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<br />44751 Village Court Drive, Suite 300
<br />Palm Desert, CA 92260
<br />L
<br />FEDERAL 1.0. NUMBER
<br />2.
<br />SOCIAL SECURITY NUMBER
<br />
<br />NUMBER
<br />
<br />303038
<br />
<br />~ D INDIVIDUAL
<br />
<br />D PARTNERSHIP
<br />
<br />D CORPORATION
<br />
<br />City's
<br />WIRE TRANSFER
<br />
<br />3$S 7s-'
<br />
<br />3'~~~ll~1~~~~:?,\;
<br />
<br />5~R.
<br />49900
<br />
<br />6. DEPARTMENT
<br />Public Wor
<br />10. INVOICE DATE
<br />
<br />
<br />7. DIVISION a.DATE
<br />!)esi 04/15/08
<br />11. DATE PAYMENT REQUIRED
<br />04/17/08
<br />14. TOTAL AM.9JNT OF DPV
<br />4264,940.00
<br />
<br />13. TRAVEL REQ #
<br />
<br />Account #
<br />
<br />ABA #
<br />
<br />INSTRUCTIONS:
<br />
<br />'.
<br />
<br />. Use for payment of materials up to $200.00, services up to
<br />$500.00, or reimbursements, travel, subscriptions, memberships and
<br />payment of approved agreements (must be filed in F. & M. S.
<br />or attached).
<br />
<br />. Staple original invoice, receipt, copy of order form, subscription,
<br />etc. to Purchasing copy.
<br />
<br />· Staple payment stub, remittance copy of invoice, order form,
<br />registration, etc. to Payees copy.
<br />
<br />12. Indicate title and date of documents that relate to this voucher
<br />(agreElment, contract, Council approval date).
<br />
<br />15. Type complete description/purpose.
<br />
<br />16. Signature required to authorize purchase and/or acknowledge
<br />receipt of goods/services.
<br />
<br />16. I hereby certify the above is essential to the
<br />operation of this department and that budgeted
<br />funds are available.
<br />The goods and/or services are:
<br />D RECEIVED; D NOT RE
<br />
<br />~D~
<br />
<br />
<br />PHONE
<br />
<br />ACCOUNTING
<br />APPROVAL
<br />
<br />PURCHASING
<br />APPROVAL
<br />
<br />ri3.
<br />r-)~-
<br />
<br />AGREEMENT ON FILE IN ACCOUNTING
<br />)2lYES DNa
<br />
<br />TRAVEL REQUEST
<br />DYES D NA
<br />
<br />~\\~~~ ~ ~t A~ ~~::~
<br />EXECUTIVE DIRECTOR OF FINANCE !\ND
<br />
<br />CS 408 Rev. 6/06
<br />
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