121832CITY OF ATLANTIC BEACH
j `;;, . -. ', 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 121832800SEMINOLEROADNO.
ATLANTIC BEACH, FLORIDA 32233-4445
INVOICE INVOICE PURCHASE PROJECT ACCOUNT : AMOUNT
NUMBER DATE.:.ORDER NO.NUMBER NUMBER
10213 11/02/2015 001-1004-514-31-00 300 . 00
GROSS RETAINAGE DISCOUNT NET
300.00
300.00
5115 KOPELOUSOS, BRADLEY &GARRISON P.A.
Bank of America ' 63=i NO. 121832
CITY OF ATLANTIC BEACH Jacksonville,Florida 630
s' 800 SEMINOLE ROAD Member FDIC
ATLANTIC BEACH,FLORIDA 32233-4445
VOID AFTER SIX MONTHS
VENDOR NUMBER DATE NET AMOUNT
5115 11/24/2015 300.00
THREE HUNDRED AND 00/100 DOLLARS ******************************
4****x***x******X
KOPELOUSOS, BRADELY & GARRISON P.A.NON-NEGOTIABLE**
PAY 1279 KINGSLEY AVENUE
AUTHORIZED SIGNATURE
TO THE SUITE 118 NON-NEGOTIALBE**
ORDER OF ORANGE PARK FL 32073 AUTHORIZED SIGNATURE
CHECK REQUEST
411r
11/16/1511 t`'
DATE s-)
VENDOR NO. 5115
PAYEE KOPELOUSOS, BRADLEY & GARRISON J;;>f'
ADDRESS 1279 Kingsley Avenue
CITY Orange Park
STATE FL
ZIP CODE 32073
ACCOUNT DESCRIPTION ACCOUNT NUMBER PROJECT NO.AMOUNT
Professional Services 001-1004-514.31-00
300.00
Subtotal from Page 2
TOTAL 300.00
DESCRIPTION OF ITEM OR SERVICE:
Invoice# 10213
SPECIAL INSTRUCTIONS:
To expedite processing, please attach adequate documentation to support payment.
ADDITIONAL APPROVALS ONLY REQUIRED
WHEN CHECK REQUEST IS OVER $500
lltficr I
RE UESTED BY/ DATE DEPT HEAD / DATE FINANCE DIR / DATE CIT MGR / DATE
Effective. 5/10/04
Revised: 5/19/04
r,........,
PAID
Kopelousos, Bradley & Garrison, P.A.
NOV 2 4 205IcGARRISN..
BRADLEY 1279 Kingsley AvenueaGARRISON..r
t nrrc RNt».1 LAW Suite 118
GP( # /Z/g?7—
Orange Park,FL 32003
Phone: 904-269-1111,Fax: 904-269-1115
Invoice submitted to: Invoice # 10213
Atlantic Beach Invoice Date: 11/02/15
800 Seminole Rd Terms:COD
Atlantic Beach, FL 32233 Services Thru: 11/02/15 \
Date By Type Service Summary Hours/Qty Rate Amount
In Reference To: Litigation Atlantic Beach(Professional Services)
10/16/15 RCK Draft Receive and review Writ ofGarnishment: 1.00 200.00 200.00
Verify infomration on Clerk of Court
database. Draft Notice of Appearance,Email
Designation. Telephone conference with
Direcot of Finace regarind Salary information.
deductions and withholding. Prepare Answer
to Writ of Garnishment. Forward to Human
Resource Director for review.
10/16/15 RCK Draft Telephone call from Human Resource 0.50 200.00 100.00
Director;prepare Notice of Confidential
Information;Finalize doucuments and file
through e-portal;Send email to opposing
counsel with electgronic copies of pleadings:
Send paper copy to employee.
Flours:1.50
Labor: 300.00
Invoice Amount: 300.00
Date By Type Service Summary l-lours/Qty Rate Amount
In Reference To: Non Matter Related(Professional Services) eeil
11/02/15 RCK Retainer Monthly retainer for October 2015.0 1 2407/ Flat 8.000.00
Labor: 8,000.00
Invoice Amount: 8,000.00
Total Hours:1.50
Total Labor: 8,300.00
Total Invoice Amount: 8,300.00
Previous Balance: 8,000.00
Payments/Adjustments: 8.000.00
Total Amount Due: 8,300.00
Payments/Adjustments Detail
0 Page: 1 of 2
Datc Transaction Type Description Amount
10/09/2015 Payment Retainer Sept.2015 8000.00
Page:2 of 2