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HomeMy WebLinkAboutDocumentation_Pension Public Safety_Tab 17_08/06/2007• r~ L_J ignature ignature ate k/Karen Russo TO: SALEM TRUST COMPANY DEERFIELD BEACH FAX: 954-725-4493 FROM: „~~' ~ , , i~, I i ~% a PAYMENT FROM STC ACCOUNT: T uesta Public Safe Pension Fund A/C #7062037849 Please make the following payment from the above referenced trust account: PAYABLE TO: ~ `~ I i ~ . /~-, ,_ . _, ,, .,,, ~-. ,; ..~ . , i~ t DATE• ' AMOUNT: $ ~~" `' ~-' ~' ,~ ,~, PAYMENT DESCRIPTION: i;~ ~- ~ , AUTHORIZED BY: (2 SIGNATURES REQU~D) ADDITIONAL COMIviENTS: . 3' • FORMATION BELOW TffiS LINE FOR USE BY VILLAGE OF TEQUESTA FINANCE DEPARTMENT ONLY Vendor # Amount: ... Charge to ccount~ i ~ ~ =~ G~ ' -' 3/ ~ -~ G ~ Charge to Account # ~~- =3 c ~~~ ~ 5 -~ / Charge to Account # TOTAL Requested By: ~ '-'-~ ` ~ ~- ' ' ~~ f ---- Approved By: C ~~ ~~`~'' ns~on oar oor orator REVIEWED BY FINANCE DEPT AND PROPER DOCUMENTATION ATTACHED: '1,~~ E z .~ ~, ~, ~~ j, r ignature • • ~, .,. ' ,~ ~:r,~: • Any public organization or retirement system which is a legally constituted retirement pension, or annuity and benefit system or any protective association, by whatever name called, whose primary purpose is that of promoting the rights and benefits of the membership, present or future, of public employees who are members of such retirement systems. Please be sure you fill out the forms in their entirety. You must send the Membership form along with the Trustees List for your membership to be current. Without a Trustee List your board will not be eligible to vote in the election. Membership fens for 2007 are $~SQ,00 for the year for the entire board. For your convenience we accept Visa, Master Card, and American Express. If you wish to use one of these cards please circle which card you are using. Also, provide the account number and expiration date. Without this we will not be able to process your membership. • Due to the amount of registration and or membership payments we do not give confirmations or receipts. Please make a copy for your records. The goal of the certification program is to provide a well rounded educational forum for its members. Through this program you will gain a better understanding of investment principals and public pension issues. We have our CPPT information, service providers, Board of Directors, Advisory Board, Education Committee, upcoming events, membership, bulletin board, survey, state and federal government. For your convenience we have membership forms, School registration forms, CPPT registration forms, and Conference forms on line. Fill out and return your survey form with your membership. The survey is only available to those who participate by filling out the survey forms. ~.~;, For the first time we will be offering five free memberships with your FPPTA membership fee. Each additional membership will be $100 each. Public Pensions Online is a great resource for those in the public pension industry. Please log onto the ~, following for your password: www.publicpensionsonline.com/member/fppta.html • • Please make checks payable to: Florida Public Pension Trustees Association (FPP~A) We accept: Visa, Master Card, American Express (circle one) Account Number: • • .~ s; `~~. Signature: Expiration Date: r _ ~. ~. ~ ~ f t,,. f.-- rr ~ ~ l ~ !<c;' C".~ ~U.:i e/ c ~ L.it ~ fiy ~~~ Board Name: ~ p- r`` < < r ~~~ ` r ~ ~~ ~`'' ~` ~ ~, Address .:dr V; L,.', ~ ~ ~ -c -, f ~~, L~k?_ E ,' ~ :°_. City, State, Zip: = - s~ ~~ ",~.,, ~" !._. -~ _~ ~ ~.~ ~` Contact Person: ~-~~ ~'.r %~~' ~ ~° (. ~ I L ~~ ~ %~" i ~`~ E-mail Address: ~ iv€ C'. ~~" i Lc, s Cs rrt ~~ ~~%-= ~:_c" L~ ~,. ~ ~`z ~ , LE _~- Administrator: ~ /~ N I E-mail Address: °%` ~ _ Phone Number: ~, ~. ~ __ `~>> / ~, _ ~: 'a .. (; C ~-;{ l ~ ~ Fax Number: ''"~ ~' ~ "'7 _~ `~ - tr:: ~~ ~> '_ Total fund assets as of _ ' " ~~? ~ ° ~-' r'J ~ `7~-F~- _`~ `` ~ = ``M ~--.~ .~~ L J , . ~ . . ~ f Address: ~~ `f `> L = ~ ~~ ^~ r. f .~'-~ _ ..' ! :. ,> ~r' . ~, °~ ~_ -,'~; ~, - ~; 4 r~ Address: Name: k,/f ~~ ,.~,, ~-~ i •~~ f ~_ Address: ~~ ~ j~ C` ~ U ~ I~ ~~~ l!,'~ , i L= ~' G ~. ~/ =~ ; ~-:/ ~.~~ s~~` ~' E-mail: ~ i~ ~) ~ r~ 61 (<-~--- ~_ ~c;~ L~ c' S~Gti . C ! Name: ~;.~ ~ _ ~~ . r~ E Address: ~ ~? r-~ ' ~ t ~' L. `~- ~~ 1 ~~ ~ ~~~ U ~5~~ , ~ L ~~ ~ ~! E-mail: ~ ~ c:~ ~~ ,` r~ ~.~ ~~~ ~ ~~-t ~~ (ci r1 ~~C ~ C.c~ ~~ Name: ~r' ~, ~ ,;>~ ,,, f r_ ~ ~'_ `~~ ~ y~ Address: ,' ~ k ~ ' _:. ~ ! ~ . , -~--- ~ ~ ._, E-mail: ~. ~ ~'o Y; 1 ( ~ ~. c` S ~ ~`=; C` C' ~ C.~, ~"~-> Name: ~, r ~~~~= ~,' i Y i j~ ~-~C- p r o ~~: i~ Address: -~[- ~~ ~ t,~ L UST ~ ~ ~ (~ "7 ~-~L ~~.51 ~ T=~ ~~ `~ E-maiL ~~f ,a Name: ~~~ti ~~ " c~ a -~~ i~+ ~ C:' ~-:.~. Address: L ~~ ~ ~ t ~ ~~ (:' ~ ~ i ~ ~ ~v ~', E-mail: s ~ ~;~~ c~ {r- ~~.. ~u ~~ ~ ~ ~ c~. C~ 9~'c:, Name: ,r ~, ,~ ,.~, ~'~ Address: ~, f ~ _ __ E-mail: ~ j __ r~ V