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Okaloosa County BOCC — October 6, 2015 — Change Order 14-10 - County Administrative Building — reading text
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Change Order 14-10 - County Administrative Building — extracted reading text
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Purchase Requisition
for ODP Materials
PR#: OA- 0~ PO#:
(To be completed by Lord & Son) {To
Name: Okaloosa County Administration Building Ship To Address:
1217 Contract 1#: C1Z..1995·FM 1250 Eglin Parkway
-PLEASE SEE Pit-PAGE 2 FOR FURTilER INFORMATION Shalimar, FL 32579
Delivery Date: TBD
Okaloosa County Board of County Commissioners Phone: 850.689·5790
1804 Lewis Tumer Blvd. Suite 100 Fax: 850-689·5630
Fort W!ilion Beach. FL 32547
Director of Facilities Maintenance Email:
Lord &. Son Construction, Inc. Phone: 850·863·5158
19 David Street Fax: 850.8624904
Fort Walton Beach. FL 32547
Email:
General MliSOill)' ofNW FL, Inc. Phone: 850·244-2901
POBoxl747 Fax; 850·244-4835
Fort Walton. Beach; FL 32549
South Alabama Brick Inc Phone: 850-432·6163
17 Manaresa Street Fax: 850-432·6873
Pensacola, FL 32502
Rita M.aymair Email: wrtay!or@southa labamabrick.com
direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any ci.reumstunces. Receipt and
""""P.ntMI"" of materials will remain the the subcontractor. The ODP is for tax ONLY.
PO Amonnt _ _ _ _~~:.!.!1~,
Associated Sales Tax ~
- - - - " - - , t . J -(
Total with Tax&.
\ttacb detaile<l material PO Amount s.hown
Subcontractor's Authorized Signature:
Printed Name:
DaveB~
Lord &. Son's Authorized Signature:
Printed Name:
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