Professional Documents
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10/09/14
1 05/08/13 9433 $32,272.56 32,272.56 1010 90591 54930 P452940
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32,272.56 32,272.56
3-1201
2012-2013
See attached invoice and statement.
Fund
Project
May 3 2013 Invoice for Coliseum
Org
\
Planning & Building
05/03/13
64428
510-238-3550
Devan Reiff, Strategic Planning
ORIGINAL INVOICE(S) MUST BE ATTACHED
Account
$32,272.56
Lamphier-Gregory
1944 Embarcadero
Amount
Oakland, CA 94606
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OR PERFORMED AND THAT NO PRIOR CLAIM HAS BEEN PRESENTED FOR SAID ARTICLES OR SERVICES:
PAYMENT REQUEST PREPARED BY
City of Oakland
DIRECT PAYMENT REQUEST
DETAILED DESCRIPTION
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MM/DD/YY
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ATTACHMENT
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Description (50 Characters Maximum )
Fiscal Year
CITY, STATE , ZIP
FMA 03/28/12
IP50
See attached invoice and statement.
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Program
ORIGINAL INVOICE(S) MUST BE ATTACHED
$32,272.56
FMA 03/28/12
10/09/14
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Account
$0.00
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Amount Org
Fund
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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
City of Oakland
DIRECT PAYMENT REQUEST
AGENCY/DEPARTMENT
AUTHORIZATION SIGNATURE AND DATE (REQUIRED)
DATE
Invoice Date
MM/DD/YY
Invoice Amount Invoice Number
Customer or
Account
Number
Date Invoice
Received
MM/DD/YY
PHONE NUMBER (REQUIRED) PRINTED NAME OF AUTHORIZATION SIGNATURE
BATCH NUMBER
BATCH DATE
INPUT/AUDITED BY:
TOTAL INVOICE
AMOUNT
DISTRIBUTION (Check Box):
HOLD FOR PICKUP
ATTACHMENT
MAIL
Description (50 Characters Maximum )
Fiscal Year
CITY, STATE , ZIP
FMA 03/28/12 Page 3 of 28
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$0.00
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Amount Org
Fund Project
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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
City of Oakland
DIRECT PAYMENT REQUEST
AGENCY/DEPARTMENT
AUTHORIZATION SIGNATURE AND DATE (REQUIRED)
DATE
Invoice Date
MM/DD/YY
Invoice Amount Invoice Number
Customer or
Account
Number
Date Invoice
Received
MM/DD/YY
PHONE NUMBER (REQUIRED) PRINTED NAME OF AUTHORIZATION SIGNATURE
BATCH NUMBER
BATCH DATE
INPUT/AUDITED BY:
TOTAL INVOICE
AMOUNT
DISTRIBUTION (Check Box):
HOLD FOR PICKUP
ATTACHMENT
MAIL
Description (50 Characters Maximum )
Fiscal Year
CITY, STATE , ZIP
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11
12
13
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15
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ORIGINAL INVOICE(S) MUST BE ATTACHED
DETAILED DESCRIPTION
Invoice Total Amount Total
FMA 03/28/12 Page 4 of 28
$0.00
Program
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FMA 03/28/12 Page 5 of 28
$0.00
Program
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ORIGINAL INVOICE(S) MUST BE ATTACHED
FMA 03/28/12 Page 6 of 28
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$0.00
FASDFS
Release Line
Amount
ORIGINAL INVOICE(S) MUST BE ATTACHED
TOTAL INVOICE
AMOUNT
INPUT/AUDITED BY
BATCH NUMBER
BATCH DATE
Invoice Date
MM/DD/YY
PO # Invoice Amount Invoice Number
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IF INVOICE IS DISPUTED
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IF SUPPLIER IS SUBJECT TO
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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
-
$0.00
FASDFS
CA BOE
Sales Tax
ORIGINAL INVOICE(S) MUST BE ATTACHED
FMA 03/28/12
10/09/14
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Release
L
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#
Invoice Number
Invoice Date
MM/DD/YY
PO # Invoice Amount Amount Line
TOTAL INVOICE
AMOUNT
INPUT/AUDITED BY
$0.00
BATCH NUMBER
BATCH DATE
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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 Page 9 of 28
10/09/14
Release
L
i
n
e
#
Invoice Number
Invoice Date
MM/DD/YY
PO # Invoice Amount Amount Line
TOTAL INVOICE
AMOUNT
INPUT/AUDITED BY
$0.00
BATCH NUMBER
BATCH DATE
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
10
11
12
13
14
15
16
- -
ORIGINAL INVOICE(S) MUST BE ATTACHED
DETAILED DESCRIPTION
Invoice Total
Total
FMA 03/28/12 Page 10 of 28
CA BOE
Sales Tax
$0.00
FMA 03/28/12 Page 11 of 28
CA BOE
Sales Tax
$0.00
-
ORIGINAL INVOICE(S) MUST BE ATTACHED
FMA 03/28/12 Page 12 of 28
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BATCH NUMBER
BATCH DATE
2012
TOTAL INVOICE
AMOUNT
$0.00
INPUT/AUDITED BY
Invoice Number
Invoice Date
MM/DD/YY
PO # Invoice Amount Release Amount Line
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i
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e
#
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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 Page 13 of 28
10/09/14
BATCH NUMBER
BATCH DATE
2012
TOTAL INVOICE
AMOUNT
$0.00
INPUT/AUDITED BY
Invoice Number
Invoice Date
MM/DD/YY
PO # Invoice Amount Release Amount Line
L
i
n
e
#
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
10
11
12
13
14
15
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17
18
FMA 03/28/12 Page 14 of 28
10/09/14
BATCH NUMBER
BATCH DATE
2012
TOTAL INVOICE
AMOUNT
$0.00
INPUT/AUDITED BY
Invoice Number
Invoice Date
MM/DD/YY
PO # Invoice Amount Release Amount Line
L
i
n
e
#
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
19
20
21
22
23
24
25
- -
ORIGINAL INVOICE(S) MUST BE ATTACHED
DETAILED DESCRIPTION
Invoice Total
Total
FMA 03/28/12 Page 15 of 28
$0.00
CA BOE
Sales Tax
FMA 03/28/12 Page 16 of 28
$0.00
CA BOE
Sales Tax
FMA 03/28/12 Page 17 of 28
$0.00
CA BOE
Sales Tax
-
ORIGINAL INVOICE(S) MUST BE ATTACHED
FMA 03/28/12 Page 18 of 28
10/09/14
1
2
3
4
5
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Invoice Amount Release Amount Line
L
i
n
e
#
Invoice Number
Invoice Date
MM/DD/YY
PO #
INPUT/AUDITED BY
BATCH NUMBER
BATCH DATE
TOTAL INVOICE
AMOUNT
$0.00
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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 Page 19 of 28
10/09/14
Invoice Amount Release Amount Line
L
i
n
e
#
Invoice Number
Invoice Date
MM/DD/YY
PO #
INPUT/AUDITED BY
BATCH NUMBER
BATCH DATE
TOTAL INVOICE
AMOUNT
$0.00
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
10
11
12
13
14
15
16
17
18
FMA 03/28/12 Page 20 of 28
10/09/14
Invoice Amount Release Amount Line
L
i
n
e
#
Invoice Number
Invoice Date
MM/DD/YY
PO #
INPUT/AUDITED BY
BATCH NUMBER
BATCH DATE
TOTAL INVOICE
AMOUNT
$0.00
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
19
FMA 03/28/12 Page 21 of 28
10/09/14
Invoice Amount Release Amount Line
L
i
n
e
#
Invoice Number
Invoice Date
MM/DD/YY
PO #
INPUT/AUDITED BY
BATCH NUMBER
BATCH DATE
TOTAL INVOICE
AMOUNT
$0.00
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
20
21
22
23
24
25
26
27
FMA 03/28/12 Page 22 of 28
10/09/14
Invoice Amount Release Amount Line
L
i
n
e
#
Invoice Number
Invoice Date
MM/DD/YY
PO #
INPUT/AUDITED BY
BATCH NUMBER
BATCH DATE
TOTAL INVOICE
AMOUNT
$0.00
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
AGENCY/DEPARTMENT DATE
AUTHORIZATION SIGNATURE AND DATE REQUIRED
Date Invoice
MM/DD/YY
Received
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
28
29
30
31
32
- -
ORIGINAL INVOICE(S) MUST BE ATTACHED
DETAILED DESCRIPTION
Invoice Total
Total
FMA 03/28/12 Page 23 of 28
CA BOE
Sales Tax
$0.00
FMA 03/28/12 Page 24 of 28
CA BOE
Sales Tax
$0.00
FMA 03/28/12 Page 25 of 28
CA BOE
Sales Tax
$0.00
FMA 03/28/12 Page 26 of 28
CA BOE
Sales Tax
$0.00
FMA 03/28/12 Page 27 of 28
CA BOE
Sales Tax
$0.00
-
ORIGINAL INVOICE(S) MUST BE ATTACHED
FMA 03/28/12 Page 28 of 28