Blackburn Creek Community Development District
12051 Corporate Boulevard, Orlando, FL 32817
Phone 407-723-5900; Fax 407-723-5901
www.blackburncreekcdd.com

The meeting of the Board of Supervisors for the Blackburn Creek Community Development District will be held Wednesday, October 14, 2020 at 12:00 p.m. via conference call due to the COVID-19 Executive Order 20-246. Attached to this Agenda is a copy of the Executive Order 20 -246. The following is the proposed agenda for this meeting.

Call in number: 1-844-621-3956 (New) Passcode: 790 562 990 # (New)
 BOARD OF SUPERVISORS’ MEETING AGENDA

Organizational Matters
Call to Order
Roll Call
Public Comment Period[for any members of the public desiring to speak on any proposition before the Board]

Discussion regarding Executive Orders 20-246

General Business Matters

Consideration of the Minutes of the September 9, 2020 Board of Supervisors’ Meeting
Discussion Regarding Material on the District Website
Consideration of Resolution 2021-01, Authorizing Disbursements of Funds
Ratification of Payment Authorizations 126 -- 128
Review of District Financial Statements

Other Business

Staff Reports
District Counsel
District Engineer
District Manager – Reimbursement to Pete Williams for Postage
Audience Comments
Supervisors Requests

Adjournment

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Discussion regarding Executive Orders 20-246

STATE OF FLORIDA
OFFICE OF THE GOVERNOR
EXECUTIVE ORDER NUMBER 20-246
(Emergency Management-COVID 19- Local Government Public Meetings)

WHEREAS, Executive Order 20-69, as extended by Executive Orders 20-112, 20-123, 20-139, 20-150 and amended by Executive Orders 20-179 and 20-193, expires on October I , 2020, unless extended.
NOW, THEREFORE, I, RON DESANTIS, as Governor of Florida, by virtue of the authority

vested in me by Article IV, Section (1)(a) of the Florida Constitution, Chapter 252, Florida Statutes, and all other applicable laws, promulgate the following Executive Order to take immediate effect:
Section 1. I hereby extend Executive Order 20-69, as extended by Executive Orders 20-112,

20-123, 20-139, 20-150 and amended by Executive Orders 20-179 and 20-193, subject to the condition of Section 2 below, until 12:01 a.m. November 1, 2020. This order supersedes Section 4 of Executive Order 20-69.

Section 2. This order shall not apply to election canvassing boards.

IN TESTIMONY WHEREOF, I have hereunto set my hand and caused the Great Seal of the State of Florida to be affixed, at Tallahassee, this

30th day	Se(pte!mb£er, 20,"1:2 0•. -5--'.
RON DESANTIS, GOVERNOR

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BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Consideration of the Minutes of the September 9, 2020 Board of Supervisors’ Meeting

MINUTES OF MEETING

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT BOARD OF SUPERVISORS MEETING MINUTES
Wednesday, September 9, 2020 12:00 P.M.
Via conference call due to the COVID-19 Executive Order 20-193.

Board Members Present via Speaker or in Person:

Pete Williams	Chairperson	(via phone)	
Dale Weidemiller	Vice Chairman	(via phone)	
John Blakley	Assistant Secretary	(via phone)	
Jerald Dell	Assistant Secretary	(via phone)	
Kevin Johnson	Assistant Secretary	(via phone)	

Also Present via Speaker or in Person:

Vivian Carvalho	District Manager-PFM Group Consulting, LLC
(via phone)
Venessa Ripoll	Assistant District Manager- PFM Group Consulting, LLC (via phone)
Bill Conerly	Kimley-Horn	(via phone)
Jim Schier	Neal Communities	(via phone)
Pam Curran	Neal Communities	(via phone)
John Leinaweaver	Neal Communities	(via phone)
Priscilla Hein	Neal Communities	(via phone)

FIRST ORDER OF BUSINESS	Organizational Matters

Call to Order and Roll Call

Ms. Carvalho called to order at 12:02 p.m. the meeting of the Board of Supervisors of the Blackburn Creek Community Development District and proceeded with roll call. The persons in attendance via speaker phone are outlined above.

Public Comment Period

There were no public comments at this time.

Discussion regarding Executive Order 20-193

A discussion took place regarding Executive Order 20-193. The Executive Order has been extended through September 30, 2020 to be lifted on October 1, 2020. The Governor reviews the Executive Orders close to the end of the month and if it gets extended again District staff will inform the Board accordingly.

SECOND ORDER OF BUSINESS	General Business Matters

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Consideration of the Minutes of the August 12, 2020 Board of Supervisors Meeting

The Board reviewed the Minutes of the August 12, 2020 Board of Supervisors Meeting.

On MOTION by Mr. Blakley, seconded by Mr. Weidemiller, with all in favor, the Board approved the August 12, 2020 Board of Supervisors Meeting.

Ratification of Payment Authorizations 124 - 125

The Board reviewed Payment Authorizations 124-125.

Mr. Weidemiller asked if the District has to do a separate advertisement for the Budget. Ms. Carvalho confirmed the District must have a separate advertisement done for the Budget and in addition to the Budget advertisement the District also does a separate advertisement to confirm every meeting the District plans on holding.

On MOTION by Mr. Weidemiller, seconded by Mr. Johnson, with all in favor, the Board Ratified Payment Authorizations 124-125.

Review of District Financial Statements

The Board reviewed the District Financials through August 31, 2020.

On MOTION by Mr. Weidemiller, seconded by Mr. Blakley, with all in favor, the Board accepted the District Financials through August 31, 2020.

THIRD ORDER OF BUSINESS	Other Business

Staff Reports

District Counsel – No Report

District Engineer – Mr. Conerly asked if the Public Facilities Report was reviewed in August. Ms. Carvalho confirmed it was reviewed and approved in substantial form subject to final review by District Engineer. Mr. Conerly will coordinate with Ms. Carvalho on the finalization of the Public Facilities Report.

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Mr. Johnson asked about the infrastructure for the District has been completed and the status of the buildout of the community. Mr. Conerly responded that he was not sure about the home construction but the infrastructure is very close to being completed. There have been some environments resource permits through the Water Management District that have been held because there were portions not completely done under that ERP and some are very quickly coming up and some of the overall larger permits will be closing up and the infrastructure will be conveyed. He mentioned the District should look ahead to have the Developer disengage from the operation and maintenance of some of the facilities.

Mr. Conerly will get a report as the District Engineer of records for the design and permitting of the project and have it for the next meeting.

District Manager – Ms. Carvalho stated the next meeting is scheduled for October 14, 2020. That is the first meeting for Fiscal Year 2021. The District Management office will be looking closely at the Budget to see if there were any overages and if the District will need to amend the Budget for FY 2020 as the books are being closed.

Mr. Weidemiller asked if she received any resumes from potential candidates to serve on the Board. Ms. Carvalho said no, however Mr. Leinaweaver is working on obtaining candidates for the Board to review at the meeting either in November or December. Ms. Carvalho stated the General Election is on November 3, 2020 but they will not take office until November 17, 2020 which will likely take place at the December meeting.

Mr. Weidemiller asked of the existing Board Members continue to serve until they are replaced. Ms. Carvalho confirmed that is correct.

FOURTH ORDER OF BUSINESS	Audience Comments and
Supervisors Requests

There were no Supervisor requests or audience comments.

FIFTH ORDER OF BUSINESS	Adjournment

There was no additional business to discuss. Ms. Carvalho requested amotion to adjourn.

On MOTION by Mr. Johnson seconded by Mr. Dell, with all in favor, the September 9, 2020 Meeting of the Board of Supervisors of the Blackburn Creek Community Development District was adjourned at 12:11 P.M.

__________________________	___________________________
Secretary/Assistant Secretary	Chairperson/Vice Chairperson

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BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Discussion Regarding Material on the District Website

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Consideration of Resolution 2021-01, Authorizing Disbursements of Funds

RESOLUTION 2021-01

A RESOLUTION OF THE BOARD OF SUPERVISORS OF BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT AUTHORIZING THE DISBURSEMENT OF FUNDS FOR PAYMENT OF CERTAIN CONTINUING EXPENSES WITHOUT PRIOR APPROVAL OF THE BOARD OF SUPERVISORS; AUTHORIZING THE DISBURSEMENT OF FUNDS FOR PAYMENT OF CERTAIN NON-CONTINUING EXPENSES WITHOUT PRIOR APPROVAL OF THE BOARD OF SUPERVISORS; PROVIDING FOR A MONETARY THRESHOLD; AND PROVIDING FOR AN EFFECTIVE DATE

WHEREAS, the Blackburn Creek Community Development District (“District”) is a local unit of special-purpose government created and existing pursuant to Chapter 190, Florida Statutes, being situated in Sarasota County, Florida; and

WHEREAS, Section 190.011(5), Florida Statutes, authorizes the District to adopt resolutions which may be necessary for the conduct of District business; and

WHEREAS, the District’s Board of Supervisors (“Board”) meets as necessary to conduct the business of the District, including authorizing the payment of District operating and maintenance expenses; and

WHEREAS, the Board may establish monthly, quarterly or other meeting dates, or may cancel scheduled meetings from time to time; and

WHEREAS, to conduct the business of the District in an efficient manner, recurring, non-recurring and other disbursements for goods and services must be processed and paid in a timely manner; and

WHEREAS, the Board determines this Resolution is in the best interest of the District and is necessary for the efficient conduct of District business; the health, safety, and welfare of the residents within the District; and the preservation of District assets or facilities.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF THE BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT:

CONTINUING EXPENSES. The Board hereby authorizes the payment of invoices of continuing expenses, which meet the following requirements:

The invoices must be due  on or  before the next scheduled meeting of the Board.
The invoice  must be pursuant to a contract or agreement authorized by the Board.
The total amount paid under such contract or agreement, including the current invoice, must be equal to or less than the amount specified in the contract or agreement.
The invoice amount will not cause payments to exceed the adopted budget of the District.

NON-CONTINUING EXPENSES. The Board hereby authorizes the disbursement of funds for payment of invoices of non-continuing expenses which are (i) required to provide for the health, safety, and welfare of the residents within the District; or (ii) required to repair, control, or maintain a District facility or asset beyond the normal, usual, or customary maintenance required for such facility or assets,

1

or (iii) are necessary to avoid an unnecessary expense that may be imposed on the District in connection with a District project; or (iv) are for routine services performed on an annual basis and the amount of such services is reflected in the District’s annual budget, or (v) are otherwise for an emergency circumstance, pursuant to the following schedule:

Non-Continuing Expenses Not Exceeding $5,000 - with approval of the District Manager; and
Non-Continuing Expenses Exceeding $5,000 - with approval of the District Manager and Chairpersonof the Board (or Vice Chairperson in the Chairperson’s absence).

BOARD RATIFICATION. Any payment made pursuant to the Resolution shall be submitted to the Board at the next scheduled meeting for approval and ratification.

EFFECTIVE DATE. This Resolution shall become effective immediately upon its adoption.

PASSED AND ADOPTED THIS 14TH DAY OF OCTOBER, 2020.

ATTEST:

Secretary	BLACKBURN CREEK COMMUNTY DEVELOPMENT
DISTRICT

Chairperson	

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Ratification of Payment Authorizations 126 -- 128

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization 126-128

PA #	Description	Amount	Total	
				
126	Egis Insurance & Risk Advisors	$6,218.00		
	PFM Group Consulting	$15,000.00		
	VGlobalTech	$125.00		
	Vogler Ashton	$415.00	$21,758.00	
				
127	PFM Group Consulting	$2,146.38		
	Supervisor Fees - 09/09/2020 Meeting	$1,000.00	$3,146.38	
				
128	Pete Williams	$36.00		
	Sarasota Herald Tribune	$239.25	$275.25	

By Amanda Lane at 7:05 pm, Sep 14, 2020

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization No. 126
9/11/2020

Item	Payee	Invoice	General
No.		No.	Fund	

1	
Egis Insurance & Risk Advisors			
	FY 2021 Insurance	11669	$	6,218.00	
2	PFM Group Consulting
FY 2021 Tax Roll Preparation and Submission	
FY21-TR-0003	
$ 15,000.00	
3	VGlobalTech			
	ADA Website Maintenance: September	1924	$	125.00	
4	Vogler Ashton			
	General Counsel Through 08/31/2020	5976	$	451.00	
				
		TOTAL	$ 21,794.00	

Secretary I Assistant Secretary	

RECEIVED
By Amanda Lane at 7:05 pm, Sep 14, 2020

Blackburn Creek Community Development District c/o PFM Group Consulting, LLC
12051 Corporate Blvd
Orlando, FL 32817

INVOICE

Customer

Acct #	Blackburn Creek Community Development District
174	
Date	09/02/2020	
Customer
Service	
Charisse Bitner	
Page	1 of 1	

Payment Information	
Invoice Summary	$	6,218.00	
Payment Amount		
Payment for:	Invoice#11669	
100110121	
Thank You

Customer: Blackburn Creek Community Development District

Please detach and return with payment

Invoice	Effective	Transaction	Description	Amount	

11669	

10/01/2020	

Renew policy	Policy #100110121 10/01/2020-10/01/2021
Florida Insurance Alliance POL,EPLI,EBL,Herb & Pest - Renew policy Due Date: 9/2/2020	

6,218.00	
	Total	
	$	6,218.00	
	Thank You	
FOR PAYMENTS SENT OVERNIGHT :
Egis Insurance Advisors LLC, Fifth Third Wholesale Lockbox, Lockbox #234021, 4900 W. 95th St Oaklawn, IL 60453		

Remit Payment To: Egis Insurance Advisors, LLC	(321)233-9939 Lockbox 234021 PO Box 84021
Chicago, IL 60689-4002	sclimer@egisadvisors.com	Date	
	09/02/2020	

PREMIUM SUMMARY

Blackburn Creek Community Development District c/o PFM Group Consulting, LLC
12051 Corporate Blvd.
Orlando, FL 32817

Term: October 1, 2020 to October 1, 2021

Quote Number: 100120121

PREMIUM BREAKDOWN
Property (Including Scheduled Inland Marine)	Not Included

Crime	Not Included

Automobile Liability	Not Included

Hired Non-Owned Auto	Included

Auto Physical Damage	Not Included

General Liability	$3,674

Public Officials and Employment Practices Liability	$2,544

TOTAL PREMIUM DUE	$6,218

IMPORTANT NOTE
Defense Cost - Outside of Limit, Does Not Erode the Limit for General Liability, Public Officials Liability, and Employment related Practices Liability.

Deductible does not apply to defense cost. Self-Insured Retention does apply to defense cost.

Additional Notes: (None)

Page | 8

Date	Invoice Number	
September 8, 2020	FY21-TR-0003	
Payment Terms	Due Date	
Upon Receipt	September 8, 2020	

Blackburn Creek CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	For the preparation and submission of the FY 2021 Tax Roll.

Professional Fees	$15,000.00
Total Amount Due	$15,000.00

1	of	1

VGlobalTech
636 Fanning Drive
Winter Springs, FL 32708 US contact@vglobaltech.com www.vglobaltech.com

INVOICE
BILL TO
Blackburn Creek CDD 1735 Market St FL 43
Philadelphia, PA 191037502 USA

INVOICE # 1924
DATE 09/01/2020
DUE DATE 09/01/2020
TERMS Due on receipt

By Amanda Lane at 1:35 pm, Sep 09, 2020

DATE	ACTIVITY	QTY	RATE	AMOUNT	
Web Maintenance:ADA Website Maintenance
Ongoing website maintenance for
ADA and WCAG Compliance	1	125.00	125.00	

Please make check payable to VGlobalTech.	BALANCE DUE	$125.00

Vogler Ashton , PLLC
705 10th Avenue West, Unit 103 Palmetto, Florida 34221
Phone:  941-304-3400

Blackburn Creek Community Development District		Page: 1
09/09/2020	
c/o Neal Communities of Southwest	Account No:	1-33006	
Florida, LLC	Statement No:	5976	
Sarasota FL 34240		
Attn: District Manager		
Blackburn Creek COD Distric t Counsel		

By Amanda Lane at 8:52 am, Sep 10, 2020

us

For Legal Services Rendered August 1 2020 , through August 31 2020

Previous Balance	$410.00

08/10/2020
KA

08 /13/2020
KA

08/26/2020
KA

Review COD agenda and documents

Attend COD meeting

Review Draft agenda
For Current Services Rendered

Hours

0.50	205.00

0.50	205.00

0.10	41.00
1.10	451.00

Timekeeper Kimberly Ashton

Total Current Work

Recapitulation

Hours 1.10

Rate	Total
$410.00	$451.00

451.00

Payments

09/09/2020	Payment	-410.00

Balance Due	$451.00

Payments Due Upon Receipt Please;
Late after 14 days and may be subject to interest at maximum rate under law

By Amanda Lane at 1:22 pm, Sep 21, 2020

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization No. 127
9/18/2020

	Item	Payee	Invoice	General		
	No.		No.	Fund		
	
1	
PFM Group Consulting				
		DM Fee: September 2020	DM-09-2020-0005	$	2,083.37		
		FedEx: March 2020	OE-EXP-00772	$	13.24		
		FedEx: April 2020	OE-EXP-00824	$	22.39		
		FedEx: May 2020	OE-EXP-00884	$	12.37		
		Reimbursables: August 2020	OE-EXP-01051	$	15.01		
	2	Supervisor Fees - 09/09/2020 Meeting				
		Dale Weidemiller		$	200.00		
		Pete Williams		$	200.00		
		John Blakley		$	200.00		
		Kevin Johnson		$	200.00		
		Jerald Dell		$	200.00		
						
			TOTAL	$	3,146.38		

v
Secretary I Assistant Secretary	 	an

RECEIVED
By Amanda Lane at 1:22 pm, Sep 21, 2020

 	 	
Date	Invoice Number	
September 8, 2020	DM-09-2020-0005	
Payment Terms	Due Date	
Upon Receipt	September 8, 2020	

Blackburn Creek CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	District Management Fee: September 2020

Professional Fees	$2,083.37
Total Amount Due	$2,083.37

1	of	1

Date	Invoice Number	
September 14, 2020	OE-EXP-00772	
Payment Terms	Due Date	
Upon Receipt	September 14, 2020	

Blackburn Creek CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	March 2020 FedEx

Expenses	$13.24
Total Amount Due	$13.24

1	of	1

Date	Invoice Number	
September 16, 2020	OE-EXP-00824	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Blackburn Creek CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	April 2020 FedEx

Expenses	$22.39
Total Amount Due	$22.39

1	of	1

Date	Invoice Number	
September 16, 2020	OE-EXP-00884	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Blackburn Creek CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	May 2020 FedEx

Expenses	$12.37
Total Amount Due	$12.37

1	of	1

Date	Invoice Number	
September 16, 2020	OE-EXP-01051	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Blackburn Creek CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	August 2020 Postage $5 and Fedex $10.01

Expenses	$15.01
Total Amount Due	$15.01

1	of	1

Blackburn Creek	
COMMUNITY DEVELOPMENT DISTRICT	

Board Members:	Present	

Dale Weidemiller	 	X		

Pete Williams	 	X		

John Blakley	 	X		

Kevin Johnson	 	X		

By Amanda Lane at 7:13 pm, Sep 14, 2020

Date of Meeting: 9/9/20		
($200.00 per Supervisor per Meeting)	

Jerald Dell	 	X		

Absent	Fee	
 		 	$200.00		
 		 	$200.00		
 		 	$200.00		
 		 	$200.00		
 		 	$200.00		

Total:	
$1,000.00	

Approved For Payment:

Venessa Ripoll		
Secretary / Assistant Secretary	
September 12, 2020	
Date	

By Amanda Lane at 8:49 am, Sep 29, 2020

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Payment Authorization No. 128
9/25/2020

Item	Payee	Invoice	General		Fiscal	
No.		No.	Fund		Year	

1	
Pete Williams					
	Postage Reimbursement		$	36.00		FY 2020	
2	Sarasota Herald Tribune
Legal Advertising on 09/02/2020	

SC55G0S460	
$	239.25		

FY 2020	
						
		TOTAL	$	275.25			
			
275.25		

FY 2020	
					FY 2021	

v
Secretary / Assistant Secretary

RECEIVED
By Amanda Lane at 8:49 am, Sep 29, 2020

Amanda Lane

From:	Pete Williams <pete@pwillassoc.com>
Sent:	Friday, September 25, 2020 11:53 AM
To:	Vivian Carvalho; Venessa Ripoll
Cc:	Amanda Lane
Subject:	FW: Grand Palm Phases 1Ba, 2Ad and 2Ae - Utility Turnover
Attachments:	Bills of Sale.pdf; Notary and Postage receipt.pdf

EXTERNAL EMAIL: Use care with links and attachments.

Attached is Bills of Sale I had to have notarized this morning along with postage to mail them. I have also enclosed the receipt. Please process reimbursement and place on next Blackburn Creek agenda for ratification etc.

Thanks,

Pete Williams President
Pete Williams & Associates, LLC

From: Pete Williams
Sent: Friday, September 25, 2020 11:24 AM
To: 'Wishman, Drew' <Drew.Wishman@kimley-horn.com>
Cc: Chadwick, Richard <Richard.Chadwick@kimley-horn.com>
Subject: RE: Grand Palm Phases 1Ba, 2Ad and 2Ae - Utility Turnover Here are the scanned copies. Originals in the mail.
Pete Williams President
Pete Williams & Associates, LLC

From: Wishman, Drew <Drew.Wishman@kimley-horn.com>
Sent: Thursday, September 24, 2020 5:06 PM
To: Pete Williams <pete@pwillassoc.com>
Cc: Chadwick, Richard <Richard.Chadwick@kimley-horn.com>
Subject: RE: Grand Palm Phases 1Ba, 2Ad and 2Ae - Utility Turnover No problem, find the revised forms attached.
Thanks,

Drew

Andrew Wishman, E.I.
Kimley-Horn | 1777 Main Street, Suite 200, Sarasota, FL 34236 Direct: (941) 379-7617 | Mobile: (716) 908-5178 | Main: (941) 379-7600

1

From: Pete Williams <pete@pwillassoc.com>
Sent: Thursday, September 24, 2020 4:30 PM
To: Wishman, Drew <Drew.Wishman@kimley-horn.com>
Cc: Chadwick, Richard <Richard.Chadwick@kimley-horn.com>
Subject: RE: Grand Palm Phases 1Ba, 2Ad and 2Ae - Utility Turnover

I can do that. I will ger them notarized tomorrow and scan them and mail the originals. IN the meantime, can you go through and change the title from President to Chairman? That way I don’t have to cross it out and change it.

Pete Williams President
Pete Williams & Associates, LLC

From: Wishman, Drew <Drew.Wishman@kimley-horn.com>
Sent: Thursday, September 24, 2020 4:13 PM
To: Pete Williams <pete@pwillassoc.com>
Cc: Chadwick, Richard <Richard.Chadwick@kimley-horn.com>
Subject: Grand Palm Phases 1Ba, 2Ad and 2Ae - Utility Turnover Good morning Pete,
We are in the final stages of completing a Utility Turnover for Grand Palm Phases 1Ba, 2Ad, and 2Ae. The last items we need are a signed Certification of No Contributions and Bill of Sale form. Could you please sign the attached forms and mail them back to Kimley-Horn at the address listed below? Would it be possible to send over a scanned version before it is mailed out?

Thanks,

Drew

Andrew Wishman, E.I.
Kimley-Horn | 1777 Main Street, Suite 200, Sarasota, FL 34236 Direct: (941) 379-7617 | Mobile: (716) 908-5178 | Main: (941) 379-7600

2

PostNet FL125 27251 WESLEY CHAPEL BLVD
B-14
Wesley Chapel, FL 33544 Bl3-994-ll71
Inv oice#: 127402	Clerk: Clerk 09/25/2020 11:06
Cash, Check, Charge Description
SKU#	Price	Qty ExtPrice

36.00	1	36.00	
Sub-Total:		$36.00	
Sales Tax:		$0.00	
Total:		$36.00	

Notary Services 50

ccard Charge: Approval Number: Reference ID Number:
************1231
WILLIAM S/FRANCIS P
I agree to pay the above total amount according to the
card issuer agreement. (merchant agreement if credit voucher)

$36.00 820827
3384134897

US Postal Rates a1'e Subject to Surcharge "RENT A MAlL BOX FREE 1ST MONTH"
Color Copy - 40 cents (20-100 copies) Track your packahe www.postnet.com/FL125 Open M-F 9am to 6.pm Saturday 9 am to 3 pm
"We Appreciated you,, Business With Us"

Herald-Tribune
CLASSIFIED ADVERTISING RECEIPT

PFM GROUP CONSULTING LLC Venessa VENESSA RIPOLL 12051 CORPORATE BLVD
Laurel Road Community Dev District
ORLANDO, FL 32817

Account: 10038491
Phone:	(407)723-5900 P.O.#:
Ad Taken By:	SC55
Receipt printed:	09/15/2020

Order Number	Class Number	Start Run	End Run	Run Times	
Lines	
DescriDtion	
SCS5G0S460	0001	09-02-20	09-02-20	2	87	BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT PUBLIC MEffiNG HELD DURING PUBLIC HEALTH EMERGENCY DUE TO COVID-19 Notice is
hereby given that the Board of Supervisors Board of the Blackburn Creek Community Development District District will hold a mee	

Pavment Detail	I	Pav Date	I	Type	I	Card or Check	#	I	Card	I	Exp	Amount	
Current Payment	I	I	I	I	I		
Order Price	$ 239.25	
Total Payments	-	$ 0.00	
Balance	=	$ 239.25	
Sarasota Herald-Tribune
(941) 953-5555 Classified   (941) 361-4098 Fax
http:f / www.HeraldTribune.com
1777 Main St.
5arasota,  FL 34236

Sarasota Herald-Tribune's Copy

PFM GROUP CONSULTING LLC Venessa VENESSA RIPOLL 12051 CORPORATE BLVD

Account: 10038491
Phone:	(407)723-5900 P.O.#:

Laurel Road Community Dev District
ORLANDO, FL 32817

Ad Taken By:
Receipt printed:

SC55

09/15/2020

Order Number	Class Number	Start Run	End Run	Run Times	
Lines	
Descriotion	
SC55G0S460	0001	09-02-20	09-02-20	2	87	BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT PUBLIC MEffiNG HELD DURING PUBLIC HEALTH EMERGENCY DUE TO COVID-19 Notice is
hereby given that the Board of Supervisors Board of the Blackburn Creek Community Development District
District will hold a mee	

Payment Detail I Pav Date I	Type	I	Card or Check #	I Card  I	Exp		Amount	
Current Payment  I	I		I		I	I			
	
Order Price	$ 239.25	
Total Payments					-	$ 0.00	
Balance					=	$ 239.25	

AFFIDAVIT OF PUBLICATION
SARASOTA HERALD-TRIBUNE PUBLISHED DAILY
SARASOTA, SARASOTA COUNTY, FLORIDA

STATE OF FLORIDA COUNTY OF SARASOTA

BEFORE THE UNDERSIGNED AUTHORITY PERSONALLY APPEARED JM MITCHELL , WHO ON OATH SAID SHE IS VICE PRESIDENT OF SALES, WEST FL, FOR THE SARASOTA HERALD-TRIBUNE, A DAILY NEWSPAPER PUBLISHED AT SARASOTA, IN SARASOTA COUNTY FLORIDA; AND CIRCULATED IN SARASOTA COUNTY DAILY; THAT THE ATTACHED COPY OF ADVERTISEMENT BEING A NOTICE IN THE MATIER OF:

Legal description documented below:

IN THE	COURT WAS PUBLISHED IN THE SARASOTA EDITION OF SAID NEWSPAPER IN THE ISSUES OF:

9/2 lx

AFFIANT FURTHER SAYS THAT THE SAID SARASOTA HERALD-TRIBUNE IS A NEWSPAPER PUBLISHED AT SARASOTA , IN SAID SARASOTA COUNTY, FLORIDA, AND THAT THE SAID NEWSPAPER HAS THERETOFORE BEEN CONTINUOUSLY PUBLISHED IN SAID SARASOTA COUNTY, FLORIDA, EACH DAY, AND HAS BEEN ENTERED AS SECOND CLASS MAIL MATTER AT THE POST OFFICE IN SARASOTA, IN SAID SARASOTA COUNTY, FLORIDA, FOR A PERIOD OF ONE YEAR NEXT PRECEDING THE FIRST PUBLICATION OF THE ATTACHED COPY OF ADVERTISEMENT; AND AFFIANT FURTHER SAYS THAT SHE HAS NEITHER PAID NOR PROMISED ANY PERSON, FIRM OR CORPORATION ANY DISCOUNT, REBATE, COMMISSION OR REFUND FOR THE PURPOSE OF SECURING THIS ADVERTISEMENT FOR PUBLICATION IN THE SAID NEWSPAPER.

SWORN OR AFFIRMED TO, AND SUBSCRIBED BEFORE ME THIS1+DAy     o	 .D., zo_}J;, BY JM MITCHELL WHO IS PERSONALLY KNOWN TO ME.

/.•"··'m!•·°·",_·;•",''.··..\	SHARON E TURNER
Notary Public.- State of Florida
•'\1•iwJb"..\J'-•.=!	Commissio n# GG068983
My Comm. Expires Apr 18. 2021
BoodEd through NaHonal Notary Asm.

Notary P-ublic	-

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT PUBLIC MEETING HELD DURING
PUBLIC HEALTH EMERGENCY DUE TO COVID-19
Notice is hereby given that tho Board of Supervisors ("Board") of the Blackburn Creek Community Development District ("District") will hold a meeting of the Board of Supervisors on September 9, 2020 at 12:00 p.m. to be oonducted by means of communications media technology, pursuant to Executive Orders 20-52, 20-69, 20-123 and 20-150 or
further Executive Orders issued by Governor Desantis, and any axtensions, supplements thereof, and pursuant to Section 120.54(5)(b)2., Florida Statutes. At the meeting, the Board may consider any business that may properly come before it.

While it is necessary to hold the above referenced meeting of the District's Board of Supervisors utilizing communications media  technology   due  to  the current
COVID-19 public hBSllh em ergency, the District fully encourages public paro_cl  p  aUon    in    a   sale   and   efficient manner. Toward that end,  anyone wishing to listen and participate in the mee_tinA can do so telephonically at l• 844-621-3956,  Participant Code: 790
562 990#. Additionally, participants are encouraged to submit questions and comments to the District Manager in advance at carvalhov@pfm.com to facilitate the Board's consideration  of such questions and comments during the meeting.

A copy of the agenda may be obtained at the offices of the District Manager, c/o PFM Group Consulting, LLC, 12051 Corporate Blvd., Orlando, Florida 32817 (40n  723•5 900,   carvalhov@pfm.com '(•·DJ Jtrlct Man..-,r'1 Office") during normal businBSS h ours.

The meeting is open to the public and will be conducted in accordance with the provisions or Flori da lew ror oommunity devalopmeni dlstr cts. The mealing  may be continued to II daJe , lime. 811d place to b e specified on the record at such meeting. There may be occasions when Board Supervisors or District Staff may
participate by speaker telephone.

Any	person	requiring	special accommodations at the meeting because of a disability or physical impairment should contact the District Manager's Office at leastforty-eight (48) hours prior to the meeting. If you are hearing or speech impaired, please contact the Florida Relay Service by dialing 7-1-1, or 1-800-955-8771 (TTY) / 1-800-955-8770
(Voice), for aid in contacting the District Manager's Office.

Each person who decides to appeal any decision made by the Board with respect to any matter con sidered at the mw tlng is advised that p erson will need a record of proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made, including the testimony and evidence upon which such appeal is to be based.

Vivian Carvalho District Manager
Date of pub: September 2, 2020

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Review of District Financial Statements

Blackburn Creek CDD Statement of Financial Position As of 9/30/2020

General Fund

Debt Service Fund

Debt Service Fund - 2015A1&A2

Debt Service Fund - 2018

Capital Proiects Fund - 2013A

Capital Proiects Fund - 2015A

Capital Proiects Fund - 2018

Long Term Debt	Total Group

Current Assets						Assets		
General Checking Account	$82,594.15															$82,594.15	
Assessments Receivable	56,644.75															56,644.75	
Prepaid Expenses	26,451.59															26,451.59	
Assessments Receivable			$343,713.22													343,713.22	
Debt Service Reserve 2013A Bond			176,125.00													176,125.00	
Debt Service Reserve 2019A Bond			91,809.05													91,809.05	
Revenue 2013A Bond			264,397.45													264,397.45	
Revenue 2019A Bond			131,491.43													131,491.43	
Interest 2019A2 Bond			4.36													4.36	
Prepayment 2013A Bond			12,927.61													12,927.61	
Sinking Fund 2013A Bond			2.56													2.56	
Assessments Receivable					$39,689.38											39,689.38	
Debt Service Reserve 2015A1 Bond					229,812.50											229,812.50	
Debt Service Reserve 2015A2 Bond					84,062.50											84,062.50	
Revenue 2015A Bond					166,181.47											166,181.47	
Prepayment 2015A1 Bond					4,891.89											4,891.89	
Prepayment 2015A2 Bond					12,159.05											12,159.05	
Sinking Fund 2015A1 Bond					0.21											0.21	
Revenue 2018A Bond						$466,081.98										466,081.98	
Prepayment 2018A1 Bond						32,734.38										32,734.38	
Debt Service Reserve 2018A1 Bond						172,624.21										172,624.21	
Prepayment 2018A2 Bond						93,765.10										93,765.10	
Capitalized Interest Account 2018A2 Bond						43,822.25										43,822.25	
Assessments Receivable						613,422.82										613,422.82	
Acquisition/Construction 2013A Bond								$22,017.26								22,017.26	
Acquisition/Construction 2019A Bond								417,300.42								417,300.42	
Acquisition/Construction 2015A Bond										179,544.29						179,544.29	
Acquisition/Construction 2018A Bond												$149,344.24				149,344.24	
Restricted Acq/Construction 2018A Bond												70,084.77				70,084.77	
Total Current Assets	$165,690.49		$1,020,470.68		$536,797.00	$1,422,450.74		$439,317.68		$179,544.29		$219,429.01		$0.00		$3,983,699.89	

Page 1 of 3

Blackburn Creek CDD Statement of Financial Position As of 9/30/2020

General Fund

Debt Service Fund

Debt Service Fund - 2015A1&A2

Debt Service Fund - 2018

Capital Proiects Fund - 2013A

Capital Proiects Fund - 2015A

Capital Proiects Fund - 2018

Long Term Debt	Total Group

Investments
Amount Available in Debt Service Funds Amount To Be Provided
Total Investments

Total Assets

$1,982,893.00	$1,982,893.00
22,203,107.00	22,203,107.00

$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$24,186,000.00	$24,186,000.00

 	  	     
$165,690.49	$1,020,470.68	$536,797.00	$1,422,450.74	$439,317.68	$179,544.29	$219,429.01	$24,186,000.00	$28,169,699.89

 	  	     

Liabilities and Net Assets

Current Liabilities
Deferred Revenue	$56,644.75																$56,644.75	
Deferred Revenue			$343,713.22														343,713.22	
Deferred Revenue					$39,689.38												39,689.38	
Deferred Revenue							$613,422.82										613,422.82	
Retainage Payable											$16,006.15						16,006.15	
Total Current Liabilities	$56,644.75		$343,713.22		$39,689.38		$613,422.82		$0.00		$16,006.15		$0.00		$0.00		$1,069,476.32	

Long Term Liabilities
Revenue Bonds Payable - Long-Term Total Long Term Liabilities

Total Liabilities

$24,186,000.00	$24,186,000.00

$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$24,186,000.00	$24,186,000.00

 	  	     
$56,644.75	$343,713.22	$39,689.38	$613,422.82	$0.00	$16,006.15	$0.00	$24,186,000.00	$25,255,476.32

 	  	     

Page 2 of 3

Blackburn Creek CDD Statement of Financial Position As of 9/30/2020

General Fund

Debt Service Fund

Debt Service Fund - 2015A1&A2

Debt Service Fund - 2018

Capital Proiects Fund - 2013A

Capital Proiects Fund - 2015A

Capital Proiects Fund - 2018

Long Term Debt	Total Group

Net Assets
Net Assets, Unrestricted	($3,421.82)																($3,421.82)	
Net Assets - General Government	70,944.72																70,944.72	
Current Year Net Assets - General Government	41,522.84																41,522.84	
Net Assets, Unrestricted			$707,719.95														707,719.95	
Current Year Net Assets, Unrestricted			(30,962.49)														(30,962.49)	
Net Assets, Unrestricted					$595,275.08												595,275.08	
Current Year Net Assets, Unrestricted					(98,167.46)												(98,167.46)	
Net Assets, Unrestricted							$813,451.05										813,451.05	
Current Year Net Assets, Unrestricted							(4,423.13)										(4,423.13)	
Net Assets, Unrestricted									$2,123,019.56								2,123,019.56	
Current Year Net Assets, Unrestricted									(1,683,701.88)								(1,683,701.88)	
Net Assets, Unrestricted											$174,345.63						174,345.63	
Current Year Net Assets, Unrestricted											(10,807.49)						(10,807.49)	
Net Assets, Unrestricted													$379,490.73				379,490.73	
Current Year Net Assets, Unrestricted													(160,061.72)				(160,061.72)	
Total Net Assets	$109,045.74		$676,757.46		$497,107.62		$809,027.92		$439,317.68		$163,538.14		$219,429.01		$0.00		$2,914,223.57	
																		
Total Liabilities and Net Assets	$165,690.49		$1,020,470.68		$536,797.00		$1,422,450.74		$439,317.68		$179,544.29		$219,429.01		$24,186,000.00		$28,169,699.89	

Page 3 of 3

Blackburn Creek CDD Statement of Activities As of 9/30/2020

General Fund

Debt Service Fund

Debt Service Fund - 2015A1&A2

Debt Service Fund - 2018

Capital Proiects Fund - 2013A

Capital Proiects Fund - 2015A

Capital Project Fund - 2018

Long Term	Total Debt Group

Revenues

On-Roll Assessments	$86,198.22																$86,198.22	
Off-Roll Assessments	57,126.80																57,126.80	
On-Roll Assessments			$334,094.28														334,094.28	
Off-Roll Assessments			329,760.08														329,760.08	
Other Assessments			24,829.14														24,829.14	
Inter-Fund Group Transfers In			(1,265.29)														(1,265.29)	
On-Roll Assessments					$287,529.37												287,529.37	
Off-Roll Assessments					48,155.70												48,155.70	
Other Assessments					211,611.66												211,611.66	
On-Roll Assessments							$205,215.18										205,215.18	
Off-Roll Assessments							670,922.22										670,922.22	
Other Assessments							444,009.20										444,009.20	
Inter-Fund Transfers							(70,193.43)										(70,193.43)	
Inter-Fund Transfers In									$1,265.29								1,265.29	
Other Income & Other Financing Sources													$15,023.36				15,023.36	
Inter-Fund Transfers													70,193.43				70,193.43	
Total Revenues	$143,325.02		$687,418.21		$547,296.73		$1,249,953.17		$1,265.29		$0.00		$85,216.79		$0.00		$2,714,475.21	

Expenses

Supervisor Fees	$11,600.00	$11,600.00	
Public Officials' Insurance	2,423.00	2,423.00	
Trustee Services	14,388.13	14,388.13	
Management	25,000.00	25,000.00	
Dissemination Agent	13,750.00	13,750.00	
District Counsel	4,656.50	4,656.50	
Assessment Administration	15,000.00	15,000.00	
Reamortization Schedules	1,250.00	1,250.00	
Audit	4,500.00	4,500.00	
Arbitrage Calculation	500.00	500.00	
Postage & Shipping	420.65	420.65	
Legal Advertising	2,557.77	2,557.77	
Web Site Maintenance	2,100.00	2,100.00	
Dues, Licenses, and Fees	175.00	175.00	
General Insurance	3,499.00	3,499.00	

Page 1 of 2

Blackburn Creek CDD Statement of Activities As of 9/30/2020

General Fund

Debt Service Fund

Debt Service Fund - 2015A1&A2

Debt Service Fund - 2018

Capital Proiects Fund - 2013A

Capital Proiects Fund - 2015A

Capital Project Fund - 2018

Long Term	Total Debt Group

Principal Payment - 2013A1, 2019A1			$175,000.00														175,000.00	
Principal Payment - 2019A2			20,000.00														20,000.00	
Interest Payments - 2013A1, 2019A1			445,435.00														445,435.00	
Interest Payments - 2019A2			80,920.00														80,920.00	
Principal Payments - 2015A1 bond					$140,000.00												140,000.00	
Principal Payments - 2015A2 bond					240,000.00												240,000.00	
Interest Payments - 2015A1 bond					186,037.51												186,037.51	
Interest Payments - 2015A2 bond					79,843.77												79,843.77	
Principal Payment - 2018A1 Bond							$136,000.00										136,000.00	
Principal Payment - 2018A2 Bond							435,000.00										435,000.00	
Interest Payment - 2018A1 Bond							549,800.00										549,800.00	
Interest Payment - 2018A2 Bond							133,974.25										133,974.25	
Engineering									$29,092.85								29,092.85	
Capital Expenditures									1,657,015.98								1,657,015.98	
Engineering											$10,938.43						10,938.43	
Engineering Services													$11,784.55				11,784.55	
Capital Expenditure													233,737.66				233,737.66	
Total Expenses	$101,820.05		$721,355.00		$645,881.28		$1,254,774.25		$1,686,108.83		$10,938.43		$245,522.21		$0.00		$4,666,400.05	

Other Revenues (Expenses) & Gains (Losses)

Interest Income	$17.87																$17.87	
Interest Income			$2,974.30														2,974.30	
Interest Income					$417.09												417.09	
Interest Income							$397.95										397.95	
Interest Income									$1,141.66								1,141.66	
											$130.94						130.94	
Interest Income													$243.70				243.70	
Total Other Revenues (Expenses) & Gains (Losses)	$17.87		$2,974.30		$417.09		$397.95		$1,141.66		$130.94		$243.70		$0.00		$5,323.51	

Change In Net Assets	
$41,522.84		
($30,962.49)		
($98,167.46)		
($4,423.13)		
($1,683,701.88)		
($10,807.49)		
($160,061.72)		
$0.00		
($1,946,601.33)	

Net Assets At Beginning Of Year	
$67,522.90		
$707,719.95		
$595,275.08		
$813,451.05		
$2,123,019.56		
$174,345.63		
$379,490.73		
$0.00		
$4,860,824.90	

Net Assets At End Of Year	

$109,045.74		

$676,757.46		

$497,107.62		

$809,027.92		

$439,317.68		

$163,538.14		

$219,429.01		

$0.00		

$2,914,223.57	

Page 2 of 2

Blackburn Creek CDD
Budget to Actual
For the Month Ending 9/30/2020

Revenues							Adopted Budget	
On-Roll Assessments	$	86,198.22		$	144,755.00		$	(58,556.78)		$	144,755.00	
Off-Roll Assessments	57,126.80		-		57,126.80		-	
Net Revenues	$	143,325.02		$	144,755.00		$	(1,429.98)		$	144,755.00	

General & Administrative Expenses								
Supervisor Fees	$	11,600.00		$	12,000.00		$	400.00		$	12,000.00	
Public Officials' Insurance	2,423.00		2,600.00		177.00		2,600.00	
Trustee Services	14,388.13		16,000.00		1,611.87		16,000.00	
Management	25,000.00		25,000.00		-		25,000.00	
Engineering	-		10,000.00		10,000.00		10,000.00	
Dissemination Agent	13,750.00		10,000.00		(3,750.00)		10,000.00	
District Counsel	4,656.50		20,000.00		15,343.50		20,000.00	
Assessment Administration	15,000.00		15,000.00		-		15,000.00	
Reamortization Schedules	1,250.00		1,000.00		(250.00)		1,000.00	
Audit	4,500.00		4,500.00		-		4,500.00	
Arbitrage Calculation	500.00		1,000.00		500.00		1,000.00	
Telephone	-		200.00		200.00		200.00	
Postage & Shipping	420.65		450.00		29.35		450.00	
Copies	-		150.00		150.00		150.00	
Legal Advertising	2,557.77		5,000.00		2,442.23		5,000.00	
Office Supplies	-		200.00		200.00		200.00	
Web Site Maintenance	2,100.00		2,700.00		600.00		2,700.00	
Dues, Licenses, and Fees	175.00		200.00		25.00		200.00	
Stormwater Management	-		10,000.00		10,000.00		10,000.00	
General Insurance	3,499.00		3,755.00		256.00		3,755.00	
General Repair & Maintenance	-		5,000.00		5,000.00		5,000.00	
Total General & Administrative Expenses	$	101,820.05		$	144,755.00		$	42,934.95		$	144,755.00	

Actual	Budget	Variance	FY 2020

Total Expenses

  $	101,820.05 

   $	144,755.00 

  $	42,934.95 

   $	144,755.00 

Interest Income	$	17.87		$	-	$	17.87		$	-	
Total Other Income (Expense)	$	17.87		$	-	$	17.87		$	-	
Net Income (Loss)	$	41,522.84		$	-	$	41,522.84		$	-	

Income (Loss) from Operations Other Income (Expense)

$	41,504.97	$

-	$	41,504.97	$	-

Page 1 of 1

BLACKBURN CREEK COMMUNITY DEVELOPMENT DISTRICT

Reimbursement to Pete Williams for Postage

PostNet FL125 27251 WESLEY CHAPEL BLVD
B-14
Wesley Chapel, FL 33544 Bl3-994-ll71
Inv oice#: 127402	Clerk: Clerk 09/25/2020 11:06
Cash, Check, Charge Description
SKU#	Price	Qty ExtPrice

36.00	1	36.00	
Sub-Total:		$36.00	
Sales Tax:		$0.00	
Total:		$36.00	

Notary Services 50

ccard Charge: Approval Number: Reference ID Number:
************1231
WILLIAM S/FRANCIS P
I agree to pay the above total amount according to the
card issuer agreement. (merchant agreement if credit voucher)

$36.00 820827
3384134897

US Postal Rates a1'e Subject to Surcharge "RENT A MAlL BOX FREE 1ST MONTH"
Color Copy - 40 cents (20-100 copies) Track your packahe www.postnet.com/FL125 Open M-F 9am to 6.pm Saturday 9 am to 3 pm
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