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USA Equipment SolutionsUSA Equipment Solutions 831 Par Circle Delray Beach, FL 33445 (561) 870 -7170 Invoice Date Invoice # 9/t6lZ017 0917864 P�No. Description Amount Rental of 40 ft boom from 9 -12 -17 to 10 -10 -17 usa 197 at 10050 n e 2nd ave miami shores with delivery 1,450.00T kao 15.00T muni no tax Out -of- -state sale, exempt from sales tax 0.00 Thank you for your business. Total s1.465.00 usa@usaequipmentcorp.com MIAMI SHORES VILLAGE VISA CARD PAYMENT VOUCHER 1. Attach original credit card receipt. 2. Submit one form per credit card receipt. 3. Submit to Finance Department within 5 business days of receipt. O© Date of purchase: '� Amount of purchase: Cardholder Name J1 wt Name of Vendor:( J ,J J ���� �f� it ✓�1 e �y 5 Description of Purchase / Notes: kc- ty-14 L Budget Code: ID, �' — b � � � . ; �f S�1 -31Q These purchases were actually incurred as necessary business expenses and are true and correct as to every material matteA Submitted By: Approved: N orate Card Holder Signature Date Department Head Signature Date Payment Authorization: Finance Director Signature Distribution: Department Heads /Designee 1 Date Updated: 05 /24/2016