Xylem Rental ContractXylem Rental Contract #212012085 Sigma 012
300 Sigma Drive
Mobilization #1.00 Garner, NC 27529
Tel: 919- 661 -6061
Let's Solve Water Page 1 of 1 Fax: 919 -661 -6062
www.godwinpumps.com
godwin® FLY6T
S S
O H
118584
L 118584
D North Carolina Div of Emergency Mgmt P North Carolina Div of Emergency Mgmt
4236 Mail Service Ctr Myrtle Grove Road
T Raleigh, NC 27699 -4200 T Wilmington, NC 28409
O O
Contract Date
Sales Representative
Order Taken By
Order Created By
09 -21 -2018
Dave E. Donahue
Dave E. Donahue
Jacqueline Howe
Customer PO
Ordered By
Location Phone
Cell Phone
Flood Water Removal
919 - 825 -2490
Terms
Site Contact
Delivery Zone
Transaction
Net 30
Local Rental Contract
Delivery Instructions
POC Jim lannucci 910
- 523 -2253
Beginning
E- Code /Item Code
Qty
Description
Hours
Fuel
D -62381
1
CD150M 6"4045D-T2 RGT 60G
9,761.100
75.000
RC06012000OR
1
Road Crossing 6" x 12' Span Flanged
HSHX0600200DPR
2
6" x 20' Lt Wt Helix Hose W /QD
HSHX060010QDPR
1
6"x 10' Lt Wt Helix Hose W /QD
HSDS060050ODDR
12
6"x 50' HD Layflat Hose W /QD Failure to clean
nd
decontaminate all equ
pment will
SCMS060NA000R
1
6" Suction Screen result in Environmental
Cleaning
FOELIVERYFRT012
1
Inbound Freight for Road Crossings Fees and addition
rental
• TBD charges.
DELIVERYFRT012
1
Delivery Freight From Gamer to Location
$1050.00
or
)ot,.r wf ergoC
fN
f6
Accepted by - Customer's
Name: (please
print)
Delivered by:
Truck #.
Date:
Tim, .
Customer Signature:
Driver name: (please print)
Lessor /Supplier Signature:
this order is subject to Ne StmMard Tmns and Conditiotu of Sale - Xylem Americas effective on the date the order is accepted which terms ere available
:� - - - end incorpomted herein by ref cote and made a part of the agreement between the panics
Home Office:
84 Floodgate Road, Bridgeport, NJ 08014 • www.godwinpumps.com • (856) 467 -3636 • (856) 467 -4841
Quotation At 112019621
Picking # 312028477 09.21.2018 12:57