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DocuSign Envelope ID: C327FOD0-D8DF-4343-B5DB-90853D1ED8AA <br />Exhibit A - RFP E-03-22 <br />Attachment F - Sample Invoice Diesel and Unleaded Gasoline <br />PORT CONSOLIDATED <br />AAIAJA . FORT LAUDERDALE . <br />WEST PALM. FORT FIERCE. <br />TAM'A . JACKSONVILLE <br />1.800A63.5823 <br />% FT LAUOEROAi.E: (854)522-11 B2 <br />AeeourltNumber: 10IM0160t <br />Invoice Number: 2920426 <br />Invoice Delis: 10128121 <br />CITY OF POMPANO BEACH NEF <br />PO DRAWER 1300 <br />POMPANO BEACH. FL 33061-13 <br />PURCR4 SE ORDER: 310160 <br />POA REQUIRED <br />TERMS : NET 16 DAYS <br />REMITTO <br />P.O. BOX 350430 <br />FT LAUDERDALE, FL 33335 0430 <br />FEIN:60-1173292 <br />Amount Due: S 21,031.40 <br />Due Date: 11/10121 <br />Shipping Address: <br />CENTRAL GARAGE - TIP <br />1190 NE 3 AVE - BLDG A <br />DEL7 AM -2 PM <br />POMPANO BEACH, FL 33060 <br />RUNTY: BROWARO <br />ksthryn.schlndelC&copbfLcom <br />Product Product Description Oellvered Quanlity Unit Pdra Extended Pelee <br />Drhror: LUIS VILLEGAS Vehicle Code: 5833 Loa 101110f164 <br />Order Number. 2929426 <br />Salesperson: PORT HOUSE <br />BOLNumber. 194460 <br />91301 ULTRA LOW SULFUR OSLFUEUSULKCALLON8 <br />e,914.0000 i2.6a300 <br />$1050.26 <br />DFE FEDERAL EXCISE DIESEL <br />$0.24300 <br />$0.00 <br />OMF STATE MOTOR FUEL DIESEL <br />$0.18500 <br />$1,279.09 <br />LOCAL OPTION OSL BROWARD <br />$0.16000 <br />$1,037.10 <br />POLLUTION DIESEL <br />M02071 <br />$143,22 <br />L.U.S.T. DIESEL 8 FED OIL WILL <br />$0.00314 <br />$21.73 <br />$21,031.40 <br />Item We: TANK 1 <br />DELIVERY BETWEEN 7AM - 2PM <br />Comment. THIS DIESEL FUEL DOES NOTCONTAIN VIS18LE EVIDENCE OF DYE <br />There (a a 1 1f2% service charge per month for unpaid amounts over 10 daya past <br />credit WWI I is agreed Rtal In the event fhts bill must be turned over for collection, <br />the post of collection, anomeys fee and court coals will be paid for by the above <br />ramed company or vassal and Its owners. <br />320198 <br />Products Total: <br />810,560.16 <br />Shipping / Freight Total: <br />$0.00 <br />Thx Tbtsi: <br />$2.481.14 <br />Total Due: <br />$21,031AO <br />