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

INVOICE Remit To: 1106 Shaver Road NE Cedar Rapids, IA 52402 Phone: 319-365-9421 Toll Free: 800-728-9421 SCHIMBERG CO. Order Date Invoice Date Invoice # 04/11/2023 04/17/2023 8277305-00 Outside Rep PO # SCOTT MCMURRIN BRETT Placed By Taken By BRETT SCOTT MCMURRIN Bill To 3385 TIFFIN CITY CLERK OFFICE PO BOX 259 TIFFIN, IA 52340 US Ship To 1000 TIFFIN CITY SHOP 201 RAILROAD ST CALL TO ARRANGE BRETT 3193611698 TIFFIN, IA 52340 US Notes RECEIVED APR 18 2023 By [signature] PHONE: (319) 545-2572 EMAIL: [email protected] <table> <tr> <th>Terms</th> <th>Ship Point</th> <th>Ship Via</th> <th>Shipped Date</th> <th>Tax Jurisdiction</th> </tr> <tr> <td>NET 30 DAYS</td> <td>SCHIMBERG CEDAR RAPIDS</td> <td>S CO TRUCK</td> <td>04/17/2023</td> <td>US,IA,JOHNSON</td> </tr> </table> <table> <tr> <th>Line #</th> <th>Product And Description</th> <th>Quantity Ordered</th> <th>Quantity Shipped</th> <th>Quantity B/O</th> <th>PQty UM</th> <th>Unit Price</th> <th>Extended Price</th> </tr> <tr> <td>1</td> <td>80202010200 PIPE S80 PVC PE 2x20</td> <td>120.0</td> <td>120.0</td> <td>0.0</td> <td>FT</td> <td>2.57</td> <td>308.40</td> </tr> <tr> <td>2</td> <td>88560300200 PVC80 FEM ADP SXT 2</td> <td>4.0</td> <td>4.0</td> <td>0.0</td> <td>EA</td> <td>15.98</td> <td>63.92</td> </tr> <tr> <td>3</td> <td>88560400200 PVC80 ML ADP SXT 2</td> <td>4.0</td> <td>4.0</td> <td>0.0</td> <td>EA</td> <td>12.19</td> <td>48.76</td> </tr> <tr> <td>4</td> <td>88060700200 PVC80 90 ELL SXS 2</td> <td>10.0</td> <td>10.0</td> <td>0.0</td> <td>EA</td> <td>4.43</td> <td>44.30</td> </tr> <tr> <td>5</td> <td>88060600200 PVC80 45 ELL SXS 2</td> <td>10.0</td> <td>10.0</td> <td>0.0</td> <td>EA</td> <td>10.47</td> <td>104.70</td> </tr> <tr> <td>6</td> <td>88060000200 PVC80 CPLG SXS 2</td> <td>6.0</td> <td>6.0</td> <td>0.0</td> <td>EA</td> <td>5.52</td> <td>33.12</td> </tr> <tr> <td>7</td> <td>88063000200 PVC80 UNION SXS 2</td> <td>4.0</td> <td>4.0</td> <td>0.0</td> <td>EA</td> <td>20.39</td> <td>81.56</td> </tr> <tr> <td>8</td> <td>80202010150 PIPE S80 PVC PE 1-1/2X20</td> <td>40.0</td> <td>40.0</td> <td>0.0</td> <td>FT</td> <td>1.81</td> <td>72.40</td> </tr> <tr> <td>9</td> <td>88560400150 PVC80 ML ADP SXT 1-1/2</td> <td>1.0</td> <td>1.0</td> <td>0.0</td> <td>EA</td> <td>8.43</td> <td>8.43</td> </tr> <tr> <td>10</td> <td>88560300150 PVC80 FEM ADP SXT 1-1/2</td> <td>1.0</td> <td>1.0</td> <td>0.0</td> <td>EA</td> <td>9.16</td> <td>9.16</td> </tr> <tr> <td>11</td> <td>88063300150 PVC80 UNION SXS 1-1/2</td> <td>1.0</td> <td>1.0</td> <td>0.0</td> <td>EA</td> <td>15.04</td> <td>15.04</td> </tr> <tr> <td>12</td> <td>88060700150 PVC80 90 ELL SXS 1-1/2</td> <td>4.0</td> <td>4.0</td> <td>0.0</td> <td>EA</td> <td>3.67</td> <td>14.68</td> </tr> <tr> <td>13</td> <td>88060000150 PVC80 CPLG SXS 1-1/2</td> <td>2.0</td> <td>2.0</td> <td>0.0</td> <td>EA</td> <td>5.14</td> <td>10.28</td> </tr> <tr> <td>14</td> <td>80202010100 PIPE S80 PVC PE 1x20</td> <td>40.0</td> <td>40.0</td> <td>0.0</td> <td>FT</td> <td>1.17</td> <td>46.80</td> </tr> </table> Product Warranty: Published warranty of manufacturer only, no other warranty or liability assumed by this supplier. ALL ACCOUNTS ARE SUBJECT TO A FINANCE CHARGE OF 1 1/2% PER MONTH, OR 18% PER ANNUM, WHEN 30 DAYS OR MORE PAST DUE. MINIMUM FINANCE CHARGE OF $.50 PER MONTH.