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Okaloosa County BOCC — August 24, 2013 — W&S American Suncraft Payment Approval — reading text
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CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
COMPLETED BY DEPARTMENT
DATE: 8/12/2013
VENDOR NAME: Ainerican Suncraft Construction Co., Inc. VENDOR #: 20800958
CONTRACT/LEASE#: CH - 1° 99- ves
TASK COUNTY/FEMA
VENDOR BUDGET
ORDER # PROJECT # ACCOUNT # AMOUNT $
INVOICE # ORDERS otis DEPARTMENT # |
PE #7 4101 546630 _| 49,161.58
FINAL 4il 2051100 106,123.00
TOTAL [$155,284.58 yr
APPROVED FOR PROGRESS PAYME
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER:
COUNTY SUPERVISOR/PROJECT MANAGER:
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AECONTRACTS & GRANT MANAGER: _ DATE:
COUNTY ADMINISTRATOR: DATE:
(Payments>$25,000)
= ear = ——— : = ——— =
FINAL PAYMENT
FINAL PAYMENT YES xX NO__ (if "Yes", forward to Purchasing Services Coordinator for Close-Out)
DATE: PURCHASING DIRECTOR:
(Per Initial Agreement)
DATE: CONTRACTS & GRANTS MANAGER:
LAY Contracts)
DATE: COUNTY ADMINISTRATOR APPROVAL:
(Per Initial Agreemeny)
DATE: BOARD APPROVAL:
(Per Initial Agreement) -
E = =|
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
. REVIEWED BY: