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

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 TIFFIN CITY CLERK OFFICE PO BOX 259 TIFFIN, IA 52340 US Ship To TIFFIN CITY SHOP 201 RAILROAD ST CALL TO ARRANGE BRETT 3193611698 TIFFIN, IA 52340 US Notes 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>15</td> <td>88560400100 PVC80 ML ADP SXT 1</td> <td>1.0</td> <td>1.0</td> <td>0.0</td> <td>EA</td> <td>5.02</td> <td>5.02</td> </tr> <tr> <td>16</td> <td>88560300100 PVC80 FEM ADP SXT 1</td> <td>1.0</td> <td>1.0</td> <td>0.0</td> <td>EA</td> <td>4.61</td> <td>4.61</td> </tr> <tr> <td>17</td> <td>88063300100 PVC80 UNION SXS 1 857-010</td> <td>1.0</td> <td>1.0</td> <td>0.0</td> <td>EA</td> <td>6.69</td> <td>6.69</td> </tr> <tr> <td>18</td> <td>88060700100 PVC80 90 ELL SXS 1</td> <td>4.0</td> <td>4.0</td> <td>0.0</td> <td>EA</td> <td>2.56</td> <td>10.24</td> </tr> <tr> <td>19</td> <td>88060000100 PVC80 CPLG SXS 1</td> <td>2.0</td> <td>2.0</td> <td>0.0</td> <td>EA</td> <td>3.13</td> <td>6.26</td> </tr> <tr> <td colspan="7">19 Lines Total</td> <td>TOTAL 894.37</td> </tr> <tr> <td colspan="7">SALES PERSON CONTACT INFORMATION<br>SCOTT McMURRIN<br>[email protected]</td> <td>INVOICE TOTAL 894.37</td> </tr> </table>