Custamer Name City of Nashua NH
NJPA Member #
Henderson Henderson NJPA Reca p WorkSheei Contact Ph. Jon } barra 603-589-4709
NJPA CONTRACT 080114-HPI PO#
Date 42/4/2017
List Cost Unit List Cost Discount Net Extended
Product Desaiption {Each Unit} Quantity (Total) Type Each Total (Net}
Henderson Prewet System $7,761 6 § 46,566 25% § 5,821 $ 34,925 |
IPA Contact Item(s) Total (Net _$ 34,925 |
Non-Contract Items (Non-8rine Extreme items ONLY)
List $(Each Unit
5
4
Discount NetEach Net Total
25% $
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
25%
| fe Pe fae te Lo | re
LA nn [in [on in [ir | rn [in Fn
Ue | | |r | 1 |r | | | on foe
Non-Contract Items (for Brine Extreme ttems ONLY)
Description List Unit List Discount Net Each Net Total
$ 10% $ - $
$ 10% $ $
$ 10% $ -$
Yon-Contract Total
Please provide this recap page along with the individual product warksheet(s} when submitting your purchase o7 Order Total (Net)
if this summary page is used for customer purchse order, customer must sign and date here.
Print Name Date
Signature Date
