DISTRIBUTED N36 93240FAE  FORM FIN1510-01 For Accounts Payable Use Only: Vendor Number 1200  CHECK REQUEST FORM  Uset thisf form to arranget for payment toi individuals or businesses when: a Purchase Order or P-cardi is not required.  This form must be submitted in typed format only.  Vendor Information Date  Vendor or Employee Name Metropolitan North Georgia Water Planning District Mailing Address 229 Peachtree Street NE Suite 100 Atlanta, GA 30303 Email Address  9/3/2024  wte desoluceD  Ifp payment ist to a Vendor, isa a W-9 on file in the Purchasing Office? IFNo, a completed W-9 MUSTI be attached. Email Adrienne M. Brown in our Purchasing Division.  Adnenne.MBrownerockdatcountypagow  EXPENSE/ACCOUNT DETAILS Date of Service or Invoice 8/16/2024 8/16/2024  Description (for individuals, Services, Expense Reimbursements), 2025 Dues  General Ledger Account Fund Function Account Dept.  Amount $11,696.25 $11,696.25  505 505  4331 521300 4440 521300  44 44  Total Check Amourlt $23,392.50  DESCRIBE FULLY THE NATURE OF THE PAYMENT  MNGWPD Dues based on $0.25 per capita from 2020 Census population of 93,570  Dept. Designee /Date L 93-24 StfAccoyntant Date aVDApR  9/3/2024 Director of Finance  Date Date  Purchasing  hlon  7126  CHECK HANDLING INSTRUCTIONS 6.Pick Up-A Approval by Finance Director  5.Mail  7.Send Inter- Department Mail  (Enclose attachments ifrequiredi inl letters size Available att the Finance OfficeF Front Deska after 2:00p pm Will be placedi inr mailbox after 2:00 p.me every Friday  DAE    Metropolitan North Georgia Water Planning District 229 Peachtree Street NE, Suite 100 Atlanta, GA 30303 470-378-1552  INVOICE  &  747ED: AUG 2 2 2024  INVOICE NO: 10173 DATE: August16,2024  BY:. Copy' To: Kimbry Peek Director, Rockdale Water Resources 958 Milstead Ave NE Conyers,GA30012  To: Hon. Oz Nesbitt Chairman, Rockdale County Commission POI Box 289 Conyers, Georgia.30012  FEIN  P.O. NUMBER DATE SHIPPED SHIPPED VIA  F.O.B. POINT  TERMS Due on receipt  QUANTITY  DESCRIPTION  UNIT PRICE AMOUNT  Metropolitan North Georgia Water Planning District 2025 Dues based on $0.25 per capita from 2020 Census population of 93,570  $23,392.50  AMOUNT PAID SALES TAX  $0 NA NA  SHIPPING & HANDLING  BALANCE DUE $23,392.50  Make all checks payable to: Metropolitan North Georgia Water Planning District Ify you have any questions concerning this invoice, call: 470-378-1552  THANKYOUI  District Cost Center: 503 DDU