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10/09/14


1 08/29/14 9825 58,157.46 3-1201 2013001239 2 58,157.46
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58,157.46 58,157.46

Rina Hernandez, Administrative Services Manager

Release Line
August 26, 2014 invoice
Devan Reiff
x3550
1944 Embarcadero
ORIGINAL INVOICE(S) MUST BE ATTACHED
08/26/14

BATCH NUMBER
BATCH DATE
2014-2015
TOTAL INVOICE
AMOUNT

Lamphier-Gregory


$58,157.46
Oakland, CA 94606



64428
INPUT/AUDITED BY
x





Amount

L
i
n
e

#

Planning & Building Dept.
Invoice Date
MM/DD/YY
PO # Invoice Amount Invoice Number
IF INVOICE IS DISPUTED
put an X in the box
IF SUPPLIER IS SUBJECT TO
PROMPT PAYMENT
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SUPPLIER NUMBER
SUPPLIER NAME
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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
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Total
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Fiscal Year
CITY, STATE , ZIP
FMA 03/28/12
-
Rina Hernandez, Administrative Services Manager

CA BOE
Sales Tax
ORIGINAL INVOICE(S) MUST BE ATTACHED
$58,157.46






FMA 03/28/12