Lamphier Gregory Cover Sheet 6.27 14
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RecordTrac - City of OaklandLamphier Gregory Cover Sheet 6.27 14
Uploaded by
RecordTrac - City of Oaklandx
10/09/14
1 07/07/14 9784 18,273.60 3-1201 2013001239 2 18,273.60
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18,273.60 18,273.60
Planning & Building Dept.
Invoice Date
MM/DD/YY
PO # Invoice Amount Invoice Number
Amount
L
i
n
e
#
$18,273.60
Oakland, CA 94606
64428
INPUT/AUDITED BY
x
BATCH NUMBER
BATCH DATE
2014-2015
TOTAL INVOICE
AMOUNT
Lamphier-Gregory
1944 Embarcadero
ORIGINAL INVOICE(S) MUST BE ATTACHED
06/27/14
Rina Hernandez, Administrative Services Manager
Release Line
June 27, 2014 invoice
Devan Reiff
x3550
IF INVOICE IS DISPUTED
put an X in the box
IF SUPPLIER IS SUBJECT TO
PROMPT PAYMENT
put an X in the box
SUPPLIER NUMBER
SUPPLIER NAME
ADDRESS
I HEREBY CERTIFY THE ARTICLES OR SERVICES DESCRIBED BY THE INVOICE(S) ATTACHED AND LISTED BELOW WERE NECESSARY FOR USE BY THIS AGENCY / DEPARTMENT AND
HAVE BEEN DELIVERED OR PERFORMED AND THAT NO PRIOR CLAIM HAS BEEN PRESENTED FOR SAID ARTICLES OR SERVICES:
PAYMENT REQUEST PREPARED BY
HOLD FOR PICK-UP
City of Oakland
ENCUMBRANCE LIQUIDATION
DETAILED DESCRIPTION
AGENCY/DEPARTMENT DATE AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
Invoice Total
Total
Customer or
Account
Number
Description (45 Characters Maximum)
DISTRIBUTION (Check Box):
ATTACHMENT
MAIL
PHONE NUMBER (REQUIRED) PRINTED NAME OF AUTHORIZATION SIGNATURE
Fiscal Year
CITY, STATE , ZIP
FMA 03/28/12
-
$18,273.60
ORIGINAL INVOICE(S) MUST BE ATTACHED
Rina Hernandez, Administrative Services Manager
CA BOE
Sales Tax
FMA 03/28/12
