REPORT ID: WVFATOU0 STATE OF WEST VIRGINIA o6/oe/r2 PROB. FINANCIAL INFORMATION MANAGEMENT SYSTEM 10:24:29 OFFICE OF THE STATE AUDITOR BASKET ESSENTIAL INVOICE COVER SHEET ‘AUDITOR ENTRY ID: I 4 13415560 WVPIMS DOCUMENT ID: I 13415560 STATE ORGANIZATION: 0307 STATE ORGANIZATION NAME: MV DEVELOPMENT OFFICE ORGANIZATION CONTACT: CARL D. SHITH ORGANIZATION ADDRESS: BLDG 6 ROOM 645 CHARLESTON wv 25305-0000 ORGARTEATION: 0307 ORGANIZATION NAME: WV DEVELOPMENT OFFICE oy DATE PREPARED: 06/06/12 DOCUMENT AMOUNT: ‘550,000.00 VENDOR INVOICE HUMBER: 2012236 ‘DUE DATE: 06/04/22 SPECIAL HANDLING: © ‘VENDOR WUMBER: 556412 VENDOR NAME: OLD WHITE CHARITIES INC VENDOR ADDRESS: 300 W NAIN BT WRITE SULPHUR SPRING WV 24986- CONTACT PERSON/PHONE: STEVEN MEESTER 304-957-2073 ExT. GASH ADVANCE: Ho REGIN TRAVEL: © / {© END TRAVEL: = / / COMMENTS : GREENBRIER CLASSIC SPONSOR PAYMENT JULY 2-8,2012 DIANA SPENCE DATE:2012-06-06 HOMAN RESOURCE MANAGER ELECTRONICALLY AUTHORIZED Bi APPROVED BY AUDITOR: parE: FUND FY ORG ACT OBJ GRANT ‘AwouNT 3272 2012 0307 099 035 550,000.00 TOTAL IWVOICE AMOUNT 550,000.00The a, CLASSIC ‘State of West Virginia C/O Keith Burdette July 2- July 8, 2012 Please make check payable to Old White Cherties, Inc. Please return one copy of Invoice with remittance, ‘White Sulphur Springs, West Viginia 24088 ‘THANK YOU, | herety certify thi itgms fisted hereon” ast been received and. approves HR Invoice # 2012 - 236vs (rv. 08204 7 " State of West Virginia Purchasing Division AGREEMENT Purchase Order # WVFIMS Account # TEAM Vendor # WVFIMS Vendor # |, id Write Charlie, ne . Agree lo perform the following services for WV Devecprent rice “at Vie Stansar Resor, Whe Sur Spanos Presenting eponadfels of 2012 Greenbiler Cisest Got Touran eee Dato(e)otService: from Ae !.202 gg June 30,2012 $ 880,000, for the entire term of the contract. NOTE: Any anticipated travel must be incorporated into the vendor's fes. Notravel will he reimbursed by the State and Is the sole responsibility of the vendor. The following certification must be completed and signed Hf the vendor Is a full-time employee of the State of West Virginia. Please check the appropriate box below: Gam not currentty a full-time employee of the Stete of West Virginia; 51am currenty 2 full-time employee of the State of West Virginia (complete certification below). tis hereby certified that the services to be performed under this agreement will not interfere with or detract {rom the full-time duties of the employee and the amount of annual compensation received by Ln {above named vendor) from the State of West Virginia for full-time ‘employment during the current fiscal year will be: . Thevendorservesas WA ‘with the tite of WA certified by, a ed GENERAL TERMS AND CONDITIONS: The Generel Terms and Conditions for Purchase OrderiContract located on the Purchasing Division's website at htios/wowstate.wv.ue/ecmin/purchese/vre/POTandC. po, (CTerms and Conditions”) are hereby mede a part ofthis agreement and ere specifically Incorporated herein by reference. By signing this agreement, Vendor oertifes thai has reviewed the Terms and Conditions, fuly understands them, and agrees to be bound by their provisions. APPROVED BY: Wat Vendor. Chan. ne hid aT