Invoice
TESCO CONTROLS, INC
An Employee-Owned Company Invoice Number: 0076900-IN
P.O. Box 299007
Invoice Date: 6/21/2022
Sacramento, CA. 95829-9007 Customer Number: RIPO
(916) 395-8800 Job Number: 30495X4
Order Date 2/11/2021
Salesperson: TF
Sold To: Ship To:
CITY OF RIPON - CITY HALL CITY OF RIPON
259 N. WILMA AVE 1201 RIVER ROAD
RIPON, CA 95366 RIPON, CA 95366
30495X4/WELL NO. 19 PS JAMES PEASE/209-599-2108
Customer P.O. Ship VIA Ship Date Terms
VERBAL AUTH. JAMES TESCO 6/15/2022 NET 30 DAYS
PEASE
Item Number Unit Ordered Shipped Back Ordered Price Amount TESCO QUOTE# 19J205Q02
CITY OF RIPON - WELL NO. 19 PUMP STATION
CONTRACT EACH 1.00 0.00 1.00 5,000.00 0.00
LUMP SUM
50CP EACH 1.00 1.00 0.00 136,000.00 136,000.00
PROGRESS BILLING NO. 03
PER ATTACHED PAY ESTIMATE NO. 03
APPROVED
Account Ca
THANK YOU
Invoice Total 136.000.00
City of Ripon CONTRACT DATE: 02/11/21
T-30495X4 : Well No. 19 Pump Station TEsCO PO/CONTRACT No.: VERBAL PAY ESTIMATE: NO. 03 TODAY'S DATE: 06/21/22
SCHEDULE OF VALUES
LD. DESCRIPTION VALUE WORK COMPLETE TOTAL COMPLETE TOTAL % BALANCE TO
PREVIOUS THIS PERIOD TO DATE COMPLETE FINISH
1 Engineered Submittals 15,000.00 S 15,000.00 $ 15,000.00 100% $ 2 Motor Control Center 136,000.00 S 136.000.00 136.000.00 100% S 3 Magnetic Flow Meter 15,000.00 S 15,000.00 15.000.00 100% S 4 Pressure Transducer 3,500.00 S 3,500.00 3.500.00 100% S 5 Antenna with Coax Cable 500.00 S 500.00 500.00 100% S 6 Startup Services 5,000.00 S 0% S 5,000.00
7 Change Orders:
Auma Actuator Addition 4.945.00 4,945.00 4,945.00 100% S 0%1 IS
0% S
0% |
0% S
TOTAL 179,945.00 $ 38,945.00 $ 136,000.00 S 174,945.00 97% S 5,000.00 Enleines any series rate reis cid roarsal and tect and pay me an euleral preto represen t and in bedawn of project deliverables. Values assigned to these System Supplier's Certification: Project Billing Summary Tesco Controls, inc. (System Supplier) certifies that to the best of the its knowledge, information and belief, the work covered by this application for payment has been completed in accordance with the Contract documents, that all 1. ORIGINAL CONTRACT AMOUNT 175.000.00 amounts have been paid for work which previous certificates for payment were issued and payments received from the 2. CHANGE ORDERS 4.945.00 Contractor or Owner (as applicable), and that current payment shown herein is now duel 3. CONTRACT TOTAL TO DAT 179.945.00
4. AMOUNT BILLED THIS APPLICATIO 136,000.00
PAYMENT APPLICATION RECOMMENDEn/APpROVEn RY 5. AMOUNT OWED OUTSTANDING James versel 6. BALANCE TO FINISH
5,000.00
BY:
File: T-30495X4 PayEstimate 03 Page 1 of 1