READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — November 16, 2013 — Ben Gordon Center Final Payment — reading text
Part 1 of 1. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 37-Ben Gordon Center Final Payment.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
COMPLETED BY DEPARTMENT
pate: 08/06/2013
VENDOR NAME: Judge Ben Gordon, Jr. FVC VENDOR #:
CONTRACTILEASE#: ©12-1997-CA
TASK COUNTY/FEMA
VENDOR BUDGET
INVOICE # ORDER # PROJECT# — | peparTMENra#| ACCOUNT # AMOUNT S$
(If Applicable) (If Applicable)
1/1143 - 5/31/43 MYA 701395 534900 $ 20,859.00
TOTAL $ 20,859.00
APPROVED FOR PROGRESS PAYMENT (lease sign, as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT DATE:
COUNTY SUPERVISOR/PROJECT.
DEPARTMENT DIRECTOR: —_/ ZL.
di : ani, Cablte Sarety Pivecsor
ie CONTRACTS & GRANT MANAGER:
COUNTY ADMINISTRATOR:
(Payments>$25, 000)
DATE; 08/06/2013
DATE: F277
DATE:
DATE:
FINAL PAYMENT
FINAL PAYMENT ved ¥ Wwol_| Cf "Yes", forward to Purchasing Services Coordinator for Close-Out)
DATE: PURCHASING DIRECTOR:
(Per Initial Agreement)
Ls
DATE: _ | 2 \ 3 CONTRACTS & GRANTS MANAGER: ; QO
: (All Contracts) :
DATE: COUNTY ADMINISTRATOR APPROVAL:
(Per Initial Agreement)
DATE: BOARD APPROVAL:
(Per Initial Agreement)
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWD BY: