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<br />Remitto: SDS 12-0749 <br />PO Box 86 <br />Minneapolis MN 55486-0749 <br />LESSOR: ROAD MACHINERY & SUPPLIES CO. <br /> <br />Invoice <br /> <br />Invoice Number: R 27186 <br /> <br />This Invoice Covers Period From: 10/4/2004 <br />To: 10/11/2004 <br />For lease Agreement: 98159 <br /> <br />RM!i <br />ROAD MACHINERY <br />"---SUPPLlES CO. <br />~.. -.. . <br /> <br />Sales, Rental and Service of Construction, Forestry, and Mining Equipment Since 1926 <br /> <br />Qrig Branch: Rentals Savage, MN 5633 W H.wy 13 <br />For billing inquiries call: 952-895-9595. Accounts Receivable <br /> <br />55378 <br /> <br />952-895-9595 <br /> <br />~ <br /> <br />TANK & TOWER FOUNDATION <br />3156 50TH STREET NE <br /> <br />Customer PO# <br />Cust Acct #: <br /> <br />68124 <br /> <br />Salesman J Sisk <br />Salesman 2: <br /> <br />dn <br /> <br />BUFFALO <br /> <br />MN 55313 <br /> <br />Contact <br /> <br />J Property Owner: <br />of Property Street Address: 7087 20TH AVE - CITY GARAGE <br />Bl <br />City: CENTERVILLE State: County: <br /> <br />~ <br /> <br />IS LESSEE THE GENERAL CONTRACTOR ON THE JOB <br />o Yes ~ No <br /> <br />Zip: 55038 <br /> <br />Contact: <br /> <br />Name of General Contractor: <br />Address: <br /> <br />Delivery Method: Scott Nelson Trucking Line: <br /> <br />FOB: Job Site Shipping Instructions: <br /> <br />Tax Exempt Cert Number: <br /> <br />Remarks: <br /> <br />Terms:Aii"~entals are p-!y'able 1" adv~nce unless otherwise stated ~ <br /> <br />Equipment Lease Charges: <br />Dsse: TRENCH SHIELD Year: 2004 Make:SHORE-TEC Model: SM824 <br />Out: 10/4/200410:00:00 AM Out Hrs: In In Hours <br /> <br />Ser: M1728 <br /> <br />RMS: 310023 <br /> <br />1 Weeks @ 66000 = 660.00 <br /> <br />Other Charges: <br /> <br />Scott Nelson, Delivery, Taxable 2 HRS @75001HR <br /> <br />Spreader Pipes 1 SET 5" PIPE <br /> <br />Taxable Total: <br />State Sales Tax Rate: <br />State Sales Tax; <br />Local Sales Tax Rate: <br />Local Sales Tax: <br />Subtotal: <br />Less Deposit: <br />Balance Due: <br /> <br />150.00 <br />5500 <br /> <br />86500 <br /> <br />6,50% <br /> <br />56..23 <br /> <br />92'1.23 <br /> <br />$921.23 <br /> <br />.'-' <br /> <br />/f <br />