121203O 41.%f? CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-4445
KOPELOUSOS, BRADELY & GARRISON P.A.
1279 KINGSLEY AVENUE
SUITE 118
ORANGE PARK FL 32073
CITY OF ATLANTIC BEACH
121203800SEMINOLEROADNO.ATLANTIC BEACH, FLORIDA 32233-4445
INVOICE INVOICE PURCHASE PROJECT ACCOUNT '.< :;`;:;;;:' •
NUMBER DATE ORDER NO NUMBER
AMOUNT
10195 09/30/2015 150332 001-1004-514-31-02 8, 000 .00
GROSS RETAINAGE DISCOUNT NET
8,000.00 8,000.00
5115 KOPELOUSOS, BRADLEY & GARRISON P.A.
r
Bank of America '63-4 NO 121203
it :r CITY OF ATLANTIC BEACH Jacksonville,Florida 630
800 SEMINOLE ROAD Member FDIC
10940*
V
ATLANTIC BEACH,FLORIDA 32233-4445
VOID AFTER SIX MONTHS
NUMBER NET AiVt4UNT
5115 10/07/2015
8,000.00
EIGHT THOUSAND AND 00/100 DOLLARS **********************************************
KOPELOUSOS, BRADELY & GARRISON P.A.NON-NEGOTIABLE**_
PAY 1279 KINGSLEY AVENUE AUTHORIZED SIGNATURE
TO THE SUITE 118
ORDER OF ORANGE PARK FL 32073 NON-NEGOTIALBE**
AUTHORIZED SIGNATURE
FY It-
CITY OF ATLANTIC BEACH PURCHASE ORDER
1:,PURCHASING
PHONE (904) 247-5880
R, w lei FAX (904) 247-5819 P.O. NUMBER DATE
150332 11/13/14
THIS P.O.NUMBER MUST APPEAR ON ALL INVOICES
PACKING SLIPS.LABELS.BILLS OF LADING AND
CORRESPONDENCE
VENDOR: SHIP TO: POSTED
KOPELOUSOS, BRADLEY & GARRISON CITY OF ATLANTIC BEACH
1279 KINGSLEY AVENUE ATTN: CITY MANAGER OFFICE
SUITE 118 800 SEMINOLE ROAD
ORANGE PARK, FL 32073 ATLANTIC BEACH, FL 32233
1
VENDOR# DATE NEEDED TERMS REQUISITIONED BY
5115 09/30/15 NET PDRAKE/CITY MGR'S OFFIC3
F.O.B CONTRACT NO.ACCOUNT NO. PROJECT REQ.NO. REQ. DATE
RFP14-05 00110045143102 93489 11/05/14
LINE QUANTITY UOM ITEM NO.AND DESCRIPTION UNIT COST EXTENDED COST
1 12 .00 MO RETAINER FEES FOR OCT. 01, 2014 - 8000 . 00 96000 . 00
SEPT. 30 2015
AT $8, 000 PER MONTH. COAB COMM
APPROVED FIRM AS
CITY ATTORNEY APRIL 14, 2014, ITEM
8B, UNDER ORIG-
INAL CONTRACT SIGNED DECEMBER 16
2013 .
SUB-TOTAL 96000. 00
TOTAL
8 Sao. 6-v
J
NOTICE
I CERTIFY THAT THE ABOVE PURCHASE IS NECESSARY FOR THE
PROPER OPERATION OF THE CITY OFATLANTIC BEACH AND
THE FUNDS ARE APPROPRIATED IN THE CURRENT BUDGET
CITY OF T AN INVOICE TO:
GCITYOFATLANTICBEACH
ATTN:ACCOUNTS PAYABLE CLERK
800 SEMINOLE ROAD PURCHASING AGENT
ATLANTIC BEACH,FL 32233 THE LAWS OF THE STATE OF FLORIDA.U SA.SHALL GOVERN IN
CONNECTION WITH THE FORMATION.PERFORMANCE.AND THE
LEGAL ENFORCEMENT OF THIS PURCHASE ORDER
FEDERAL TAX ID#59-6000267
STATE TAX EXEMPT#85-8012740083C-8
O
ri(/ ,
Kopelousos, Bradley & Garrison, P.A.
kl KGMutwsos.GIL\Df.t.Yc,,,tR,;r,.,1279 Kingsley Avenue
ATTOR'IM.$.,lAW Suite 118
Orange Park,FL 32003
Phone: 904-269-1111,Fax: 904-269-1115
Invoice submitted to: Invoice# 10195
Atlantic Beach Invoice Date: 10/0I/I5
800 Seminole Rd Terms:COD
Atlantic Beach, FL 32233 Services Thru: 10/01/15
Date By Type Service-Sum ; Hours/Qty Rate Amount
In Reference To: Non Matter Related(Professional Services)
09/30/15 RCK Retainer i Monthly retainer for September 2015. Flat 8.000.00
Total Labor: 8.000.00
Total Invoice Amount: 8,000.00
e
Previous Balance: 8.000.00
fig, Payments/Adjustments:8.000.00
iv Total Amount Due: 8,000.00
RECEIVED PAID
1
OCT 42 2015 OCT 0 7 20b
NP DEPARTMENT
CK # 1 Z/ 6'3
Payments/Adjustments Detail j3p Amount
Date Transaction Type Description
fQ
8000.00
09/04/2015 Payment Monthly roamer.
ACCt # Re• ' t
Amount$ g 0 bb-ba
C 02 237
Approval/Date
Approval I Date 0- 4k-- I. 1 i c
Approval/Date A io/cn r
Approval/Date
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