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

INVOICE DATE NUMBER PAGE 8/30/2023 040645 1 of 1 B COT104 I CITY OF TIFFIN L PO BOX 259 L 300 RAILRD ST T TIFFIN, IA 52340 O RECEIVED SEP 05 2023 By: APR S CITY OF TIFFIN H WATER TREATMENT PLANT I P TIFFIN, IA 52340 T O ATTENTION: <table> <tr> <th>CUSTOMER REF/PO #</th> <th>JOB #</th> <th>JOB TITLE</th> <th>SLP</th> <th>SHIPPING TYPE</th> <th>TERMS</th> </tr> <tr> <td>ADAM ENDRES</td> <td>0000410</td> <td>CITY OF TIFFIN, WTP</td> <td>WJM/</td> <td></td> <td>NET 30 DAYS</td> </tr> </table> <table> <tr> <th>QUANTITY</th> <th>PART NO.</th> <th>DESCRIPTION</th> <th>UNIT PRICE</th> <th>EXTENDED</th> </tr> <tr> <td>9.00</td> <td>STD HOURS</td> <td>TRAVEL AND FIELD SERVICE<br>COMPLETED JULY 31ST, 2023 - WE WERE ONSITE TO REMOVE THE CHEMICAL FEED DUE TO RO TESTING. WE REMOVED THE CHEMICAL FEED SO OPERATION COULD CONTINUE WITHOUT IT. INSTALLED SWITCH FOR ON OR OFF FOR CHEMICAL FEED ON PUMP 5.</td> <td>$135.00</td> <td>$1,215.00</td> </tr> <tr> <td>218.00</td> <td>MILES</td> <td>ROUND TRIP - AMES</td> <td>$1.25</td> <td>$272.50</td> </tr> </table> This invoice is subject to and incorporates by reference Automatic Systems Terms & Conditions and Customer Warranty available upon written request. Buyer expressly agrees to the provisions set forth in the Terms & Conditions and Customer Warranty. *TERMS OF PAYMENT ARE NET 30 DAYS FROM DATE OF INVOICE *A 7% PER ANNUM SERVICE CHARGE SHALL BE APPLIED TO ANY BALANCE *CREDIT CARD PAYMENTS ARE SUBJECT TO AN ADDITIONAL 5% CHARGE SUBTOTAL: $1,487.50 TAX: $0.00 TOTAL: $1,487.50