HomeMy Public PortalAboutWeb hosting in Cyber Space - First Quarter 2007VILLAGE OF KEY BISCAYNE
Department of Finance and Administrative Services
CHECK REQUEST FORM
Date of Request , / /6 / U 7 Amount: $
Name: iqZ/4 ii1 c e_ D`7
Address:
/L
/.//z1_,cf:/,
J
u-,
•
City, State, Zip: ���a d'JC / ��Oi2-7 04 77
Telephone: 7 7- ‘3 e ` se-
Purchase Order Number: Vendor Invoice Number: /
Purpose/Des •ptio}:
7-2Z/j
CLZ
l
Prepared by :
BUDGET CODE NUMBER
AMOUNT
00 /, 0j, 5 /Z . (719-6-00
CZee-u-e-- -v-e-7_---
-il/ —
TOTAL:
'7<. 2
FUNDS AVAILABLE: Yes
No
Finance Director
Date Processed Check Number
Approved Q
Check Signed By:
Departmen lead Village Manager Village Clerk�
PLEASE RETURN TO: PLEASE MAIL: ' `
\rhafi1 5r dnr
ADVANCED DATA SOLUTIONS, INC.
Customer Invoice
Village of Key Biscayne
85 West McIntyre Street
Key Biscayne, Florida 33149
Conchita Alvarez, Village Clerk
141 Scarlet Boulevard, Suite A
Oldsmar, Florida 34677
727.638.5030 Sales
813.855.3545 Corporate
www.adsus.net
Invoice Date: Feb 15, 2007
Invoice #: 1905
Due Date: Net 30 Days
PO #: Verbal
Quantity
Description
Price
Ext. Price
3 Months
Web Hosting — City Clerk Records — First Quarter 2007
$250.00
$750.00
Total Price
$750.00