HomeMy WebLinkAboutInv# 10.00 - Mejia - 08/13/2025Check Request Form
08/13/2025 12:02 PM (EDT)
CHECK REQUEST FORM
Date Check Requested:08/13/2025
Name of the Person Completing
Form:
Shanesa Miranda
Email:smiranda@daniabeachfl.gov
Date Check Required:08/13/2025
Please issue a check in the
amount of: $
10
Vendor Information Add Vendor Information
Vendor Name:Aida Mejia
Vendor Address:10960 N 67 Ave
Vendor City:Glendale
Vendor State:Arizona
Vendor ZIP:85304
Vendor Phone:480-741-5007
Vendor Email:aidasmiley@hotmail.com
Purpose / Description:Duplicate payment at parking meter located on the beach
Budget Information
i. Budget Account Number
41545025455220
Amount $
10.00
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-52347717 Page 1/1