HomeMy WebLinkAboutPurchase Confirmation Letter & Check Request FormTO:
FROM:
DATE:
PURCHASE CONFIRMATION LETTER
AND CHECK REQUEST FORM
FINANCE DEPARTMENT
CODE COMPLIANCE —PUBLIC WORKS
June 11, 2008
MAKE CHECK PAYABLE TO;
VENDOR #: One time vendor
Star Homes of Florida, LLC
2041 S.W. Bayshore Blvd.
Pt. St. Lucie, FI 34984
Q�ncnni• Refund Impact Fees for Permit#0702-0265,will not be continuing with the
1-1 .V building process.
AMOUNT OF CHECK: $12,169.39
ACCOUNT TO BE CHARGED:
616-0000-229025-000
615-0000-229029-000
615-0000-229027-000
615-0000-229028-000
615-0000-229001-000
615-0000-229014-000
615-0000-229034-000
616-0000-229024-000
101-1003-0000-329100-000
491-2415-322000-200
650-0000-208201-000
A50-0000-208200-000
102-2415-369100-200
$193.00-4%= $186.28
$484.00-4%= $464.64
$245.33-4%= $236.62
$122.67-4%-- $117.76
$2,186.00-4%= $2,098.56
$5,125.00-4%= $4,920.00
$183.00-4%= $175.68
$494.00-4%= $474.24
$150.00,
$3,301.37 -
$23.17-10%= $20.86
$23.17-5%.= $22.01
$3.48
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DEPARTMENT HEAD:
DEPARTMENT APPROVAL:
COUNTY ADMINISTRATOR APPROVAL:
FINANCE APPROVAL:
XXX MAIL CHECK TO VENDOR
SEND CHECK TO DEPARTMENT/ATTN:
HOLD CHECK FOR PICK-UP IN FINANCE FOR:
SPECIAL INSTRUCTIONS:
OFFICE MANAGEMENT & BUDGET