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A" INVOICE <br /> ~Work Authorization [] Job Order <br /> ! <br />Customer Representatives Name <br />CITY OF CASSELBERRY PHYLLIS WALLACE <br /> <br />Address City State Zip <br />95 TRIPLET LAKE DR CASSELBERRY FL 32707 <br /> <br /> Work Description <br /> <br />INSTALL SIXTEEN 100 WA'FI', HPS BISCAYNE FIXTURES MOUNTED ON 16 FT. VICTORIAN POLES AND ASSOCIATED U/G WIRE & TRENCH <br />ALONG WINGO, CAMELIA & BLUEBELL DR. IN CASSELBERRY. <br /> <br />Out of Ratio Cost <br /> <br />$6,092,14 <br /> <br />Billing Method <br /> <br /> Terms of Payment On or before 20 days after Other <br />[-~ C°st p'us 15°/° I,,J~ In Advance [~] Completion of project BI Explain below <br /> Ownership of completed project Date Payment Received <br /> ~Progress Energy [-]Customer <br /> <br />~1 Contrect Pdce $ 6,092.14. [] Cost <br />Other Terms of Payment <br /> <br />AGREEMENT <br />The Customer is responsible for the cost, repair or replacement of (1) sod, trees, shrubbery or other plants damaged in the normal course of <br />performing or gaining access to the above work, and (2) damage to non-Pregress Energy underground wires, conduit, pipes or other utiJity facilities <br />that have NOT been staked or located by owner of the facilities. Contract price and terms of payment become invalkl if the signed agreement is <br />not received by Progress Energy on or before .... 30 DAYS. <br />The undersigned hereby authorizes and employs Progress Energy to perform the above job and to furnish labor, necessary facilities or <br />equipment and / or materials for the above job and agrees to pay in accordance with the terms of payment as noted above. <br /> <br />Signature of,Above Customer or Representative ~ Date <br />Name (Please print or type) <br />AUTHORIZATION <br />Authorizing Supervisor Date <br /> <br />d_cchr_prJnt wr_fJn_quote <br /> <br />Return payment directly to: <br /> Progress Energy <br /> 3300 Exchange Pl. (NPiE) <br /> Lake Mary, FL 32746 <br /> <br /> <br />