Okaloosa County BOCC — August 5, 2014 — Invoice 7-10-14 - Okaloosa County - Driver Ed Safety Program — reading text

MO. 0581 02 DAY -;f);. 00302 YR. FT. WALTON BEACH, FLORIDA 32548 (COST CNTR . ) (REQ . NUMBER) PHONE (850)833-7668 FAX (850)833-6327 REQUISITION REQUESTED BY: C=I:.:....N=Do...:Y_G=.:...:A..:..T::.ES=--------- (PRINCIPAL / DEPARTMENT HEAD) v MERIDIAN EDUCATION CORPORATION s CHOCTAWHATCHEE HIGH E FILMS MEDIA GROUP H N 1708 BRIDGEWATER DR I 110 RACETRACK ROAD NW p D HEATHROW FL 32746 FORT WALTON BEACH FL 32547 0 PHONE: 850-833-3614 R T ATIN : BERNICH 0 VENDOR NO. SHIP TO FUND FUNCTION OBJECT COST CNTR. PROJECT NO. AMOUNT V0000567100 0581 1010 5100 0510 0581 4003 1368.59 II,~~ - - - DESCRIPTIONS AND SPECIFICATIONS - - - - QUANTITY - -UNIT PRICE - - - AMOUNT -- 1 QDT25236 DRIVING IN BAD WEATHE 1 EACH 99.9500 99.95 2 QDT41308 DEADLY DRIVING DISTRA 1 EACH 99.9500 99.95 3-- """'><.LI.l.J::::>647 NAT DRIVING TEST 1 - EA:cH· I- -----9·9~5ite-- -~ 'fEST"""! I 4 . -Q:BT:3 9 6 4 8 NA'l' DRI \1IN8 -1- -EAGM - - 99.9500 ~ 5 QDT39514 RAGE BEHIND THE WHEEL 1 EACH 99.9500 99.95 6 QDT10785 ROAD RAGE HAVOC ON HW 1 EACH 99.9500 99.95 7 QDT4215 REAL LIFE TEENS ALCHOL 1 EACH 99.9500 99.95 8 QDT25244 DUI IT'S A CRIME 1 EACH 169.9500 169.95 9 QDT42241 TEENAGE DRINKING 1 EACH 129.9500 129.95 FACTS AND FICTION .L u \.I'D'I'3""9 6 4 6 DRUNK EJR Iv-ING- THE PARTY'S 11 QDT33056 HIGHSPEED IMPACT 1 EACH 99.9500 99.95 THE HIDDEN 12 Q::JTJ '"'e~ro3"'I'ER-&ET DRUGS 1 --EA"CFf - ----9 9--;-W8-6------...,7~9;...,..-e6.Y.0 DESTRUCTIVE FORCE 13 SHIPPING 1 EACH 89.5400 BOARD APPROVE FEB 24 2014 ,, ·i DELIVERY DATE I TERMS F . O. B . I PAGE I TOTAL $ -~ I DESTINATION SCHOOL I DEPARTMENT USE ONLY FLORIDA SALES TAX EXEMPT. NO 85-8012622245C-5 CERTIFICATION OF RECEIPT APPROVED FOR PURCHASE '~~ I CERTIFY THAT ITEM/S INDICATED WITH CHECK MARK ON THIS P.O. HAVE BEEN RECEIVED AND ARE APPROVED FOR PAYMENT. ITEM/S MARKED WITH A "C" HAVE NOT BEEN RECEIVED AND ARE NOT APPRO-VED FOR PAYMENT. Date: By: &&( INSTRUCTIONS TO VENDOR: ON REVERSE SIDE RECEIVING DEPT. PURCHASING AGENT NOT VALID UNLESS COUNTERSIGNED THE SCHOOL BOARD OF OKALOOSA COUNTY VENDOR V******l434 Purchase Order Invoice Date Invoice Amount 14003937 06/11/2014 2014525 5,790.93 Check Date 06/11/2014 ICheck Number 772761 !TOTAL 5,790.93 THE SCHOOL BOARD OF OKALOOSA COUNTY Check Dale Accounts Payable FINANCE OFFICE 06/11/2014 Bank of Amenca 120 LOWERY PLACE 63-4 /630 FL • 772761 305 FORT WALTON BEACH, FL. 32548 PHONE 850-833-7652 ****************************FIVE SEVEN HUNDRED NINETY DOLLARS AND PAY GULF COAST PARKING LOT SERVICE P 0 BOX 5011 TO THE FT WALTON BEACH FL 32549 ORDER OF NOT VA LID AFTER 90 DAYS FROM DATE  p. 0. # 14003937 THE SCHOOL BOARD OF OKALOOSA COUNTY 1fT. Wl 'LTON BEACH ADMINISTRATION COMPLEX DATE 04 25 2014 c/o PURCHASING DEPARTMENT MO . DAY YR. 120 LOWERY PLACE S . E . 0581 00313 FT . WALTON BEACH, FLORIDA 32548 (COST CNTR . ) (REQ . NUMBER) PHONE (850)833-7668 FAX (850)833-6327 REQUISITION REQUESTED BY : C~IN~D:!..Y!-!::G~A:!.!T..!:E::.:=S~-------­ (PRINCIPAL / DEPARTMENT HEAD) v GULF COAST PARKING LOT SERVICE CHOCTAWHATCHEE HIGH E P 0 BOX 5011 110 RACETRACK ROAD NW N FT WALTON BEACH FL 32549 FORT WALTON BEACH FL 32547 D PHONE: 850-833-3614 0 ATIN : BERNICH R T 0 VENDOR NO . SHIP TO FUND FUNCTION OBJ~ COST CNTR . PROJECT NO. AMOUNT V******1434 0581 1010 7400 .)}676 0581 4003 5790.93 o&11 I1~M - - - DESCRIPTIONS AND SPECIFICATIONS - - - - QUANTITY - -UNIT PRICE - - - AMOUNT - 1 MATERIAL LABOR AND EQUIPMENT 1 EACH 5790.9 30 0 5790.93 v CLEANING OF THE PAYMENT OF SAND AND DEBRIS CRACJS BETWEEB 1/4 AND 1/2 INCH SHALL BE SEALED WITH CRACK SEALER OIL SPOT PRIMER SHALL BE PUT PRIMER SHALL BE PUT ON OIL SPOTS TO INSURE ADHESION AND BONDING TO ASPHALT A TWO COAT APPLICATION OF COAL TAR EMULSION SEALER IN ACCORD WITH THE MAUFACTURES SPECIFICA WILL BE APPLIES AN ADDITIVE WILL BE ADDED TO INSURE ADESION AND BONDING OF SEALER TO ASPHALT SURFACE RE-STRIPPING OF PARKING LOT THAT IS SEALCOATED PER EXISTIN LAYOUT USING WHITE OR YELLOW 2YR WARRANTY COVER NORMAL WEAR AND TEAR RFQ14-30 DELIVERY DATE I TERMS F.O.B . I I TOT~ 5,790.93 I DESTINATION PAGE MAIL ORIGINAL ITEMIZED INVOICE TO: FLORIDA SALES TA1, EXEMPT . NO 85-801~245C-5 APPROVED FOR PURC~~5- v ----~ - --· -=::::::::::::: s~~ THE SCHOOL BOARD OF OKALOOSA COUNTY FT. WALTON BEACH ADMINISTRATION COMPLEX c/o ACCOUNTS PAYABLE 120 LOWERY PLACE S.E. FT. WALTON BEACH, FLORIDA 32548 PHONE (850)833-6320 FAX (850)833-6319 PURCHASING AGENT INSTRUCTIONS TO VENDOR : NOT VALID UNLESS COUNTERSIGNED ON REVERSE SIDE FINANCE DEPT.  2014525 INVOICE