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#02 - City Center Pay Request 15
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#02 - City Center Pay Request 15
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9/29/2025 2:42:25 PM
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Invoice A124936 <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 />3/23/2023Date <br />Job Site Shipping Address: <br />3880 LAVERNE AVE N <br />LAKE ELMO, MN 55042-9627 <br />Created: 3/23/2023 <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 3/16/2023 3/16/2023 1 $421.0000 <br />0 $15.04 <br />Rent $15.04 <br />Non-Rental Items <br />Number Date Name Description Units No. Units Price/Unit Taxable Total <br />20-LABOR <br />RET-360389 3/16/2023 02 - <br />DISMANTLE Dismantle of Scaffold EA 1 $1,306.00 Yes $1,306.00 <br />30-FREIGHT <br />RET-360389 3/16/2023 03 - <br />DELIVER Return Charges EA 1 $100.00 Yes $100.00 <br />Total Additional Charges $1,406.00 <br />Subtotal <br />$1,525.84 <br />Other tax: (none)$0.00 <br />$104.80 <br />$1,421.04 <br />Sales tax: MN - LAKE ELMO CITY TAX (7.375%) <br />Invoice Total <br />Printed: March 23, 2023 2:24:14 PM Page 1 of 1A124936
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