Payment Proofing ��('tdU , CITY OF OKEECHOBEE PURCHASE ORDER
/7 °hpp 55 SE 3rd Avenue
ail�Jt�bee Okeechobee, FL 34974
..,„, FLORIDA•f,:.-.III i
• PO Number: 24-00036 Date: 10/25/2023
Requisition #: REQ00178 Vendor#: erican Design
ISSUED TO: American Design Engineering Construction Inc SHIP TO: City of Okeechobee, FL- Public Works Del
2200 N Commerce Parkway Attn:David Allen
Suite 200 500 NW 11th Avenue
Weston, FL 33326- Okeechobbee, FL 34972
ITEM UNITS DESCRIPTION GL ACCT# PROJ ACCT# PRICE AMOUNT
1 0 Contract for Sidewalk improrvements in City 301-0549.6300.000 0.00 159,050.00
Draws kto• I 7oai7. •
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�C/ SUBTOTAL: 159,050.00
i Authorized b : /1/� TOTAL TAX: 0.00
Y
SHIPPING: 0.00
TOTAL 159,050.00
1. Original invoice with remittance slip must be sent to:City of Okeechobee,55 SE 3rd Avenue,Okeechobee,FL 34974.
2. Payment may be expected within 30 days of receipt of goods and invoice.
3. C.O.D.shipment will not be accepted.
• 4. Purchase Order numbers must appear on all shipping containers,packing slips and invoices.Failure to comply with the above request may delay payment.
5. All goods are to be shipped F.O.B.Destination unless otherwise stated.
6. All materials and services are subject to approval based on the description on the face of the purchase order or appendages thereof.Substitutions are not permitted without
approval of the Requesting Department.Material not approved will be returned at no cost to the City.
7. Vendor or manufacturer bears risk of loss or damage until property received and/or installed.
8. The City is exempt from all federal excise tax-ID#59-6000393 and state tax—ID#85-8012621656C-6
K is nv
1n�� d CITY OF OKEECHOBEE to-3� PURCHASE ORDER
iik 6 f O 55 SE 3rd Avenue a3
�1, 9 ;5'b 1 Okeechobee,FL 34974 T �(
-f Rouoa•r�,:,�iris I nv K �J�C 3 11`�a7
PO Number: 24-00036 Date: 10/25/2023
Requisition #: REQOO178 Vendor#: erican Design
ISSUED TO: American Design Engineering Construction Inc SHIP TO: City of Okeechobee, FL- Public Works Del
2200 N Commerce Parkway Attn:David Allen
Suite 200 500 NW 11th Avenue
Weston, FL 33326- Okeechobbee, FL 34972
ITEM UNITS DESCRIPTION GL ACCT# PROJ ACCT# PRICE AMOUNT
1 0 Contract for Sidewalk improrvements in City 301-0549.6300.000 0.00 159,050.00
SUBTOTAL: 159,050.00
-/,
Authorized b Y / TOTAL TAX: 0.00
(
SHIPPING: 0.00
TOTAL 159,050.00
1 Original invoice with remittance slip must be sent to:City of Okeechobee,55 SE 3rd Avenue,Okeechobee,FL 34974.
2. Payment may be expected within 30 days of receipt of goods and invoice.
3. C.O.D.shipment will not be accepted.
4. Purchase Order numbers must appear on all shipping containers,packing slips and invoices.Failure to comply with the above request may delay payment.
5. All goods are to be shipped F.O.B.Destination unless otherwise stated.
6. All materials and services are subject to approval based on the description on the face of the purchase order or appendages thereof.Substitutions are not permitted without
approval of the Requesting Department.Material not approved will be returned at no cost to the City.
7. Vendor or manufacturer bears risk of loss or damage until property received and/or installed.
8. The City is exempt from all federal excise tax-ID#59-6000393 and state tax—IOU 85-8012621656C-6
'.0`\A,oF•oKffC�_ Req. No. 17208
PURCHASE REQUISITION
Nary .cr. CITY OF OKEECHOBEE Important: This number must
55 S.E. Third Avenue be shown on all invoices,
-allow,,���� Okeechobee, FL 34974-2903 packages, cases,tickets and
•
* ii%N01.10 Tel: 863-763-3372 correspondence.
Fax: 863-763-1686
American Design Engineering Construction Inc SHIP TO:
2200 N. Commerce Parkway Suite 200 City of Okeechobee
Weston, FL 33326 55 SE Third Avenue
tl'I Att. Okeechobee, FL 34974
OCT 2 5 2023
INVOICE IN DUPLICATE:
THIS ORDER SUBJECT TO CONDITIONS ON FACE.
NO CHANGES MAY BE MADE WITHOUT WRITTEN
PERMISSION OF PROCUREMENT MANAGEMENT.
DATE VENDOR NO. DELIVERY DATE SHIP BEST F.O.B. DEST. TERMS
10/17/23 N/A N/A N/A N/A NET 30
ITEM NO ACCT. NUMBER QTY UNIT DESCRIPTION AMOUNT
1 301-549-6300 Bid No. PW 05-11-07-23 City of $159,050.00
Okeechobee 2023 Sidewalk
Improvements
Awarded by City Council on 8/15/23
Project to commence after 10/1/23
Drawdowns
TOTAL $159,050.00
CITY OF OKEECHOBEE IS EXEMPT FROM FEDERAL EXCISE AND TRANSPORTATION
TAXES AND STATE SALES TAX. DO NOT INCLUDE THESE TAXES IN YOUR INVOICE.
EXEMPTION CERTIFICATE WILL BE SIGNED UPON REQUIEST.
STATE SALES TAX EXEMPTION NO. 85-8012621656C-6 Allir -
FEDERAL I.D. NO 59-6000-393 i =
AUTHORIZED SIGNATURE
RECEIVING RECORD
0 PARTIAL X FINAL