HomeMy WebLinkAboutInv# JA.GUNDERSEN2022 - Campaign Account of Judge Andrea Gunderson - 08/29/2022CITY OF DANIA BEACH No: 1701-100-006433
FNI) DEPARTMENT OF FINANCE
CHECK REQUEST
DANIA BEACH
SEA a LIVE IT.LOVE tT.
Date Check Requested: 08-29-2022 Person Completing Form: Erika Clayton
Date Check Required:Enter date only if needed before next cycle)
Please issue a check in the amount of: $1 00.00
Vendor Information
Vendor No(If known):
If vendor number is unknown, please complete Vendor Name
If adding a new vendor, please complete all fields below
Vendor Name: Judge Andrea Gundersen
Vendor Address: 201 SE 6th Street
Vendor Address 2:
Vendor City: Fort Lauderdale
Vendor State: FL Vendor ZIP: 33301
Vendor Phone: (561) 305-6007
Vendor Fax:
Purpose/Description: Refund of Political Bond Sign
Budget Account Number Project Code Amount
001-220-11-04 100.00
APPROVAL
Digitally signed by Thomas Schneider
CXC H Thomas Schneider[Olen'em'I tschnedaeide,,o
beaohfDl gov,BeUS ou=City
URA X City Hall Signature Date 20720E29143647 04'00
DEPARTMENT HEAD Thomas Schneider, City Clerk
RECEIPTS,APPLICATIONS OR OTHER DOCUMENTATION MUST BE SUBMITTED
WITH CHECK REQUEST OR WITHIN FIVE(5)DAYS OF RECEIPT OF CHECK
CHECK DISPOSITION INSTRUCTIONS:
Mail to Vendor:X Deliver To:
Name
14.
B'
r CITY OF DANIA BEACH
POLITICAL SIGN
BOND AND PERMIT
40.18HE01
TO WHOM IT MAY CONCERN:
The bearer of this permit will be allowed to erect political signs in the City of
Dania Beach upon payment of a $100.00 bond, said bond being refundable upon
removal of said signs within 7 days after election for which candidate seeks
office.
Acceptance of bond by City shall constitute an agreement between City and
candidate providing that City may use all or part of said bond to cover removal of
said signs if they are not removed within 7 days after the election.
Candidate Name:j(Oe Ar\ z a 6u-heturs-ef-,
Campaign Headquarter Address: Cj I 041St
3 3 3 a 1
Person Applying For Permit: Pc Go
Telephone Number: 56, ( - 3 e)S L OO -
E-mail Address:p C_p_drj ( @< yy co-net
Date of Election:e I a 3 1 O A Q
Type of Election: City 5c County State Federal
Permit Date:
Amount of Bond: 100.00
OA BEfe7 Authorized Signature:1 B4 co.
L15HEO Thomas Schneider, CMC, City Clerk
cc: Eric Walton, Code Enforcement Manager
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PAYMENT RECEIPT
DATE 7/14/2022
RECEIVED FROM:
Campaign Account of
Judge Andrea Gundersen
201 SE 6th Street
Fort Lauderdale,FL 33301
CODE
001-220-11-04 I
OT Political Sign Bond 100.00
August 23,2022 County Election
Check# 13 1
Paid 14-Jul-22
TOTAL 100.00
CLERK Thomas L. Schneider I I I