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SIEMENS <br />Final Invoice <br />VUJt I- l/ 1YV oust 110 <br />NOTICE OF AWARD DATED 1/10/12 <br />Sales Order No Sales <br />nate Quotation No <br />01/10/2012 <br />Ord Date Project No <br />Invoice No Date <br />5443110966 01/09/2014 <br />Customer No <br />3003636434 01/24/2012 440P-106011 <br />30430244 Page 1 of 2 <br />Bill To: Sold To: Ship To: <br />COUNTY OF INDIAN RIVER <br />COUNTY OF INDIAN RIVER INDIAN RIVER COUNTY ROAD & <br />BUILDING B PV ED BUILDING B BRIDGE <br />1800 2711H ST VG 1600 27TH ST DIVISION <br />drte VERO BEACH FL •60 4550 41ST ST <br />VERO BEACH FL 32960 <br />CI <br />{ 1O�Q <br />r <br />VERO BEACH FL 32967 <br />VI <br />/RCF��P <br />\5 <br />Z? <br />0 <br />to t.0 tocVb <br />Remit check payments to: Remit Incoming Wires To: Remit Incoming ACH's To: <br />SIEMENS INDUSTRY, INC. Citibank New York Citibank New York <br />CIO Citibank (Bldg Tech) 111 Wall St. New York NY 10043 USA 111 Wall St New York, NY 10043 USA <br />PO Box 2134 ABA# 021000089 SWIFT Code: CITIUS33 ABA# 021000089 <br />Carol Stream IL 60132-2134 Account# 30824211 Account# 30824211 <br />Credit Siemens Industry Inc - BT / 4133 Credit Siemens Industry Inc - BT /4433 <br />Payment for Invoice # 5443110966 Payment for Invoice # 5443110966 <br />Email Detailed Remittance advice to Email Detailed Remittance advice to <br />bfgarwires.us.sbt@siemens.com bfgarwires.us.sbt@siemens.com <br />Delivery#: <br />Ship Date: Freight Terms: Prepaid and Add Carrier/Route: Best Way Tracking No: <br />Fed Cont #: <br />Contract Summary <br />Invoice For Work Completed <br />Base Contract Amount 356,979.00 <br />Invoice for Work Performed On The Installation Of <br />BFL2-FIS-Indian River County Jail F/A <br />Total Extras To Date 0.00 <br />1. Total Work Completed To Date 100% 356,979.00 <br />Revised Contract Amount 356,979.00 <br />2. Total Retention % 0.00 <br />3. Total <br />Eamed Less Retention 356,979.00 <br />Total Requisitions To Date 356,979.00 <br />4. Less <br />Prior Requisitions 329,409.00 <br />Payments Received 329,409.00 <br />5. Amount of Requisition (Before Tax) 27,570.00 <br />State Taxes 0.00 <br />Balance Currently Unpaid 27,570.00 <br />Total Taxes 0.00 <br />RECEIVE D <br />Contact : Body, Ivan M <br />Telephone : (954)364-6600 <br />Siemens Industry, Inc. <br />Miami Sales Office <br />JAN 2 7 2014 <br />3021 N. Commerce Parkway <br />USA MAR FL 33025 <br />RISK MANAGEMENT <br />Currency: USD Invoice Total 27,570.00 <br />We accept Visa, MasterCard, and American Express. Please contact your local office for details. <br />Siemens Industry, Inc.'S Dunn and Bradstreet number is 01-094-4650 <br />Net Due By: 02/08/2014 <br />We hereby certify Nese goods were produced in compliance with an applicable requirements of Sect.6.7 and 12 of the Fair Labor Standards Act,as amended,end regulations <br />reot.lf tm oce a ddng list represems an export transactbn,then these commodities.technology or software rdems)were exported from the United States <br />Sect. X14. contrary protuiited.These items are not to be used. direcuy,in prohibited nuclear, chemi aVbiobgical or missile weapons activities.This is to <br />correct end that the contents of this shipment am as stated thereon.Fpr shipment to CaIfomia 'Displays exceeding 4• include the e -Waste recycle fee up tat per item <br />and orders of the United States <br />Departrnent of Labor Issued under <br />In accordance with the Export Administration Regulations.In al <br />certify that the Information on this imolai or pactdng Est Is true and <br />56 <br />