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HomeMy WebLinkAboutInv# 2052895/2137819 - BROWARD SHERIFF'S OFFICE - 11/16/20222052895Employce CCN Broward County Sheriff's Office l'inancc-Snccial Rocnuc Dir ision PO. Box 9507 Ft. Laudcrdalc. Fbrida l-1.110 tNVOI( tl - votj( ttER AI]DITIONAI, P0LI('I1 SI] ItV IC F, Inroiec Nunrbcr Prinl NuDrc Dislricr FI I,I, IN ALL SPACT]S Pcnnittce Pcriod of Employmenti Bcginnillg Dalc I)ntv Houni: Arrivcd M. Depaned -ot ) I \:i'r 1,.r.,ri,,.'- Vehicle Rcquircd For Palrol Purposcs Bcginnirg Miteage FII,L IN 4I,1, SPACES Phonc No E ding Dalc M. S!'nicc Pcrlirnncd I)cstination Il11di ng Milcagc Nlinim rn Pcriod {-1 HoursI Hrs ,,,,, =qf,EE IDL) 6 \thicle lcc l{)talArnt)unl I)Lrc ffiA lar-r- Sig|]tlturc ()l Dclut," Si8nElure & ('CN S S PAYMENT DUE UPON RE('I:IPT OI' THIS INVOICI.:. STATEMLNTS WILL BI TSSUEI] MONTHLY TO ACCOUNTS TIIAT ARE SEI'.UP FOR PAYI\'IENT ON A MONTHLY BASIS. PI-EASE MAKE ALL CIIECKS OR MONEY ORDERS PAYAtsLE TO: BROWARD COUNTY SIIERIFF S OFFICE: Finance-Spccial Revenue Division RETURN A PIIOTOCOPY OF INVOICE WITH REMITTANCE OR LISTTHE INVoICE NUMBER(S)ON TIIE CIIECK OR MONEYORDERS, - PRESS DOWN HARD. YOU ARE MAKINC 4 COPIES . FINANCE FILE COPYDO NOT WRITE BELOW THIS LINE Ycs- No ---X- l.nrplovce ( ( \21 3781 IBrorvard Countl Sheriff's Office I in.rrret-Spcrirl Rcr cnuc [)ir r.i,,l l'.(). Bor 9507 Fl t rudcrdrlc l'lori(l:r 1lll0 tNVOt( t: - \',oLi( lltl R ADDII IONAT POI I( lr SLRVI( ll Permit Numbcr +DL+ FII-I- I\ AI,L SPACES FILL IN AI-L SPACES tl tL)/(t tindinr Datc [\r Pcriod ol Enrploymcnt:Bc!inning Dalc u vLro Nr. tr"p",r"a lL'1 v Service PcrformI)rr,- lk)ur\r Ani\cd Exact LocatiA Desrinalion \L 4XI \(ltr(lt \thiclc Requircd tor l'rtrul PurB)sc\Yes- No Beginning Mileagc Lnding Nlilcagc Mini'luT Pcriod rr Hou7 E,-ls-, EE ra>-llrs.Min. (i lt I)rfrLr\I ((\ TotalAmounl Due _flF -\ Srgnnlur! ol' Pcnnittcc PAYMENT DUE UPON RECEIPT OF TI{IS INVOICE. STATEMENTS WILL BE ISSUED MONTTILY TOACCOT'NTS THATARE SET.UP TOR PAYMENT ON A MONTHLY BASIS, PLEASE MAKE ALL CHECKS OR MONEY ORDERS PAYABLE TO: tIROWARD ('OUNTY SHERIFF S OFF ICE: Finance-Special Revenue Division RETURN A PHOTOCOPY OF INVOICE WITII REMITTANCE OR LIST THE INVOICE NUMBER(S) ON THE CHECK OR MONEY ORDERS, DO NOT \\ RI IE I]ELO\\ THIS LINL, Il\oRP !l.l rRr\r\rd l)l l9r . PRESS DOWN HARD. YOU ARE MAKING 4 COPIES .FINANCE FILE COPY l) \r' r!r _ Prinl Nanrc r\ Oc I