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Okaloosa County BOCC — 2013 meeting #1141 (date undetermined) — Contract Payment Form & Final Invoice — reading text
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CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
DATE: 7/10/2013
COMPLETED BY DEPARTMENT
VENDOR NAME: | DeVaux Construction, Inc. VENDOR #: 21301080
CONTRACT/LEASE#: C13-2009-PS
TASK COUNTY/FEMA
VENDOR BUDGET
INVOICE # ORDER # PROJECT# — | neparTMENT#| ACCOUNT# =v
(If Applicable) (Uf Applicable)
Final Invoice 701224 534900 $ 23,301.00
TOTAL | $ 23,301.00
APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE:
COUNTY SUPERVISOR/PROJECT M. DATE: 7-/0~-/3
DATE: Gli V/s,
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—/- Mel - ¢ Emergency Management Division Chief
Dino J. Villani, Public Safety Director
DEPARTMENT DIRECTOR¢
CONTRACTS & GRANT MANAGER: DATE:
COUNTY ADMINISTRATOR: DATE:
(Payments > $25,000.)
Ic = — = J]
FINAL PAYMENT
FINAL PAYMENT YES X_ NO __ (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)
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COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWED BY:
PD EV AUX _ czites ener
See Nee ZO Contractors
CONSTRUCTION INC 348 Marie Circle
COUSLENCLION IKXC Fort Walton Beach, FL
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David P. de Vaux Jennifer Holland
Phone: 850-865-7550 Phone: 850-737-0773
State License #CGC1508316 State License #CGC1521188
Email: DevauxConstruction@gmail.com
Web: www.DevauxConstruction.com
FINAL INVOICE
Project: Okaloosa County Wind Mitigation Project
Date: May 23, 2013
Attn: Okaloosa County School
Laurel Hill High School: 8078 4" Street, Laurel Hill, FL 32567
Building 8: 20 Exeter Storm Shield Barrier $12,286.00
Baker School: 1369 14 Street, Baker, FL 32531
Building 14: 57 Exeter Storm Shield Barrier $11,015.00
Grand total price: $23,301.00