Okaloosa County BOCC — October 20, 2015 — 10-13-2015 TaskOrder2 Invoice

CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT COMPLETED BY DEPARTMENT paTe: 08/03/2015 VENDOR Name: Hatch Mott MacDonald VENDOR # 20400265 conTRACT/LEASE#: C14-2080-PW . /. / 2/ ) TASK COUNTY/FEMA VENDOR BUDGET ORDER # PROJECT # ACCOUNT # AMOUNT § INVOICE # (1f Applicable) (1f Applicable) DEPARTMENT # IN0D005071 2 8777 320] S3<472 $9,014.90 TOTAL $9,014.90 CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: COUNTY SUPERVISOR/PROJECT MANAGER: & - 3 2l¢ Beeoye I < : DEPARTMENT DIRECTOR: ONTRACTS & GRANT MANAGER: ) \ NJ \ COUNTY ADMINISTRATOR: "\ DATE: (Payments>$25,000.) — FINAL PAYMENT FINAL PAYMENT YESDNOE (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) r — —— = = = = COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWD BY: Invoice '“ Hatch Mott rass- el MacDonald Hatch Mott MacDonald 220 West Garden St. Suite 700 OKALOOSA COUNTY Pensacola, FL 32502 1759 SOUTH FERDON BLVD. United States CRESTVIEW, FL 32536 T 850-484-6011 F 850-505-0265 Invoice No IN00005071 Date 03 August 2015 Customer PO ref C14-2080-PW TO2 Customer contact Richard Brannon Our reference 319433 HMM Contact Thomas McLendon Customer No 0700014 Page 1o0f1 Project Description Okaloosa County - Fairchild Road ACTIVITY: 319433AA01, Engineering Professional Personnel Hours Billing Rate Amount Engineer Il 17.50 75.00 1,312.50 Project Manager 37.00 135.00 4,995.00 Subtotal for Professional Personnel 54.50 6,307.50 ACTIVITY: 319433SC02, WETLAND SCIENCES Reimbursable Expenses/Charges Direct Amount Markup % Amount Wetland Sciences Invoice 2,707.40 0.00 2,707.40 Subtotal for Reimbursable Expenses/Charges 2,707.40 | Grand Total Due: $ 9,014.90] Send Payment & Remittance Copy to: Hatch Mott MacDonald P.O. Box 510344 Pittsburgh, PA 15250-0344 Please do not mall correspondence to this address Hatch Mott MacDonald Registered in USA Wetland Sciences, Inc. Invoice e WETLEYND Pensacola, Florida 32507 o - RN INVOICE R ST I _.____:Il T (> ____.!” ) 6/26/2015 2014-500 I NC ORPOWRATE D BILL TO Hatch Mott MacDonald Attn. Thomas McLendon 220 W Garden St, Suite 700 Pensacola, F1 32502 P.O. NO. TERMS CONTACT 2013-040 Due on receipt KDJ DESCRIPTION RATE SERVICED QTY AMOUNT Mileage 0.51|6/18/2015 140 71.40 DEP Permit Application Fee remitted by Wetland 320.00 | 6/19/2015 1 320.00 Sciences, Inc. Field inspection of proposed wetland impacts to gather 96.50 | 6/23/2015 8 772.00 data needed for ERP Application Reporting hours needed for preparation and submittal of 96.50(6/23/2015 16 1,544.00 ERP Application Please remit to:1829 Bainbridge Ave. Pensacola Florida 32507 Total $2,707.40