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-2773 7/31/2023 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 $9,911.00 Due Date: 8/30/2023 Terms Due Date PO # Sales Rep Shipping Method Net 30 8/30/2023 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</td> <td>$8,000.00</td> <td>$8,000.00</td> </tr> <tr> <td>1</td> <td>RO Pilot Lease<br>7/6/2023 - 8/5/2023</td> <td>$800.00</td> <td>$800.00</td> </tr> <tr> <td>1</td> <td>R/O Expendables</td> <td>$500.00</td> <td>$500.00</td> </tr> <tr> <td>1</td> <td>Pilot Cleaning System<br>7/6/2023 - 8/5/2023</td> <td>$850.00</td> <td>$850.00</td> </tr> </table> Subtotal $9,350.00 Tax (6%) $561.00 Total $9,911.00 RECEIVED AUG 02 2023 By [signature]