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

INCLUDES GEAR SHIFTER AND PEDALS 3 PROFESSIONAL SIMULATOR SEAT 1 EA 1479.0000 1479.00 APLB-S 4 22 INCH MONITOR 1 EA 199.0000 199.00 5 SIMULATOR COMPUTER 1 EA 550.0000 55 0.00 KEYBOARD, MOUSE, SPEAKERS INCLUDED INVOICE NO 11049C 6 SHIPPING 1 EA 480.0000 480.00 EXEMPTED PURCHASE 6A-1. 012 (11) (B) F~.c:·c..'r,ne:n I I ~ A'l 8 ?_0\4 B~ DELIVERY DATE ITERMS F.O.B. I PAGE I TOTAL $ 3,867.00 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 APPROVED FOR PAYMENT. Dat e: ~ ) I("-..'.-~.- \_\ ,l_' • INSTRUCTIONS TO VENDOR: ON REVERSE SIDE PURCHASING AGENT NOT VALID UNLESS COUNTERSIGNED By: ,.~ J ( j ~ RECEIVING DEPT. ( ~---- -- - ( ~ THE SCHOOL BOARD OF OKALOOSA COUNTY VENDOR V0002854820 Purchase Order Invoice Date Invoice Amount 14003340 05/20/2014 705932 6,009.01 14003340 05/20/2014 708019 6,989.78 14004118 05/20/2014 709410 915.81 Check Date 05/21/2014 ICheck Number 772177 !TOTAL 13,914.60 THE SCHOOL BOARD OF OKALOOSA COUNTY Chec k Date Accounts Payable FINANCE OFFICE 05/21/2014 Bank of Amenca 120 LOWERY PLACE 63-4 /630 FL • 772177 305 FORT WALTON BEACH , FL. 32548 PHONE 850-833-7652 *************************THIRTEEN NINE HUNDRED FOURTEEN DOLLARS AND PAY FLA SCH BOOK DEPOSITORY PO BOX 6578 TO THE JACKSONVILLE FL 32236 ORDER OF NOT VA LID AFTER 90 DAYS FROM DATE  p •0 • # 14004118 THE SCHOOL BOARD OF OKALOOSA COUNTY FT. WALTON BEACH ADMI NISTRATION COMPLEX DATE 05 07 2014 c/~ PU~CHASING DEPARTMENT MO . DAY YR . 120 LOWERY PLAOE S .·E , 0581 00325 FT . WALTON BEACH, FLORIDA 32548 (COST CNTR . } (REQ . NUMBER) PHONE - (850)833-7668 FAX (850)833-6327 REQUISITION STED BY : C~IN_!!D::..,Y!.._.o,G<!.A.!-'TC..OE:..::S<-.__ _ _ _ _ _ __ (PRINCIPAL I DEPARTMENT HEAD ) FLA SCHOOL BOOK DEPOSITORY s CHOCTAWHATCHEE HIGH PO BOX 6578 H 110 RACETRACK ROAD NW JACKSONVILLE FL 32236 I FORT WALTON BEACH FL 32547 p PHONE: 850-833-3614 ATTN : BERNICH T 0 FUND FUNCTION OBJECT COST CNTR . PROJECT NO . 1010 5100 0510 0581 4003 2 44 .98 0 0 44.9 8 DELIVERY DATE TERMS F.O.B . PAGE DESTINATION MAIL ORIGINAL ITEMIZED INVOICE TO: FLORIDA SALES TAX APPROVED FOR PURCHASE ~ s~~ THE SCHOOL BOARD OF OKALOOSA COUNTY FT . WALTON BEACH ADMINISTRATION COMPLEX c / o ACCOUNTS PAYABLE 12 0 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.  INVOICE FLORIDA SCHOOL BOOK I;:>~POSITORY, INC. PAYMENTS/CORRESPONDENCE: RETURNS: PO Box 6578 1125 Ellis Road N Jacksonville FL 32236 Jacksonville FL 32254 Tel (904) 781-7191 Fax (904) 781-3486 14004118 (800) 447-7957 www.fsbd.com Bill To Account # 0000046 0000046 04605-81 OKALOOSA SCHOOL DISTRICT CHO.CTAWH-.\TCHEE HIGH St"HOOL ACCOUNTS PAYA BU~ 110 NW RAC ETRACK RD 120 LOWERY PLACE SE FT WAt. TON BE A·CH, - Fl FT ~ALTON BEACH, fl 3!:5 47 32548 ATTN: SCOTT HUERK~MP LN TITLE QTY DESCRIPTION SHIP QTY PRICE A. MOU ' T 1 71-930-1 15 DRIV E RIGHT 201 0 PRENTICE HA'LL 15 59 .. 97 8 99.5 5 MAY J l 2614 8 99.55 16.2 6 20 2 1 899.5 5 1 5 3 6 43 3 8 28 .9 5 TERMS NET 30 DAYS Se0o PLEASE RETURN REMITTANCE COPY WITH PAYMENT RETl!RNS ACCEPTED WITHOUT AUTHORIZATION) . ~1~--------91-5-.3-1~ ORIGINAL INVOICE  p •0 • # 14004118 THE SCHOOL BOARD OF OKALOOSA COUNTY ~T . WALTON BEACH ADMINISTRATION COMPLEX DATE 0 • 05 07 c/o PURCHASING DEPARTMENT MO. DAY YR. 120 LOWERY PLACE · s·. EJ. . 0581 00325 FT .. WALTON BEACH, FLORIDA 32548 (COST CNTR . ) (REQ . NUMB PHONE (850)833-7668 FAX (850)833-6327 REQUISITION REQUESTED BY : C=:,I!.!.,N~D::.._Y~G!.!.A!..!T..=E:.::S~-------­ (PRINCIPAL / DEPARTMENT HEAD) v FLA SCHOOL BOOK DEPOSITORY s CHOCTAWHATCHEE HIGH E PO BOX 6578 H 110 RACETRACK ROAD NW N JACKSONVILLE FL 32236 I FORT WALTON BEACH FL 32547 p D PHONE: 850-833-3614 0 ATTN : BERNICH R T 0 VENDOR NO. SHIP TO FUND FUNCTION OBJECT COST CNTR . PROJECT NO. AMOUNT V0002854820 0581 1010 5100 0510 0581