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Invoice A122928 <br />Scaffold Service <br />P.O.Box 74008409 <br />Chicago, IL 60674-8409 <br />Send Payment To: <br />Customer <br />H + U CONSTRUCTION <br />5555 W 78TH ST <br />ATTN: ACCOUNTS PAYABLE <br />MINNEAPOLIS, MN 55439-2702, <br />USA <br />Order PO: J21001 <br />Number A14121 <br />Job Site 11170 - LAKE ELMO CITY STAIR <br />12/29/2022Date <br />Job Site Shipping Address: <br />3880 LAVERNE AVE N <br />LAKE ELMO, MN 55042-9627 <br />Created: 12/29/2022 <br />M: Minimum rental applies <br />R: Rate change applies <br />Rental Items <br />Shipment Part Number Description Qty From To Days 28-Day Ra Total <br />DEL-313409 28-Day Rent 01 Additional Rental Package, per 28 <br />Days 1 12/19/2022 12/25/2022 7 (M)$421.0000 <br />0 $105.25 <br />Rent $105.25 <br />Non-Rental Items <br />Number Date Name Description Units No. Units Price/Unit Taxable Total <br />20-LABOR <br />DEL-313409 12/19/2022 01 - <br />INSTALL Installation of Scaffold, CO-01 EA 1 $1,958.00 Yes $1,958.00 <br />DEL-313410 12/21/2022 02 - <br />DISMANTLE Dismantle of Scaffold, Original EA 1 $653.00 Yes $653.00 <br />30-FREIGHT <br />DEL-313409 12/19/2022 03 - <br />DELIVER Delivery Charges, CO-01 EA 1 $100.00 Yes $100.00 <br />DEL-313410 12/21/2022 03 - <br />DELIVER Return Charges, Original EA 1 $100.00 Yes $100.00 <br />Total Additional Charges $2,811.00 <br />Subtotal <br />$3,131.32 <br />Other tax: (none)$0.00 <br />$215.07 <br />$2,916.25 <br />Sales tax: MN - LAKE ELMO CITY TAX (7.375%) <br />Invoice Total <br />Printed: December 29, 2022 1:57:07 PM Page 1 of 1A122928