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Okaloosa County BOCC — June 3, 2014 — Peter Mayer TO 75 — reading text
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SUPPLY MEETS THIS NEED
Vendor #1 Contact: ___ Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: LU ) Disapprove:
Amount of Py; en Mb Date:
ly di 09. U4 (4
Purchasing Director Signature Date
Revised - 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date; 9/10/2013 PR No.: Requestor: Peter Mayer Phone No.; 504.581 7191
Department/Divisio n: Tourist Development Department (TOD)
Item Description: Alabama Living - November Full Page 4C insertion
Requesting Department's Suggested Vendor: OMOT Incorporated
Vendor's Address: P.O, Box 244014, Montgomery, AL 36124-4014
Vendor's Telephone No.: 800.410.2737 Point of Contact: Adam Freeman
Sole Source Justification: Publication is the market's monthly lifestyle magazine targeted to affluent households of $75,000+ HHI
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Reqyesting Department Head Signature Date ¢ i
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REVIEW BY DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Disapprove:
Amount Li e: Date:
pees hy ; (9-24-43
Purchasing Director Signature Date
Revised ~ 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date; 9/10/2013 PR No.: Requestor: Peter Mayer Phone No.,; 504.581.7191
D epartment/ Division: Tourist Developmert Department (TDD)
Item Description: Pensacola Magazine - November Full Page 4C insertion
Requesting Department's Suggested Vendor: DMOT Incorporated
Vendor's Address: 41 N_Jefferson Street, #402, Pensacola, FL, 32502
Vendor's Telephone No.: 850.433 1166 Point of Contact: Sharyon Miller
Sole Source Justification: Publication is the market's monthly lifestyle magazine targeted to affluent households of $75,000+ IIH
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REVIEW BY P
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Al Disapprove:
Amount of Purghgse: , 4 Date:
beat OF -L4 14
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19
SINGLE SOURCE PURCHASE DATA SHEET
Date: 9/10/2013 PR No.: Requestor: Peter Mayer Phone No, : 904.581.7191
Department/Divisi on: Tourist Development Department (TOD)
Item Description: Mobile Bay Monthly - November Full Page 4C insertion
Requesting Department's Suggested Vendor: 2MOT incorporated
Vendor's Address; °-0- Box 66200, Mobile, AL, 36660
Vendor's Telephone No.: 251.473.6269 Point of Contact: 14 Potts
Sole Source Justification: Publication is the market's monthly lifestyle magazine targeted to affluent households of $75,000+ HHI
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Re esting Departmeyt Head Signature
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REVIEW BY RCHA fet eee
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: Disapprove:
Amount VG Date:
7 Opa.)
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
19
SINGLE SOURCE PURCHASE DATA SHEET
Date; 9/10/2013 PR No.: Requestor: Peter Mayer Phone No,: 504.581.7191
Department/ Division: Tourist Development Department (TDD)
Item Description: Mississippi Magazine - November Full Page 4C insertion
Requesting Department's Suggested Vendor: DMOT Incarporated
Vendor's Address: ° ©. Box 16445, Jackson, MS, 39236
Vendor's Telephone No,: 501.982.8418 Point of Contact: Jane Foster
Sole Source Justification: Publication is the market's monthly lifestyle magazine targeted to affluent households of $75,000+ HHI
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REVIEW BY P HASING DEPARTMENT
VERIFY IF OTHER SOURCES OF SUPPLY MEETS THIS NEED
Vendor #1 Contact: Phone No.:
Vendor #2 Contact: Phone No.:
Vendor #3 Contact: Phone No.:
Buyer Comments:
Signature of Buyer Who Reviewed Date
Purchasing Services Manager Comments:
Purchasing Services Manager Signature Date
PURCHASING MANUAL - SINGLE SOURCE DETERMINATION
Comments:
Approve: a Disapprove:
Amount of Tie Date:
igen 09-24-1%
Purchasing Director Signature Date
Revised — 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 19