"Pcard Contract Summary Form" - Florida

Pcard Contract Summary Form is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on August 9, 2012;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download "Pcard Contract Summary Form" - Florida

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STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
I N T E R O F F I C E M E M O R A N D U M
DATE:
TO:
Finance & Accounting
FROM:
SUBJECT: PCard Contract Summary Form
(This is to be used for the State Purchasing Card only on Direct Orders)
I, _______________________, certify that I am the Contract Manager and the provided
information is true and correct; the goods and services have been satisfactorily received
and payment is now due.
I understand that the office of the State Chief Financial Officer reserves the right to
require additional documentation and/or to conduct periodic post-audits of any
agreements.
Contractor/Vendor/Payee: ________________________________________________
Purchase Order (P.O.) #: _________________________________________________
P.O. Start Date: _________________________________________________________
P.O. End Date: __________________________________________________________
Payment Amount: $______________________________________________________
The previous amount paid $ ________________________________________________
P.O. Manager’s or On Behalf Of (OBO) Name: _________________________________
P.O. Manager’s or OBO Signature: __________________________________________
Revised August 9, 2012
2737 Centerview Drive  Tallahassee, Florida  32399 (850) 921-6793
Rick Scott, Governor
Christina K. Daly, Secretary
The mission of the Department of Juvenile Justice is to increase public safety by reducing juvenile delinquency through effective
prevention, intervention, and treatment services that strengthen families and turn around the lives of troubled youth.
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
I N T E R O F F I C E M E M O R A N D U M
DATE:
TO:
Finance & Accounting
FROM:
SUBJECT: PCard Contract Summary Form
(This is to be used for the State Purchasing Card only on Direct Orders)
I, _______________________, certify that I am the Contract Manager and the provided
information is true and correct; the goods and services have been satisfactorily received
and payment is now due.
I understand that the office of the State Chief Financial Officer reserves the right to
require additional documentation and/or to conduct periodic post-audits of any
agreements.
Contractor/Vendor/Payee: ________________________________________________
Purchase Order (P.O.) #: _________________________________________________
P.O. Start Date: _________________________________________________________
P.O. End Date: __________________________________________________________
Payment Amount: $______________________________________________________
The previous amount paid $ ________________________________________________
P.O. Manager’s or On Behalf Of (OBO) Name: _________________________________
P.O. Manager’s or OBO Signature: __________________________________________
Revised August 9, 2012
2737 Centerview Drive  Tallahassee, Florida  32399 (850) 921-6793
Rick Scott, Governor
Christina K. Daly, Secretary
The mission of the Department of Juvenile Justice is to increase public safety by reducing juvenile delinquency through effective
prevention, intervention, and treatment services that strengthen families and turn around the lives of troubled youth.