $ 14,150.00
GRANULAR SUBBASE,4"THICK(UNDER SY $3,045.00 0.00 $0.00 0.00 $0.00 0.00%
26 02100-50 VANDERBILT TRAIL PAVING) 870 $ 3.50 $ 3,045.00
27 02100-60 SPECIAL BACKFILL TON 1,200 $ 12.00 $ 8,640.00 $ 5,760.00 $14,400.00 0.00 $0.00 0.00 $0.00 0.00%
28 02200-10 TRENCH STABILIZATION(CONTINGENCY) CY 100 8 32.00 $ 3,200.00 $3,200.00 0.00 $0.00 0.00 $0.00 0.00%
29 02200-20 DRAINABLEBACKFILL CY 190 $ 1.00 $ 190.00 $190.00 0.00 $0.00 0.00 $0.00 0.00%
30 02400-01 15"DIA.RCP STORM SEWER LF 91 $ 47.00 $ 4,277.00 $4,277.00 0.00 $0.00 0.00 $0.00 0.00%
31 02400-01 18"DIA RCP STORM SEWER LF 235 $ 40.00 $ 9,400.00 $9,400.00 0.00 $0.00 0.00 $0.00 0.00%
32 02400-01 24"DIA.RCP STORM SEWER LF 36 $ 7000 $ 2,520.00 $2,520.00 0.00 $0.00 0.00 $0.00 0.00%
33 02400-10 SUBDRAIN(6"DIA) LF 1,020 $ 10.50 $ 10,710.00 $10,710.00 0.00 $0.00 0.00 $0.00 0.00%
CONNECT EXIST.SUBDRAIN SERVICE TO
PROPOSED SEWER INTAKE(219 PRAIRIE EA $250.00 0.00 $0.00 0.00 $0.00 0.00%
34 02400-12 AVE) 1 S 250.00 $ 250.00
CONNECT EXIST.SUBDRAIN SERVICE TO EA $900.00 0.00 $0.00 0.00 $0,00 0.00%
PROPOSED SUBDRAIN(CONTINGENCY ITEM)
35 02400-12 2 $ 450.00 $ 900.00
36 02400-10 SUBDRAIN CLEANOUTS(24"DIA) -EA 4 $ 825.00 $ 3,300.00 $3,300.00 0.00 $0.00 0.00 $0.00 0.00%
Page 1 of 4
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Al-3 01400-60 REMOVAL OF HYDRANT EA 1 $ 1,100.00 $ 1,100.00 $1,100.00 0.00 $0.00 0.00 $0.00 0.00%
A.1-4 01400-61 REMOVAL OF VALVES EA. 3 $ 425.00 S 1,275.00 $1275.00 0.00 $0.00 0.00 $0.00 0.00%
A1-5 02100-60 SPECIAL BACKFILL TON 300 8 16.00 $ 4,800.00 $4,800.00 28.90 $462.40 28.90 $462.40 9.63%
A1-6 02200-30 DRAINABLE BACKFILL CY 25 5 1.00 $ 25.00 $25.00 0.00 $0.00 0.00 $0.00 0.00%
A1-7 02400-01 15"DIA.RCP STORM SEWER LF 40 $ 47.00 $ 1.880.00 $1,880.00 0.00 $0.00 0.00 $0.00 0.00%
Al-8 02400-51 STORM SEWER INTAKE(METRO RAS) EA1 $ 3,700.00 $ 3,700.00 $3,700.00 0.00 $0.00 0.00 $0.00 0.00%
STORM SEWER INTAKE(CURB AND GRATE $2,200.00 0.00 $0.00 0.00 $0.00 0.00%
A1-9 02400-52 INLET-SINGLE) EA 1 $ 2,200.00 $ 2,200.00
Al-10 02500-01 8"DIA.PVC WATER MAIN(C-900) LF 1,010 $ 29.25 $ 29,542.50 $29,542.50 740.00 $21,645.00 740.00 $21,645.00 73.27%
Al-11 02500-01 8"DIA.PVC WATER MAIN(C-900) LF 40 $ 29.25 $ 1,170.00 $1,170.00 0.00 $0.00 0.00 $0.00 0.00%
FURNISH AND INSTALL 8"DIA GATE VALVE $2,450.00 3.00 $3,675.00 3.00 $3,675.00 150.00%
A1-12 02500-20 AND BOX EA. 2 $ 1,225.00 $ 2,450.W
WATER SERVICES,1"(PLASTIC),INCLUDING
TRACER WIRE AND REMOVAL,DISPOSAL $15,275.00 0.00 $0.00 0.00 $0.00 0.00%
AND REPLACEMENT OF EXIST.CURB STOP
A1-13 02500-40 AND BOX EA. 13 $ 1,175.00 $ 15,275.00 -
(PLASTIC)INCLUDING TRACER WIRE AND
REMOVAL,DISPOSAL AND REPLACEMENT $16,750.00 0.00 $0.00 0.00 $0.00 0.00%
A1-14 02500-40 OF EXIST.CURB STOP AND BOX EA 10 $1,675.00 $16,750.00
CONNECT EXIST.FIRE HYDRANT AND $1,500.00 0.00 $0.00 0.00 $0.00 0.00%
Al-15 02500-49 ASSEMBLY,TO THE PRPD.8"WATER MAIN EA. 1 $1,500.00 $1,500.00
FURNISH AND INSTALL FIRE HYDRANT AND
ASSEMBLY,INCLUDING A STORZ $3,800.00 1.00 $3,800.00 1.00 $3,800.00 100.00%
Al-16 2500-50 CONNECTION EA I $3,800.00 $3,800.00
A1-17 02500-60 DISINFECION AND HYDROSTATIC TESTING LS 1 $100.00 $100.00 $1�'� 0.00 $0.00 0.00 $0.00 0.00%
REPAIR EXIST.SUBORAIN SERVICES $350.00 2.00 $700.00 2.00 $700.00 200.00%
Al-18 02600-35 (CONTINGENCY) EA1 $350.00 $350.00
PCC DRIVEWAY.5 INCH THICK OVER 4 INCH $10,240.00 0.00 $0.00 0.00 $0.00 0.00%
A1-19 02700-20 THICK SUBBASE SY 320 $32.00 _ $10,240.00
PCC DRIVEWAY,6 INCH THICK OVER 4 INCH $2,643.75 0.00 $0.00 0.00 $0.00 0.00%
Al-20 02700-20 THICK SUBBASE(CONTINGENCY) SY 75 $35.25 $2,643.75
PCC PAVEMENT REPAIR,REMOVE 7-INCH
PCC AND REPLACE 7 INCH PCC OVER 6 INCH $5,760.00 4.20 $151.20 4.20 $151.20 2.63%
A1-21 02700-30 GRANULAR SUBBASE. SY 160 $36.00 53,456.00 $2,304.00
A1-22 02700-70 PCC SIDEWALK,4INCH THICK SY6 $69.00 $245.40 $185.60 $414.00 0.00 $0.00 0.00 $0.00 0.00%
HYDROSEEDING WITH LIQUID MULCH $2,200.00 0.00 $0.00 0.00 $0.00 0.00%
A1-23 02900-12 BINDER.TYPE 1A SEED MIX AC 0.4 $5,500.00 $2,200.00
BID ALTETRNATE
2
REMOVAL OF FIRE HYDRANT(FIRE HYDRANT $900.00 0.00 $0.00 0.00 50.00 0.00%
A2-1 01400-60 HAS A WORKING VALVE) EA 3.0 $300.00 $900.00
REMOVAL OF FIRE HYDRANT DOES NOT $900.00 0.00 $0.00 0.00 $0.00 0.00%
A2-2 01400-60 HAVE A WORKING VALVE EA3 $300.00 $900.00
FURNISH AND INSTALL FIRE HYDRANT AND
ASSEMBLY,INCLUDING A STORZ $9,600.00 0.00 $0.00 0.00 $0.00 0.00%
A2-3 02500-50 CONNECTION(NO FH VALVE) EA3 $3,200.00 $9,600.00
FURNISH AND INSTALL FIRE HYDRANT AND $11,400.00 0.00 $0.00 0.00 $0.00 0.00%
ASSEMBLY,INCLUDING A STORZ
A2-4 02500-51 CONNECTION,(INCLUDING A NEW FH VALVE) EA 3 $3,800.00, $11,400.00
$100.00 0.00 $0.00 0.00 $0.00 0.00%
A2-5 02500-60 DISINFECTION AND HYDROSTATIC TESTING LS 1 $100.00 $100.00
HYDROSEEDING WITH LIQUID MULCH $550.00 0.00 $0.00 0.00 $0.00 0.00%
A2-6 02900-12 BINDER,TYPE 1A SEED MIX AC 0.1 $5,500.00 $550.00
BID ALTERNATE
3
SUBDRAIN(e"DIA PERFORATED AND $4,320.00 0.00 $0.00 0.00 $0.00 0.00%
A3-1 02400-10 WRAPPED) LF 240 $18.00 $4,320.00 $4,320.00
HYDROSEEDING WITH LIQUID MULCH $1,100.00 0.00 $0.00 0.00 $0.00 0.00%
A3-2 02900-12 BINDER,TYPE 1A SEED MIX AC 0.2 $5,500.00 51,100.00 $1,100.00
MONTHLY
$46,887.15
TOTAL:
Page 3 of 4
MATERIALS STORED ON SITE
ITEM DESCRIPTION UNITS QUANTITY PRICE PER UNIT TOTAL
WATER WATER MAIN AND COMPONENTS 1 1 $101,269.76 $101,269.76
TOTAL MATERIALS STORED ON SITE $101,269.76
CHANGE ORDERS This Period To Date
NO. Description Unit
Quantity Unit Price Total Quantity Amount Quantity Amount %Complete
TOTALS $0.00 i$ 0.00 $0.00
REVISED CONTRACT TOTAL AFTER ALL C.O.(IF ANYII $0.00 $46,887.15 ORIGINAL CONTRACT WORK COMPLETED
$101,269.76 MATERIALS STORED ON SITE
$0.00 TOTAL CHANGE ORDER WORK COMPLETED
$148,156.91 TOTAL
I 5.00% $7,407.85 RETAINAGE
$140,749.06 TOTAL LESS RETAINAGE
0.00 LESS PREVIOUS PAYMENTS
$140.749.06 CURRENT PAYMENT DUE
Page 4of4
H'DSUPPLY
Invoice# E$5304:
Invoice Date 12/0711;
WATERWORKS INVOICE Account# 09737:
Sales Rep CHRIS RICHTEF
Phone# 319-362-1691
1830 Craig Park Court Branch# 235 Cedar Rapids,IE
St. Louis,MO 63146 Total Amount Due $23,800.01
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
359 1 MB 0.439 E0347X 10478 01560942123 P2998980 0001:0001
illllilllllillIIIIIIuIIIIIIIIIIIu*IIIIiii tllllillilliIIIinll' Shipped to:
•'..� - RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
:►E.' PO BOX 408 CALL
TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408
CUSTOMER JOB- FAIRFAX WM
0
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bili of Lading Shipped Via
11/25/15 12/03/15 6651 FAIRFAX WM 6651 TRUCK
Quantity
Product Code Description Ordered Shipped BM Price UM Extended Prict
HD SUPPLY WATERWORKS PO#-7361040
020818W 8 C900 DR18 PVC PIPE (G) 4000 4000 –MM. STDA.E..D '
MARKINGS PC150 OR PC235
BID SEQ#200 el 10 58 (012.'16
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Freight Delivery Handling Restock Misc. Subtotal: 23,00.00
Other: 0.00
Terms: NET 30 Ordered By:DAN Tax: I Q�,Qn
Invoice Total: JV$23 0.00
This transaction is governed by and subject to HD Supply Waterworks'standard terms and conditions,which are incorporated by re rence and
accepted. To review these terms and conditions,please visit:www.waterworks.hdsuppiy.com/TandC.
001.0001 Page 1 of 1
KDSUPPLY Invoice D C)964270
Invoice Date 1/07!16
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis,MO 63146 Total Amount Due $15,433.99
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
""E0001 1004 01594102993 P3044351 0004:0006
III"lllliI,I�'IuI,Ilullnl"I'1111'llll�IIIillllillllllllll�nll Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
. PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX, IA
CUSTOMER JOB- 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/29/15 1/06/16 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Price
60WB6772B1 R 6'0"WB67 DDP HYD RED 6 6
61050045NSTACAP STORZ HPHA50-45NH 5"X 4.5"NST 6 6
WITH CAP
2106AS18 6X18 MJ ANCHOR CPLG CP DI C153 8 8
BID SEQ#770
5106MMRSL 6 MJ RW GATE VLV OL 3 3
BID SEQ#780
59V664S1 664-S VALVE BOX IMP 3 3
960475TTAPE 2"X25'TAPECAOT T-TAPE 1 1
235021 GPE
21AMF8062006PV 6 EBAA MEGALUG C900&IPS 2006PV 5 5
RED
21AMG106 6 MJ REGULAR GASKET F/DI 16 16
21AMBN0740XT 3/4X4 MJ BOLT&NUT(X-THRD) 96 96
36CRSTRAP 304SS CEDAR RAPIDS GROUNDING 8 8
STRAP
Freight Delivery Handling Restock Misc. Subtotal: 15,433.99
Other: 0.00
Tax: 0.00
Terms: NET 30 Ordered By:DAN
Invoice Total: 01C $15,433.99
This transaction is governed by and subject to HD Supply Waterworks'standard terms and conditions,which are incorporated by reference and
accepted. To review these terms and conditions, please visit:www.waterworks.hdsupply.com/TandC.
Porro 1 of 1
IC•DSIJPPI..YInvoice#Invoice Date 1107/16
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St. Louis,MO 63146 Total Amount Due $9,199.42
— Remit To:
_ HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
"E0001 1005 01594102994 P3044351 0005:0006
IlliuiiIi lillilillllilIiiIiiiilillinllllllilllIilillllilllr"ii Shipped to:
-r t RATHJE CONSTRUCTION COMPANY VANDERBUILT STREET
•i:1;17 • PO BOX 408 CALL DAN S FOR DIRECTIONS
dti. MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB- . 6_..5), FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/28/15 1/06/16 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Price
5108MMRWL 8 MJ RW GATE VLV OL 3 3
BID SEQ#440
59V664S1 664-S VALVE BOX IMP 4 4
36107470122 74701-22 1 CORP STOP CCXPJCTS 9 9
NO LEAD
BID SEQ#480
37107610022 76100-22 1 CURB STOP COMPXCOMP 9 9
NO LEAD
BID SEQ#490
59ROD42 42 CB STATIONARY ROD 9 9
BID SEQ#510
59CAY560155 5'6" 5601 AP CURB BOX 9 9
30WB6772B1R 6'0"WB67 DDP HYD RED 1 1
31050045NSTACAP STORZ HPHA50-45NH 5"X 4.5"NST 1 1
WITH CAP
1I08S112T 8 MJ L/P SLEEVE(I)CP DI C153 2 2
?1I089M 8 MJ 90 BEND (I) CP DI C153 1 1
?108AS12 8X12 MJ ANCH CPLG CP DI C153 2 2
?1108T080M 8X8 MJ TEE(I) CP DI C153 3 3
1108T060M 8X6 MJ TEE (I)CP DI C153 1 1
'11069MA 6 MJ ANCH 90 BEND(I) DI C153 1 1
106MMRSL 6 MJ RW GATE VLV OL 1 1
rnurI,.n Icn .. ...
K•DSLJPPI.Y Invoice# E958112
Invoice Date 1/07/16
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis,MO 63146 Total Amount Due $9,199.42
— Remit To:
HD SUPPLY WATERWORKS, LTD.
PO BOX 28330
ST LOUIS,MO 63146
III'uuiIiiIilI'IlhiliuiIIiIliiIIIIIuiiIIIIIIIIIIIIIIIIIIIIIIIIIII Shipped to:
RATHJE CONSTRUCTION COMPANY VANDERBUILT STREET
PO BOX 408 CALL DAN S FOR DIRECTIONS
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB- 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/28/15 1/06/16 6651 FAiRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Price
2106AS18 6X18 MJ ANCHOR CPLG CP DI C153 1 1
96CRSTRAP 304SS CEDAR RAPIDS GROUNDING 1 1
STRAP
0910E200C3B 1X300'BLUE PE TUBING CTS 300 300
200 PSI
21106CT 6 MJ CAP(I)CP DI C153 2 2
21AMG108 8 MJ REGULAR GASKET F/DI 20 20
21AMF108 8 MJ DI FOLLOWER GLAND 11 11
21AMF8061106 6 EBAA MEGALUG MJ D1 1106 RSTR 1 1
F/Di PIPE , BLACK
21AMG106 6 MJ REGULAR GASKET F/DI 6 6
21AMF106 MJ DI FOLLOWS 1 1
6 R GLAND
21AMBN0740XT 3/4X4 MJ BOLT&NUT(X-THRD) 204 204
39106133T 6133T 1 CTS S/S INSERT F/PE 27 27
21AMF8082008PV 8 EBAA MEGALUG C900&IPS 2008PV 5 5
RED
70317090509 317-090509-000 8X1CC DIS SAD 9 9
EPDXY W/SS STRAPS OD 7.69-9.05
Freight Delivery Handling Restock Misc. Subtotal: 9,199.42
Other: 0.00
Tax: 0.00
Terms: NET 30 Ordered By:DAN S
Invoice Total: ov,$9,199.42
This transaction is governed by and subject to HD Supply Waterworks'standard terms and conditions,which are incorporated by reference and
accepted. To review these terms and conditions, please visit:www.waterworks.hdsupply.com/TandC.
n....... 0 ..s O
H'DS U P PLY Invoice# C2I07I16!nvoice Date
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis,MO 63146 Total Amount Due $17,725.22
Remit To:
HD SUPPLY WATERWORKS, LTD.
PO BOX 28330
ST LOUIS,MO 63146
E0001X 1001 D1594100585 P3044351 0001:0006
IIhuuhiItiIiIl����il��ilnl��iuhIIunhIIIhIuh Iilii�iiiifl���n Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB-�6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/28/15 1/06/16 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped WO Price UM Extended Price
36107470122 74701-22 1 CORP STOP CCXPJCTS 18 18
NO LEAD
BID SEQ#480
37107610022 76100-22 1 CURB STOP COMPXCOMP 18 18
NO LEAD
BID SEQ#490
59CAY560155 5'6"5601 AP CURB BOX 18 18
BID SEQ#500
59ROD42 42 CB STATIONARY ROD 18 18
BID SEQ#510
39106133T 6133T 1 CTS S/S INSERT F/PE 54 54
BID SEQ#530
0910E200C3B 1X300'BLUE PE TUBING CTS 300 300
200 PSI
60WB6772B1 R 6'0"WB67 DDP HYD RED 2 2
1308N12P0811 IB20 08111B20 8"ADS N-12 PERF PIPE 240 240
081100201B
BID SEQ# 1470
1308HS0825HA 8"ADS HIGHWAY SOCK 0825HA 300 300
BID SEQ# 1480
1308CN120867AA 0867AA 8 ADS N-12 SNAP END CAP 1 1
DOUBLE WALL
31050045NSTACAP STORZ HPHA50-45NH 5"X 4.5"NST 2 2
WITH CAP
l'f161Ti,II rcr% _c-,
K'DSUPPLY Invoice# 0958204
Invoice Date 1/07/16
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis, MO 63146 Total Amount Due $17,725.22
Remit To:
_ HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
IJIIIllllililllilllll'IllIIuIIIllll'Illlllll.111111111I11111iu1II Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB-,1,...65.1„,1 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/28/15 1/06/16 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped BIO Price VIVI Extrred ud Price
96CRSTRAP 304SS CEDAR RAPIDS GROUNDING 2 2
STRAP
211084M 8 MJ 45 BEND(I)CP DI C153 5 5
5108MMRWL 8 MJ RW GATE VLV OL 3 3
21108T080M 8X8 MJ TEE (I)CP DI C153 2 2
2108AS12 8X12 MJ ANCH CPLG CP DI C153 4 4
59V664S1 664-S VALVE BOX IMP 7 7
21108T060M 8X6 MJ TEE(I)CP DI C153 2 2
2106AS13 6X13 MJ ANCH CPLG CP DI C153 3 3
SWIVEL X SOLID HYD ADAPTER
5106MMRSL 6 MJ RW GATE VLV OL 2 2
21I069M 6 MJ 90 BEND(I)CP DI C153 1 1
211081M 8 MJ 11-1/4 BEND(I)CP DI C153 1 1
21I082M 8 MJ 22-1/2 BEND(I)CP DI C153 1 1
21104CT 4 MJ CAP(I)CP DI C153 3 3
29APLG LUBE 1 GAL F/WTR/SWR PIPE 2 2
96HTH05 5#BOTTLE HTH CHLORINE GRAN 4 4
29APLAP PIPE LUBE-APPLICATOR 6 6
21AMF8082008PV 8 EBAA MEGALUG C900&IPS 2008PV 18 18
RED
nnu'ruun rrn ., .. a.,
KDSUPPLY Invoice# 58204
Invoice Date 1/07/16
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis,MO 63146 Total Amount Due $17,725.22
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
lIIIIIIIIIIIIIuIuIIIIuiIiiIIIIIIIII9nIIIIIItIIIIIIiIIIIIIIIuIIii Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB- 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/28/15 1/06/16 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Price
21AMG108 8 MJ REGULAR GASKET F/DI 38 38
21AMF108 8 MJ DI FOLLOWER GLAND 11 11
21AMF8062006PV 6 EBAA MEGALUG C900&IPS 2006PV 2 2
RED
21AMG106 6 MJ REGULAR GASKET F/DI 10 10
21AMG104 4 MJ REGULAR GASKET F/DI 3 3
21AMF104 4 MJ DI FOLLOWER GLAND 3 3
21AMBN0740XT 3/4X4 MJ BOLT&NUT(X-THRD) 378 378
5108A236023 8 A2360-23 MJ RW GV OL UACC 2 2
MUELLER GATE VALVE
70317090509 317-090509-000 8X1CC D/S SAD 18 18
EPDXY W/SS STRAPS OD 7.69-9.05
,P �' " Invoices by Email 4 w' 1hdswaterworks.com K•DSUPPLY
- Save time. r �'� WATERWORKS
tol:g Sign up under,the Online Services
- Save trees. 1 Local Knowledge
menu option and find out about a host c
err. -Go paperless. Local Experience
; of other online advantages! Local Service,Nationwid0
I
Freight Delivery Handling Restock Misc. Subtotal: 17,725.22
Other: 0.00
Tax: 0.00
Terms: NET 30 Ordered By:DAN
Invoice Total: dv.._ $17,725.22
This transaction is governed by and subject to HD Supply Waterworks'standard terms and conditions,which are incorporated by reference and
accepted. To review these terms and conditions,please visit:www.waterworks.hdsupply.com/TandC.
ICDSUPPLY Invoice# 93976
Invoice Date
0112/29/1
INVOICE WATERWORKS Account# 09737
Sales Rep CHRIS RICHTEI
Phone# 319-362-169
,_, 1830 Craig Park Court Branch# 235 Cedar Ra ids,li
St.Louis,MO 63146 p
Total Amount Due $8,768.4
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
E0015 0108 01583670334' ! P3026453 0005:0010
����i�ItlIJIiiIIiIiIIiiif Ili,,IIJI1IIIIIIII1IIiI4inIfIi,iiiIIIIII Shipped to:
aRATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB-66511 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Pricc
020618W 6 C900 DR18 PVC PIPE (G) 60. 60
MARKINGS PC150 OR PC235
21I08R06L 8X6 LEMJ REDUCER(I) DI C153 1 1
21108T060M 8X6 MJ TEE (I)CP DI C153 1 1
5106MMRSL 6 MJ RW GATE VLV OL 1 1
2106AS18 6X18 MJ ANCHOR CPLG CP DI C153 1 1
60WB6772B1R 6'0"WB67 DDP HYD RED 1 1
61050045NSTACAP STORZ HPHA50-45NH 5"X 4.5"NST 1 1
WITH CAP
59V66451 664-S VALVE BOX IMP 3 3
5108MMRWL 8 MJ RW GATE VLV OL 2 2
21I082M 8 MJ 22-1/2 BEND(I)CP DI C153 1 1
21I081M 8 MJ 11-1/4 BEND(I)CP DI C153 1 1
21I084M 8 MJ 45 BEND(I)CP DI C153 3 3
)6CRSTRAP 304SS CEDAR RAPIDS GROUNDING 1 1
STRAP
'1104CT 4 MJ CAP(I)CP DI C153 2 2
1AMF8082008PV 8 EBAA MEGALUG C900&IPS 2008PV 12 12
RED
1AMF108 8 MJ DI FOLLOWER GLAND 5 5
05:0010 CONTINUED... Pana 1 of 3
KDSUPPLYInvoice# 93976
INVOICE Invoice Date
CA2/29/1
WATERWORKSAccount# 09737
Sales Rep CHRIS RICHTEI
Phone# 319-362-169
1830 Craig Park Court Branch# 235 Cedar Rapids,Id
St.Louis,MO 63146 P
Total Amount Due $8,768.4
— Remit To:
—
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
'III'IIIIIII„IIIIlIIIIlII,,IIuIIilIIIIIII,IIII'IIIIIII'I'IItII') Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX, IA
CUSTOMER JOB 665 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped BIO Price UM Extended PricE
21AMG108 8 MJ REGULAR GASKET F/DI 17. 17
21AMF8062006PV 6 EBAA MEGALUG C900&IPS 2006PV 3 3
RED
21AMF106 6 MJ DI FOLLOWER GLAND 1 1
21AMG106 6 MJ REGULAR GASKET F/DI 5 5
21AMF8042004PV 4 MEGALUG C900&IPS 2004PV RED 1 1
21AMF104 4 MJ DI FOLLOWER GLAND 1 1
21AMG104 4 MJ REGULAR GASKET F/DI 2 2
21AMBN0740XT 3/4X4 MJ BOLT& NUT(X-THRD) 165 165
96PW0824 8"POLYWRAP 24 LAYFLAT 440' 880 880
•
65PT10M 10 MIL POLY TAPE 2"X 100' 12 12
9612TW500B 12GA KRIS-TECH BLUE WIRE 500' 2000 2000
(TRACING WIRE)
70317090509 317-090509-000 8X1CC D/S SAD 9 9
EPDXY W/SS STRAPS OD 7.69-9.05
36107470122 74701-22 1 CORP STOP CCXPJCTS 9 9
NO LEAD
37107610022 76100-22 1 CURB STOP COMPXCOMP 9 9
NO LEAD
i9CAY560155 5'6"5601 AP CURB BOX 9 9
i9ROD42 42 CB STATIONARY ROD 9 9
E0015 10109 D1583670334 P3026453 0006:0010 CONTINUED... Pace 2 of 3
I'C•DSUPPLY' Invoice# 93976
Invoice Date 12/29/1
INVOICE
���'��
WATERWORKS Account* 09737
Sales Rep CHRIS RICHTE
Phone# 319-362-169
1830 Craig Park Court Branch# 235 Cedar Rapids,I,
St.Louis,MO 63146
Total Amount Due $8,768.4
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
oIII1IIIIIII`JIIIIIIIIIIInIIIIIIIIIIIIII'Illl"llillii'i'iilll'I Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB- 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt p.. ent.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped 8/0 Price UM Extended Pric4
0910E200C1B 1X100'BLUE PE TUBING CTS 200 200
200 PSI
39106133T 6133T 1 CTS S/S INSERT F/PE 27 27
Invoices by Email / ww.hdswaterworks.com K•DSUPPLY
f - Save time r , WATERWORKS
- Save trees. Sign up under the Online Services
- menu option and find out about a host Local Knowledge
-�•- Go paperless. LocalEx Experience
f other online advantages! a
� f . . Local Service Nationwide&
Freight Delivery Handling Restock Misc. Subtotal: 8,768.48
Other: 0.00
Terms: NET 30 Ordered By:DAN SCOFIELD Tal(. 00
Invoice Total: 0,,,k-- $8,768.48
This transaction is governed by and subject to HD Supply Waterworks'standard terms and conditions,which are incorporated by reference and
accepted. To review these terms and conditions,please visit:www.waterworks.hdsupply.com/TandC.
E0015 10110 01583670334 P3026453 0007:0010 Page 3 of 3
IcDSUPPLY Invoice# CZE93999i
Invoice Date 12/29/1;
WATERWORKS INVOICE Account# 097371
Sales Rep CHRIS RICHTEf
Phone# 319-362-1691
1830 Craig Park Court Branch# 235 Cedar Rapids,I/
St.Louis,MO 63146 Total Amount Due $15,943.31
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
E0015X 10104 01583670332 P3026453 0001:0010
ii1IiIilIIIInIIIILI111IIIuilelillilillllrllllelllllll'I'IIIII'I Shipped to:
"' ". RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
'1C PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB' 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped BIO Price UI Extc-J,ted Prici
21108T060M 8X6 MJ TEE (I) CP DI C153 3 3
2106AS18 6X18 MJ ANCHOR CPLG CP DI C153 6 6
5106MMRSL 6 MJ RW GATE VLV OL 3 3
60WB6772B1R 6'0"WB67 DDP HYD RED 3 3
61050045NSTACAP STORZ HPHA50-45NH 5"X 4.5"NST 3 3
WITH CAP
59V664S1 664-S VALVE BOX IMP 8 8
5108MMRWL 8 MJ RW GATE VLV OL 5 5
21108T080M 8X8 MJ TEE(I)CP DI C153 1 1
21108CT 8 MJ CAP(I)CP DI C153 1 1
21104CT 4 MJ CAP(I)CP DI C153 2 2
21106CT 6 MJ CAP(I)CP DI C153 2 2
21I084P 8 MJXPE 45 BEND(I)CP DI C153 1 1
96CRSTRAP 304SS CEDAR RAPIDS GROUNDING 3 3
STRAP
211069MA 6 MJ ANCH 90 BEND(I) DI C153 3 3
21AMF8082008PV 8 EBAA MEGALUG C900&IPS 2008PV 8 8
RED
21AMF8081108 8 EBAA MEGALUG MJ DI 1108 RSTR 1 1
F/DI PIPE , BLACK
1001:0010 CONTINUED... Page 1 of 3
H•DSUPPLY Invoice# (JI.,,/E93999
12/29/1
WATERWORKS INVOICE Account# 09737
Sales Rep CHRIS RICHTEI
Phone# 319-362-169
1830 Craig Park Court Branch# 235 Cedar Rapids,li
St.Louis,MO 63146 Total Amount Due $15,943.3
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
IIILIIIIIIInIIIIIIIIIllInIIJIIIIIIIIIIllIII'ltllilf'I'allial Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB- 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Prici
21AMF108 8 MJ DI FOLLOWER GLAND 12 12
21AMG108 8 MJ REGULAR GASKET F/DI 22 22
21AMF106 6 MJ DI FOLLOWER GLAND 2 2
21AMG106 6 MJ REGULAR GASKET F/DI 20 20
21AMF104 4 MJ DI FOLLOWER GLAND 2 2
21AMG104 4 MJ REGULAR GASKET F/DI 2 2
21AMBN0740XT 3/4X4 MJ BOLT& NUT(X-THRD) 320 320
70317090509 317-090509-000 8X1 CC D/S SAD 6 6
EPDXY W/SS STRAPS OD 7.69-9.05
36107470122 74701-22 1 CORP STOP CCXPJCTS 6 6
NO LEAD
37107610022 76100-22 1 CURB STOP COMPXCOMP 6 6
NO LEAD
59CAY560155 5'6"5601 AP CURB BOX 6 6
59ROD42 42 CB STATIONARY ROD 6 6
E0015X 10105 01583670332 P3026453 0002:0010 CONTINUED... Page 2 of 3
H'DSUPPLY Invoice# 939991
Invoice Date12/29/1
WATERWORKS INVOICE Account# 09737;
Sales Rep CHRIS RICHTEI
Phone# 319-362-169.
1830 Craig Park Court Branch# 235 Cedar Rapids,Il
St.Louis,MO 63146 Total Amount Due $15,943.31
Remit To:
HD SUPPLY WATERWORKS, LTD.
PO BOX 28330
ST LOUIS,MO 63146
IIIIIIiIlillulIihiliilIinllilaill}lllililill'IiiIIII'I'IIIII'I Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL TIM WILLIAMS FOR DIRECTIO
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB- 651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Prici
39106133T 6133T 1 CTS S/S INSERT F/PE 18. 18
0910E200C1B 1X100'BLUE PE TUBING CTS 100 100
200 PSI
Invoices by Email www,hdswaterworks.com K•DSUPPLY
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Local Service,Nationwide
Freight Delivery Handling Restock Misc. Subtotal: 15,943.30
Other: 0.00
Tax: 0.00
Terms: NET 30 Ordered By:DAN SCOFIELD
Invoice Total: 0ig`'-$15,943.30
This transaction is governed by and subject to HD Supply Waterworks'standard terms and conditions,which are incorporated by reference and
accepted. To review these terms and conditions,please visit:www.waterworks.hdsupply.com/TandC.
E0015X 10108 01583670332 P3026453 0003:0010 Pape 3 of 3
H'DSUPPLYInvoice Invoice Date 12/29/15
WATERWORKS INVOICE Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis,MO 63146 Total Amount Due $14,802.35
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
E0015 10111 01583670335 P3026453 0008:0010
IIIIiiillilIu1lIItlI1iIIIu11tlti1lI111I1'Iill'lliIIli'1'IIJII'I Shipped to:
"r RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
e4.."' PO BOX 408 CALL DAN F/DIRECTIONS
MARION IA 52302-0408 FAIRFAX,IA
CUSTOMER JOB-16651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Price
211069M 6 MJ 90 BEND(I)CP DI C153 1 1
21108R06L 8X6 LEMJ REDUCER(I) DI C153 1 1
5108MN1RWL 8 MJ RW GATE VLV OL 4 4
21108T060M 8X6 MJ TEE(I)CP DI C153 2 2
211069MA 6 MJ ANCH 90 BEND(I) DI C153 1 1
2106AS18 6X18 MJ ANCHOR CPLG CP DI C153 3 3
5106MMRSL 6 MJ RW GATE VLV OL 2 2
60WB6772B1R 6'0"WB67 DDP HYD RED 1 1
31050045NSTACAP STORZ HPHA50-45NH 5"X 4.5"NST 1 1
WITH CAP
59V664S1 664-S VALVE BOX IMP 6 6
36CRSTRAP 304SS CEDAR RAPIDS GROUNDING 1 1
STRAP
21106CT 6 MJ CAP(I)CP DI C153 2 2
21I089M 8 MJ 90 BEND(I)CP DI C153 2 2
21108T080M 8X8 MJ TEE (I)CP DI C153 1 1
2108AS18 8X18 MJ ANCH CPLG CP DI C153 2 2
211084M 8 MJ 45 BEND(I)CP DI C153 2 2
?1108R06S 8X6 SEMJ REDUCER(I) DI C153 1 1
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HDSUPPLY Invoice# 939532
Invoice Date 12(29/15
INVOICE
�VO���
WATERWORKS Account# 097372
Sales Rep CHRIS RICHTER
Phone# 319-362-1698
1830 Craig Park Court Branch# 235 Cedar Rapids,IA
St.Louis,MO 63146 Total Amount Due $14,802.35
Remit To:
HD SUPPLY WATERWORKS,LTD.
PO BOX 28330
ST LOUIS,MO 63146
rlllr�IhhIlIul�llrllll���nl�rlr��llllhIhuIIll'lIi��ll'I'1�JIhu� Shipped to:
RATHJE CONSTRUCTION COMPANY PHASE 4 WM&VANDERBILT ST
PO BOX 408 CALL DAN F/DIRECTIONS
MARION IA 52302-0408 FAIRFAX, IA
CUSTOMER JOB-. 6651 FAIRFAX WM
Thank you for the opportunity to serve you!We appreciate your prompt pfient.
Date Ordered Date Shipped Customer PO# Job Name Job# Bill of Lading Shipped Via
12/18/15 12/22/15 6651 FAIRFAX WM 6651 OUR TRUCK
Quantity
Product Code Description Ordered Shipped B/0 Price UM Extended Price
21AMF8082008PV 8 EBAA MEGALUG C900&IPS 2008PV 18 18
RED
21AMF108 8 MJ DI FOLLOWER GLAND 1 1
21AMF8062006PV 6 EBAA MEGALUG C900&IPS 2006PV 6 6
RED
21AMF8061106 6 EBAA MEGALUG MJ DI 1106 RSTR 1 1
F/DI PIPE , BLACK
21AMG106 6 MJ REGULAR GASKET F/DI 12 12
21AMG108 8 MJ REGULAR GASKET F/DI 19 19
21AMBN0740XT 3/4X4 MJ BOLT& NUT(X-THRD) 180 180
70317090509 317-090509-000 8X1CC D/S SAD 23 23
EPDXY W/SS STRAPS OD 7.69-9.05
36107470122 74701-22 1 CORP STOP CCXPJCTS 23 23
NO LEAD
37107610022 76100-22 1 CURB STOP COMPXCOMP 23 23
NO LEAD
39106133T 6133T 1 CTS S/S INSERT F/PE 69 69
59CAY560155 5'6"5601 AP CURB BOX 23 23
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