Laserfiche WebLink
2. In the event that the Dodgers are to be reimbursed for invoices previously paid by the Dodgers <br />for such items, written evidence of such prior payment and the amount thereof is also attached to <br />this Requisition Request. <br />3. Attached hereto are the following (check each item attached), each of which is true and correct <br />i <br />in all respects: <br />I <br />{`} A true copy of the applicable purchase order for the repair or replacement; <br />{�) Bills of sale for any component of the repair or replacement for which a bill of <br />sale may be delivered; and/or <br />[�) A true copy of the Payees statement or invoice. <br />4. Please disburse the following amount to the following Payee (if more than one Payee, please <br />attach additional pages hereto setting forth the following information): <br />Payee: <br />Amount: <br />Address; <br />Invoice No.: <br />5. To induce the County to approve this Requisition and authorize the Capital Reserve Account <br />Agent to disburse funds held in the Capital Reserve Account, the undersigned certifies that there <br />are no outstanding construction liens against the Facility. <br />6. The following constitutes an itemized list of attachments to this certificate (if applicable): <br />(a) Contractors Application for Payment (AIA Forms G702 and 0703). <br />(b) Architects Certificate (AIA Forms G702 and G703). <br />C-6 <br />