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Okaloosa County BOCC — August 24, 2013 — final invoice-CHELCO — reading text
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CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
DATE: 8/8/2013
COMPLETED BY DEPARTMENT
VENDOR NAME: Choctawhatchee Electric Coop., Inc. VENDOR #: 1924
CONTRACT/LEASE#: L93-0065-WS
TASK COUNTY/FEMA
VENDOR ORDER PROJECT 4 OEP URTMIENT , | ACCOUNT # AMOUNT $
22327652 4101 544620 300.00
TOTAL | $ 300.00 |
APPROVED FOR PROGRESS PAYMENT @lease sign, as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: fy DATE:
COUNTY SUPERVISOR/PROJECT MANAGER: __ ZFRULAGLE —_ Andekh Tite ‘DATE: Pp/13
DEPARTMENT DIRECTOR: Ty | \ | ie DATE: B/ b/ 20)
CONTRACTS & GRANT MANAGER: ws DATE:
COUNTY ADMINISTRATOR: DATE:
(Payments> $25,000.)
FINAL PAYMENT
FINAL PAYMENT YES VA O_ (if "Yes", forward to Purchasing Services Coordinator for Close-Out)
DATE: PURCHASING DIRECTOR:
(Per Initial Agreement)
DATE: CONTRACTS & GRANTS MANAGER:
(All Contracts)
DATE: COUNTY ADMINISTRATOR APPROVAL:
(Per Initial Agreement)
DATE: BOARD APPROVAL:
(Per Initial Agreement)
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWED BY:
Cc
Your Touchstone Energy*
Cooperative igh
Choctawhatchee Electric Cooperative, Inc.
0 Owned By Those We Serve
Monthly Bill Statement
Account:9000001449
Statement:22327652
Service Address: N/A
Description:
Bill Date:8/1/2013
Total Owed:$300.00
Name: OKALOOSA CO WATER & SEWER
Your Phone #: Email:
Map No: Not Assigned _| Board District:
Bill Cycle: Accounting Type of Bill: REGULAR
Current Detail of Power Charges
Service Dates Meter Readings
Meter Ae : Multiplier Usage as a Rate
From | To ays Previous Current eaaing
Previous Charges Tips
Total Owed Last Statement $1,200.00 Change burned out incandescent bulbs and put in compact
Payment-Thank You $-1,200.00 fluorescent light (CFL) bulbs. CFL's last 10 times longer than
Remaining balance last statement
$.00 regular bulbs and use 75% less electricity.You'll be glad you
; made the switch.
Current Months Charges
Lease/Rents
Subtotal
Amount due by 5pm 08/23/2013
$300.00
$300.00
$300.00
Total owed as of this statement
$300.00
Contact Customer Care at 850.892.2111 * Toll Free 800.342.0990 * www.chelco.com + Regular business hours: 8am — 5pm
Visit our website
to pay your bill online
Pay by phone: 850.892.5069x490
Please detach and return the portion below with your payment to avoid posting delays. P do not staple or paperclip.
Choctawhatchee Electric Cooperative, Inc. sian 9000001449
P.O. Box 512 atement: 22327652
Your Touchstone Energy*
3 Kh
‘operative "SS
@ DeFuniak Springs, Florida 32435-0512 Bill Date: 8/1/2013
Remaining balance last statement: $.00
ADDRESS SERVICE REQUESTED Current amount due by 5pm 08/23/2013: $300.00
Total owed as of this statement: $300.00
| CJ Please check if providing new contact information on the back.
OKALOOSA CO WATER & SEWER
1804 LEWIS TURNER BLVD STE 300
FT WALTON BCH FL 32547-1225
After 5pm 08/23/2013 add: $0.00
Amount Paid:
1 - 26 Make checks payable to CHELCO
Choctawhatchee Electric Cooperative, Inc.
P.O. Box 512
DeFuniak Springs, FL 32435-0512
0801201300000e2327b5200000300004