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City of Miami

REQUEST FOR DIRECT PAYMENT

Purpose:

Date: Description

,\

Description Supplier Number: Invoice Number:

Account Codes: , Supplier Name: Supplier Number: Invoice Number: Description (to include size, type and date of publication for advertisements):

Account Codes: Supplier Name: Supplier Number: Invoice Number: Description (to include size, type and date of publication for advertisements):

Account Codes:

o ACH

Check No.: (Attach banking information)

Date:

o Mail to Supplier

vI-+ld.d

Control Number

DPBudget Approval (if required)

120

aa

This number must' be Included on AdverUsements

Gomez, Diana
From: Sent: Spring, Larry Wednesday, January 12, 2011 5:55 PM Gomez, Diana

To:
Subject:

Fw:

This is a settlement type check This communication may contain confidential and/or otherwise proprietary material and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. ----- Original Message ----From: Spring, Larry To: Gomez, Diana Sent: Wed Jan 121T54:37 20U Per City Manager please prepare an check in the amount of
\$200,000

payable to Miguel Exposito.

This communication may contain confidential and/or otherwise proprietary material and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.

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City of Miami Finance Department, 444 SW 2nd Avenue Miami FL 33130 payables@ci.miami,fl,us Check Number' 1103690 Invoice Number
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Page 1 of 1 17603 Net.Amount 200,000.00

Check Date" 12-JAN-11 Invoice Date 12-JAN-11 Description

Vendor Number' Discount 0.00

DP- 12000

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FOLD

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DETACH AT PERFORATION THIS CHECK IS VOID WITHOUT BEFORE DEPOSITING CHECK

FOLD

A !'LED & BLUE
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BACKGROUND

PLUS A _WP.TERMARK ON THE BACK - HOLD AT ANGLE TO VI EW.":'i"'!l;.w'

City of Miami P.O. Box 330708 Miami, Fl 33233-0708

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Natioi:ifli,'A'ssociation Miami,' .F,Jorida' ,3.3131 I,'"
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1103690
Date: 12-JAN-11
6 MONTHS I VOID AFTER

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Pay to the

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000,00

order of

EXPOSitO,Miguel A
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Two Hundred Thousand Dollars And 00 Cents~*****,1'1'~**"~~*********,,*

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SE.E REVERSE

SIDE FOR OPENING

INSTRUCTIONS

Exposito, Miguel. A City of Miami- MPD Chief & Administration 400 NW 2nd Ave 4th Floor Miami, FL 33128

US

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City of Miami Finance Check Number' 1103690 Invoice Number DP- 1.2000

Department, 444 SW 2nd Avenue payables@ci.miami.fLus 12-JAN-11 Description

Miami FL 33130 Vendor Number'

Page 1 of 1 17603 Net Amount 200,000.00

Check Date' Invoice Date 12-JAN-11

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Discount 0.00

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FOLD DETACH AT PERFORATION BEFORE DEPOSITING CHECK

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THIS CHECK IS VOID WITHOUT A RED & BLUE BACKGROU_ND PLUS A WATERMARK ON THE BACK - HOLD AT ANGLE TO VIEW.

670 ~
' VOID AFTER 6 MONTHS~

63-643

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,SEE Re;VERSE SIDE FOR OPENING INSTRUCTIONS

City of Miami P.O. Box 3~0708

Miami, FL 33233-0708

ministration