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HomeMy WebLinkAboutInv# CR-72481165 - Mason - 08/11/2025Check Request Form 08/18/2025 12:59 PM (EDT) CHECK REQUEST FORM Date Check Requested:08/18/2025 Name of the Person Completing Form: Ibel Larios Email:ilarios@daniabeachfl.gov Date Check Required:08/29/2025 Please issue a check in the amount of: $ 250 Vendor Information Add Vendor Information Vendor Name:Russell Mason Vendor Address:4309 WINDING CREEK RD Vendor City:MANLIUS Vendor State:NEW YORK Vendor ZIP:13104 Vendor Phone:315-744-8474 Vendor Email:russellmason@me.com Purpose / Description:Call to Artist - Creative Vision Proposal Budget Information i. Amount $ 250.00 After completing the form, please proceed with processing the invoice in New World and attach the form in addition to receipts, applications and other relevant documentation. Receipt ID: CR-72481165 Page 1/1