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

Invoice Ha ft nyo SYSTEMS inc. 310 Center Court Venice, FL 34285 IN -2752 2023 30/ 6/ Bill To Ship To TOTAL City of Tiffin City of Tiffin 300 Railroad Street 300 Railroad Street Tiffin IA 52340 Tiffin IA 52340 United States United States 66 254. 29, 2023 Due Date: 7/ 30/ Terms Due Date PO # Sales Rep Shipping Method Net 30 2023 30/ 7/ Proposal dated 3/ 21/ 2023 Item Price Amount Quantity Tiffin WTP RO Pilot Lease Study Per Proposal Dated 3/ 2023 21/ Pilot Unit Start- up Date: 6/ 2023 6/ 1 RO Pilot Lease $ 8, 00 000. $ 8, 000. 00 2023 - 7/ 6/ 6/ 5/ 2023 4 Installation Supervision, Start Up, Support $ 00 250. 1, $ 5, 000. 00 Work performed 2023 6/ 5/ - 6/ 2023 8/ 1 Install and Start Up Travel Expenses 2, 201. 66 $ 201. 2, 66 22 elements 14 357. $ 857. 7, 08 two 22) Twenty- ( membrane N F90- 4040 1 Membrane freight 195. 00 $ 00 195. 1 R/ O Expendables 00 $ 500. 500. 00 1 Pilot Cleaning System 00 850. $ 850. 00 2023 - 7/ 6/ 6/ 2023 5/ 1 00 995. 2, $ 00 995. 2, Shipping Freight from Venice, FL to Tiffin, IA Subtotal $ 74 598. 27, 6%)1, Tax( 92 655. $ Total $ 66 254. 29, 1 of 1