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Hurricane Ian <br />DIVISION OF EMERGENCY MANAGEMENT <br />PA REQUEST FOR PAYMENT <br />Originating Division: Emergency Management <br />Make Warrant Payable To: Casselberry, City Of <br />Mailing Address: 95 Triplet Lake Drive <br />Casselberry, Florida 32707 <br />Contract No: Z2854 <br />TR: ENC #: LINE #: <br />OBJ Code: <br />* ORG Level: 31800404000 <br />Final Payment Indicator: <br />CF: <br />Amount: <br />FEID #: 59-1056912 <br />Voucher No: <br />Ben Obj: <br />* Grant No: 8137F <br />FID: 20-2-750001 / 105150 <br />* EO: B3 <br />Description: <br />Initial Payment: N <br />Payment #: 3 <br />ID: 117-11050-00 <br />Z2854 <br />Warrant Amount: $86,710.50 <br />For Consultant Contracts <br />SAMAS Acet #: <br />Line No.: Ben Cat: <br />Project ID: 4673PA00734 <br />By: Date: <br />Hand Written Entries: <br />Date Invoice Recvd: Aug 2, 2023 <br />Date Good/Svcs Recvd: Aug 2, 2023 <br />Date Good/Svcs Insp: Aug 3, 2023 <br />Trans Date: 000000 <br />Applicant's Agent: James Newlon Mail Check: <br />Grant Manager <br />Supervisor <br />GAR Approval <br />Grant Manager <br />Finance & Accounting <br />Travis Giffin <br />Jennifer Hudspeth <br />Melissa Shirah <br />Travis Giffin <br />Aug 2, 2023 <br />Aug 2, 2023 <br />Aug 3, 2023 <br />Aug 3, 2023 <br />Signature secured <br />Signature secured <br />Signature secured <br />Signature secured <br />electronically through website <br />electronically through website <br />electronically through website <br />electronically through website <br />authentication. <br />authentication. <br />authentication. <br />authentication. <br />Voucher Date: <br />Warrant No: EFT No: <br />OR <br />Warrant Date: EFT Date: <br />