Approval of State Revolving Fund (SRF) Planning and Design Reimbursement #1 – Water Treatment Plant — E-7

Harn R/O SYSTEMS INC. 310 Center Court Venice, FL 34285 Invoice #IN-2978 10/31/2023 Bill To City of Tiffin 300 Railroad Street Tiffin IA 52340 United States Ship To City of Tiffin 300 Railroad Street Tiffin IA 52340 United States TOTAL $2,500.00 Due Date: 11/30/2023 Terms Due Date PO # Sales Rep Shipping Method Net 30 11/30/2023 Proposal dated 3/21/2023 <table> <tr> <th>Quantity</th> <th>Item</th> <th>Price</th> <th>Amount</th> </tr> <tr> <td>1</td> <td>Tiffin WTP RO Pilot Lease Study Per Proposal Dated 3/21/2023<br>Pilot Unit Start-up Date: 6/6/2023<br>Membrane Autopsy Report</td> <td>$2,500.00</td> <td>$2,500.00</td> </tr> <tr> <td colspan="2">Subtotal</td> <td>$2,500.00</td> <td></td> </tr> <tr> <td colspan="2">Tax (6%)</td> <td>$0.00</td> <td></td> </tr> <tr> <td colspan="2">Total</td> <td>$2,500.00</td> <td></td> </tr> </table> RECEIVED NOV 02 2023 By