BANNON	LAI<ES
Community Development District October 18, 2017

Bannon Lakes
Community Development District
475 West Town Place, Suite 114, St. Augustine, Florida 32092 Phone: 904-940-5850 - Fax: 904-940-5899

October 11, 2017

Board of Supervisors Bannon Lakes
Community Development District Dear Board Members:
The Bannon Lakes Community Development District Board of Supervisors Meeting is scheduled for Wednesday, October 18, 2017 at 12:00 p.m. at the offices of Governmental Management Services, 475 West Town Place, Suite 114, St. Augustine, Florida 32092. Following is the advance agenda for the meeting:

Roll Call
Public Comment
Affidavit of Publication
Approval of Minutes from September 20, 2017 Meeting
Update Regarding Amenity Center Operations
Update on Construction Matters
Other Business
Staff Reports
District Counsel
District Engineer – Ratification of Requisition 93-94, 99
District Manager
Field Services – Operations Memorandum
Supervisor’s Requests and Audience Comments
Financial Reports
Balance Sheet as of August 30, 2017 and Statement of Revenues & Expenditures
Assessment Receipt Schedule
Approval of Check Register
Construction Funding Request No. 2
Next Scheduled Meeting – November 15, 2017 at 12:00 p.m. at the offices of GMS
Adjournment

The fourth order of business is the approval of minutes from September 20, 2017 meeting. A copy of the minutes is enclosed for your review.

The fifth order of business is an update regarding amenity center operations.

The sixth order of business is an update on construction matters.

Listed under engineer reports are requisition 93-94 & 99 to be ratified. Copies of the requisitions are enclosed for your review.

Listed under Field Services is the Operation Memorandum, attached for your review.

Copies of the balance sheet and statement of revenue & expenditures, assessment receipt schedule, check register, and funding request are enclosed for your review.

We look forward to seeing you at the meeting. In the meantime, if you have any questions, please do not hesitate to call us at (904) 940-5850.

Sincerely, James Oliver James Oliver
District Manager
Bannon Lakes Community Development District

2

AGENDA

Bannon Lakes Community Development District
Revised Agenda

Wednesday	Governmental Management Services October 18, 2017		475 West Town Place
12:00 p.m.	St. Augustine, Florida 32092
bannonlakescdd.com
Call In # 1-888-757-2790 Code 5097001

Roll Call

Public Comment

Affidavit of Publication

Approval of Minutes from September 20, 2017 Meeting

Update Regarding Amenity Center Operations

Update on Construction Matters

Other Business

Staff Reports
District Counsel

District Engineer – Ratification of Requisition 93-94, 99

District Manager

Field Services – Operations Memorandum

Supervisor’s Requests and Audience Comments

Financial Reports
Balance Sheet as of August 30, 2017 and Statement of Revenues & Expenditures

Assessment Receipt Schedule

Approval of Check Register

Construction Funding Request No. 2

Next Scheduled Meeting – November 15, 2017 at 12:00 p.m. at the offices of GMS

Adjournment

MINUTES

,,

MINUTES OF MEETING
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT

The regular meeting of the Board of Supervisors of the Bannon Lakes Community Development District was held on Wednesday, September 20, 2017 at 12:00 p.m. at the Offices of GMS, 475 West Town Place, Suite 114, St. Augustine, FL 32092.

Present and constituting a quorum were:

Art Lancaster John Dodson Maston Crapps Karelyn Travieso
Also present were: Jim Oliver
Wes Haber
Scott Land Louis Cowling

FIRST ORDER OF BUSINESS

Chairman
Vice Chairman Supervisor
Supervisor (by phone)

District Manager District Counsel
District Engineer (by phone) RMS

Roll Call

Mr. Oliver called the meeting to order at 12:00 p.m.

SECOND ORDER OF BUSINESS	Public Comment
There were no members of the public in attendance.

THIRD ORDER OF BUSINESS	Affidavit of Publication
There being none, the next item followed.

FOURTH ORDER OF BUSINESS	Approval of Minutes from August 16, 2017
Meeting
Mr. Oliver stated included in your agenda package is a copy of the minutes from the August 16, 2017 meeting. Are there any additions, conections or deletions?

On MOTION by Mr. Lancaster seconded by Mr. Crapps with all in favor the Minutes of the August 16, 2017 Meeting were approved.

FIFTH ORDER OF BUSINESS	Update	Regarding Operations

Amenity	Center

September 20, 2017	Bannon Lakes CDD

Mr. Lancaster praised Riverside Management Services on the job they did  before and after the hurricane.

SIXTH ORDER OF BUSINESS	Update on Construction Matters
Mr. Lancaster stated the Certificate of Occupancy has been received and final retainage payments are being signed off on.

SEVENTH ORDER OF BUSINESS	Consideration	of	Resolution	2017-08,
Authorizing a Boundary Amendment
Mr. Haber discussed the Resolution contemplates the amendment to the District's boundary to remove the commercial parcel on the southwest quadrant of Bannon Lakes. Approving the Resolution is a prerequisite before we can file a petition with the County.

On MOTION by Mr. Lancaster seconded by Mr. Crapps with all in favor Resolution 2017-08 Authorizing a Boundary Amendment was approved.

EIGHTH ORDER OF BUSINESS	Consideration	of	Boundary	Amendment
Funding Agreement with RREF III-P-EP Bannon Lakes JV, LLC
Mr. Haber stated this is an agreement between the District and the Developer  that provides for the Developer to pay for the costs associated with the Boundary Amendment.

On MOTION by Mr. Lancaster seconded by Mr. Dodson with all in favor the Boundary Amendment Funding Agreement with RREF III-P-EP Bannon Lakes JV, LLC was approved.

NINTH ORDER OF BUSINESS
There being none, the next item followed

Other Business

TENTH ORDER OF BUSINESS	Staff Reports
District Counsel
There being none, the next item followed.

District Engineer - Ratification of Requisitions 92

2

September 20, 2017	Bannon Lakes CDD

Mr. Land stated I have provided you with Requisition No. 92 with a revised amount of
$122,760.71.

On MOTION by Mr. Lancaster seconded by Mr. Crapps with all in favor Requisition No. 92 was ratified.

District Manager
There being none, the next item followed.

Field Services - Operations Memorandum
Mr. Cowling presented an operations repmi.
The board discussed having the school bus stop moved to the amenity center. The CDD will make the request to the St. Johns County School Board.

ELEVENTH ORDER OF BUSINESS	Supervisor's
Comments
There being none, the next item followed.

Request	and	Audience

TWELFTH ORDER OF BUSINESS	Financial Reports
Balance Sheet as of July 31, 2017 and Statement of Revenues & Expenditures
Mr. Oliver stated included in your agenda package is the balance sheet and income statement as of July 31, 2017.

Assessment Receipt Schedule
Mr. Oliver stated included in your agenda package is a copy of the assessment receipt schedule.

Approval of Check Register
Mr. Oliver stated included in your agenda package is the check register.

On MOTION by Mr. Lancaster seconded by Mr. Crapps with all in favor the Check Register was approved.

Construction Funding Request No. 1
Mr. Oliver stated included in your agenda package is the check register.

On MOTION by Mr. Lancaster seconded by Mr. Crapps with all in favor the Check Register was approved.

3

September 20, 2017	Bannon Lakes CDD

THIRTEENTH ORDER OF BUSINESS	Next Scheduled Meeting - October 18, 2017
at 12:00 p.m. at the Offices of GMS
Mr. Oliver stated the next scheduled meeting is October 18, 2017 at 12:00 p.m. at the Offices of GMS.

FOURTEENTH ORDER OF BUSINESS	Adjournment

On MOTION by Mr. Lancaster seconded by Mr. Crapps with all in favor the Meeting was adjourned.

Secretary / Assistant Secretary	Chairperson/ Vice Chairperson

4

EIGHTH ORDER OF BUSINESS

B.

REQUISITION  NO. 93
(2016 Acqi.dsition and Construction Account)

BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT (ST. JOHNS COUNTY, FLORIDA)
$11,850,000
Special Assessment Revenue Bonds, Ser es 2016

The undersigned, a Responsible Officer of Bannon Lakes Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trnst Indenture from the District to   The   Bank   of   New York Mellon Trust Company, N.A., as trustee (the "Trustee"), dated as of January 1, 2016 (the "Indenture"), (all capitalized terins used herein shall have· the meaning ascribed to such tenn in the Indenture):
Requisition Number: 93

Name of Payee: Vallencourt Construction,

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Amount Payable: Total: $74872.67

Bannon Lakes CDD Invoice: 18, 4637-21

Fund or Account from which disbursement to be made: 2016 Acquisition
and Construction Account

The undersigned hereby certifies that:
this requisition is for Costs of the 2016 Project payable from the 2016 Acquisition and Construction Account that have not previously been paid;

each disbursement set forth above is a proper charge against the 2016 Acquisition and Construction Account;

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage whkh the Distric.t is at the date of such certificate entitled to retain.

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.
Dated: August 25, 2017

BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT

By:_	 	
Arthur E. Lancaster
Chairperson, Board of Supervisors

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.

ENGLAND, THIMS & MILLER, INC.

Title: District Engineer

APPLICATION  ANQ  CERTIFICATE FOR PAYMENT	AIA DOCUMENT G702	Instructions Oil reverse sid_e	PAGE

TO:	RREnfi.p-f:p &nnonlakea .JV_ lLC
c:o Englan<l Thlms & Mll!er
14775 St Augustine Rd.
Jac.,;onville, fc, 32255

FROM: VAlLENCOURT CONSTRUCTION CO., INC,
P.0, BOX 65849
ORANGE PARK. FL32065

PROJECT: Bannon-Lakes Blvd. ONSITE

St. Augustlne. FL

APPLICATION NO:

PERIOD TO: 7J2Di17

ARCHITECT'S
PROJECT NO:	201594

a	Distrlbuticn to:
[I OWNER
[J ARC!ilTECT
(] CONTRACTOR

CONTRACT FOR:

CHANGEOROERSUMMARY	
DEDUCTIONS	
Change Orders approved in
previous months by Owner
TOTAL	AODlT/ONS		
Approved this Month	

79.71L50
387.744,53
516.363.11	

(320.04921)	
Number	Data Approved			
1
2
3
4	1113/2016			
TOTALS	983.819,14	(320,049.21)	
Net change by Change Orders	663.769,93	

CONTRACTOR'S APPLICATION FOR PAYMENT

CONTRACT DATE:
Appficatlon is made forPayment asshown below. in connecfion withlneContract.
Continuation Sheet AJA Document G703. is attached		

1. ORIGINAL CONTRACT SUM.•••••,•. •••••.•.•••••••••..••.•·-···-·····-······-·······----	$	S,0251616.32	
2. Net change by Cliange Orc!ers•••••.•.•••..••.•••••••••••.•.-•-···------	$	683 769.93	
3,CONTRACT SUM TO DATE (Line 1 +- 2)••.•.......·-·····•···········--············-·····--···-··	$	5.689,586.25	
4. TOTAL COMPLETED & STORED TO DATE••••..•·-····-···--·····--···········-	--··	$	5.689.347.79	
(Column G on G703)
RETAINAGE:
10 % of Completed Wori<ArnenilyCenterOnly $	51.636.31
(Column D + E on G703)	Only R"rainage being nelu is from Amenity Center

% of Stored Materials$	_ (Column Fon G703)

The undersigned Contractor certifies 1hat to1he best of the Contractofs krowledge. lnfonnatlon and belief the Work covered by this Appllcatlon for Payment has been completed in accordance with the Contract Documents. that all amounts have been
paid by the Contractor fur Work fur which previous Certificates for Payment shown issued and payments received form !he Owner. and that current payment shown

Total Retalnage (Line Sa + Sb or
Tola! in Column1 of G703J.·-····················-····························
6. TOTAL EARNED LESS RETAINAGE:............................. ----··················
(Line 4 Less Line 5 Total)
lESSPREVIOUS CERTIFICATES FOR
PAYMENT (Line 6 from prior Certificate).•••••••••••- .................................
8.  CURRENT PAYMENT DUE..••..•·-········-···-·····························--	--·
9.   BALANCE TO FINISH. PLUS RETAINAGE,•. ..., ••      ················---·--·····-········-	·-­

S	51 636,31
$	$5,637.711.48

$ 	5.614.475.14
$	$23,236.34
$-= -51,874.77

herein ls now due.

(LJne 3 less Line 6)	

CONTRACTOR:
By:. 	

State of.	FLORIDA
Subscribed and sworn to before me this
Notary Public:
Date:	 	My Commission Expires:

County ot CLAY
day of

ARCHITECT'S CERTIFICATE FOR PAYMENT	AMOUNT CERTIFIED•••••.••••••••••••••••.••••••·-···-·········-•·····•·············-········· .................$	Z:3' Z-3.l.

iiJ"'<-=,  ,._,

In accordance with the Contract Documents. based on on-site obser,,a11ons and the

data comprising the above application. lheArchltectcerUfies to the Owner that 1c the
besloftheArchltect•s knowledge. infonnaUon and  belief th.a  Wori< has  progressed as	  

_: i='l,,...;g;.:;:::;,j'.:: 	 	

i
Date:    -:::S-u!.-t  Z.'{ t  2<>1

indicated. the quality of the Work Is In accordance with the Contract Documents. and	he AMOUNT CERTIFIED is payable onty to the	T
the Contractor is enUtled to payment of the AMOUNT CERTIFIED	Contractor na	l'ereln. Issuance, payment and acceptance of payment are without
...,..,..,..,,..,,..,,.,.,,."""'-,,e-""',.,..,,..,,""".,.,,_..,...,,"	prejudice to any rights of the Owner or Contractor under this Contraci	--	-
DOCUMENT G702 • APPLICATION AND CERTIFICATE FOR PAYMENT" MAY 1983 EDITION• AIA•@ 1983
THE AMERICAN INSTITUTE OF  ARCHITECTS. 1735 NEWYOUR AVENUE. N.W•• WASHINGTON D.C. 20006	G702-1986

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, 51..A..U 	J.!
l.3S130
! 7

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3,5i!.6S

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iooii
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2211.00

.....

12fi:oii

....

.....

3,04D.OO
224.00
120]i
iiuo
!_Jl,r,

2'.00
.:iio	T..o.o.
4.340,00
00

-

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3,100.00

80-00

2.SOOJIO
.....
10.00

5_,_4GO.Dll
1151,ce(I.Oll

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1,0.ca
1 11D l).00

..,,..

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o:_,_ .QQ_	,460  0

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-90

21 400.00

00

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"i;;1

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CONl'RACT-TOTAL t:kAHD&Oi!tDERTCJIAl.­ l'RO,JU'fTOTAI.

••;a•a.11
:&.J1L11

z,;

uu.,J77.a·s

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42:J.10

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--

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APPLICATION ANO CERT]FICATE_FQR PAYl,IENT	AfA llOCUMENT G702	 nstructlons on l"IM!rsa side)	PAGE

TO:	·< F   .'11..?.

>$')nm ak ;. JV-G..C

PROJECT: Bannon LakesBlvd. - ONSITE

APPLICATION NO:	r,,-:;c-,,a,r, Distribution to:

:,;i(; ;:!",-,;.•,,j  i 7u•·1,d !1 "1.{il:;:t
773 .3,. .:..,,;_;1r :;,o-: F
.1..,:1:.;-s.S<., \..-·?rt. ::=L :'.l:z b

FROM: VALLENCOURT CONSTRUCTION CO., INC.
P.O. BOX 65849
ORANGE PARK,FL32065

SL Augustine. FL

(J OWNl:R
PERIOD TO;  sc:,:;:r	[) ARCMITECT
[] CONTRACTOR

ARCHITECT'S
PROJECT NO:	201694

Appricatkm Is made for Payment. as sho--n below, in connsction with the Contract. ContinuatJon Sheat AIA Document G703, IS attached		
1.  ORIGINAL CONT CT SUM.....................·------      .-·---·--·--··--........	$	s,02s,a1e.32	
2. Net change by Change Oroe,,..,_  	....-..   .............., .........._..................	$	663,769.93	
3. CONTRACT SUM TO DATE (Lins 1 .._ 2)..	 		$	5.689 586.25	
4. TOTAL COMPLETED & STORED TO DATE.   		$	5 689 586.25	

CONTRACT FOR:	==== -	CONTRACT OAiE:

CHANGE ORDER SUMMARY	
DEDUCTIONS	
Cnangs Ordern approved In 1>ravious months by OY.ner
TOTAL	AODITrONS		
Approved this Month	

79.711.50
387,744.53
516.383.11	<

(320.049.21)	
Number	Date Approved			
1
2
3
4	1113/2016			
TOTALS	983,618.14	(320,049.21)	
Net change by Change Orders	663,769.93	

<:ONTRACTOR'S APPLi&TIOM FOR PAYMENT

(Column G on G703)
RETAINAGE:
10 % of Completed Work Amenity C&ntor Only   $     	
{Cofumn D +Eon G703)	Or(·: -:':j'r:;1,,n <:11-1 h0,'.":I,,.., "·tti: 1·•,	;..n <;t,1tl' C;:;r-l'-·'

% ofStored Materials$ 	_
(ColumnFon G703)

The onderslgned Contractor cerofies that to the best ofihe Contr:aeto<'a koow\edge, Jnfarmatlon and bellafth& Work covere<I bythfsAppllcallonfurPaymenthasbeen completed in aceordance with the Contm<:t Dooumanls, that all amounts have been paid byth• Coniractorf-orWori<forwh!Gh previous Cerliflcatos forPaymeotshown Issued sn<l payments rocelved form tha Owner, and lhat current payment ,rhown

Total Rel3lnage (line Sa+ Sb or
Total In  Column1 Ol'G703J......_ .................------
6. TOTAL EARNED LESSRETAINAGE:...... 	. ..................................
(Line 4 LessUna5 Totaij
7. LESS PREVIOIJS CERTIFlCATES FOR
PAYMENT (Line 6 from prtor Certificate)........	--·
8CURRENTPAYMENTDUoc....-----...............................       	._
8ALANCE TO FINISH, PLUS Rl:TAINAGE....-- ..	--·

s     	
$	$§,!3!19.586.25

$	5,837.949.95
$	$51,1136.30
$	·

herein Is now due.	;
CONT.CTOR'.   /1 	V

(Un<! e«sl._ine'!}.
Stale of.	FlORIOA
Subscnbed and "'l;Om to befora lll;8 this C{'-\' v,
,r

Cou!lt'J

of: CLAY
dayof i'"::!\Z-·--p...vi._.:s " -

.'?,(,11/

     	11//Jf!;l     _,...,

1     -,;	Notary Public:   \:)   ;,	...:. t .,Jt,.<!/'

B _Y ;,.,-

f/ I /,f

<....	MyCommi5sllloExplres:  {	',.-::,7 - f5

/l              V	!	Date:	 	

ARCHITECT'S CERTIFICATE FOR PAYMENT	AMOUNT CERTIFIED............ 	_	s
tn accordance with!he Contract Documenw. based on on-site observallons anti the	(Attach explanation If amoum certlffed differs from the amount appUed for.)

SI, l,,3{.(} .

<la!E!comPTisingtheaboveapplicatlon,theAl<:hi!sctcertlfiestol	rthattothe	ARel'ilTE- •	'	,1""''/t:#f't;....	D	"'1
best of the Atchitecfc knowiedge, lnformatlon and belief:,..\'$	, ssed as	By:	··	ti£	Date:	0 - & 5- t.

is,••••

Indicated, the quality of1he Wor1< Is in accordan<;e -	·	JY end	This Cerilflc;rte notnegallliill&. The AMOUNT CERTIFIED ls payable only to the
1he Contractor ls entitled to payment of the AMO CE	,s'	Contrac10r rtru!<ed herein. l?lSUanc:e, payment and ac<:eptance of payment are wilhout

;:;:f	••

ruejudlce lo eny rights of the Owner or Contrac1Dr under this Contract.

 		    jf	 ••_	 	

AJA DOCUMENT G702 • APPLICATION AND Tllilf	SGlilPl!Y¥	• EDITION•AIA'@ 1983

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WAIVER AND RELEASE OF LIEN
UPON FINAL PAYMENT

The undersigned lienor, upon payment from the lienee, of the sum of $	51,636.30 , hereby waives and releases Its lien and right to clairn a lien Including all dalms, change orders, or demands whatsoever for labor, services,
or materials furnished through		August 20, 2017	on theJob of	RREF·IH·P-EP Bannon Lakes fV Member, LLC to the following described property:

Project: Bannon Lakes
Location: International Golf Parkway, St Augustine, FL 32095 Invoice#: 4637-21-Final RetOn Slte
This waiver and release does not cover any labor, servlces, or materials furnished after the date specified. The undersigned represents that he/she Is an authorized agent of Llenor and has authority to execute thisWaiver and Release of Lien on behalfofLJenor.

Dated on: A_u..;:;gu sit_.2_4_,_2_01_7 

Lienor's Name: Vallencourt Construction Co., Inc.
Address: P.O. Box 65849
Orange Park, FL 32065

Phone:

Printed Name: Steven Jordan ,,,	_
Title:  Chief Financial Manager

STATE OF FLORlDA COUNTI' CF CLAY

The foregoing Instrument was acknowledged  before me this   ::ii I..\  'r I'	day of	1-\1c   lA     +-  2017
(

by Steven Jordan of Vallencourt Construction co., Inc., a Florida corporation, on behalf of the corporation.

Personally known  	

-'X	or Produced ldentiflcati""''o""n'------

Type of Identification 	_

Notary PuWic

MOTh': This Ir a ,U,fJJ/my ferro prescribed by Section 713.20, nor/do Statutes (1996}. Eflectiv,Octoh<r 1, 1996, o person may not require a //enorlo /um/sh<? waiver or release of lien that t, different from the sl:ntutor-yform.

REQUISITION NO. 94
(2016 Acquisition and Construction Accovmt)

HANNON LAKES COMMUNITY DEVELOPMENT DISTRICT (ST. JOHNS COUNTY, FLORIDA)
$11,850,000
Special Assessment Revenue Bonds, Series 2016

The undersigned, a Responsible Officer of Bannon Lakes Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District to   The   Bank   of   New York Mellon Trust Company, N.A., as trustee (the "Trustee"), dated as of January 1, 2016 (the "Indenture"), (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 94

Name of Payee:  Carlton Construction

Amount Payable:  Total: $142,009.35

Bannon  Lakes CDD Invoice: 9

Fund or Accow1t from which disbursement to be made: 2016 Acquisition and Construction Account

The undersigned hereby certifies that:

L	this requisition is for Costs of the 2016 Project payable from the 2016 Acquisition and Construction Account that have not previously been paid;

2.	each disbursement set forth above is a proper charge against the 2016 Acquisition and Construction Account;

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any Hen, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitied to retain.

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.
Dated: September 15, 2017

BANNON LAKES COMMUNITY

It:}#? /	--

DEVELOPMENT DISTRICT

By:
;:;;	i,	,.,,.;;,.,;,
 	
Arthur E. Lancaster
Chairperson, Board of Supervisors

CONSULTIN'G ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.

ENGLAND, THIMS & MILLER, INC.

By:	 Title: District Engineer

APPLICATION AND CERTIFICATION FOR PAYMENT

TO OWNER Bannon Lakes COD
c/o Eastland
CS W. Town Place, Suite 114
St.Augustine Fl 32092

PROJECT: Bannon lakes Amenity Center
35 Bannon lake Drive
St. Augustine FL 32095

APPLICATION NO: 9

Distribution to:

FROM CONTRACTOR:Carlton Coi,structlon,Inc.
4615 U.S. Highway 17, Suite 1 Fleming Island FL 32003

PERIOD TO:
VIAARCHITECT: Basham & Lucas Design Group, Inc.
7545 Gate Parkway
Suite 201	PROJECT NOS:

08131/2017

1606

OWNER
ARCHITECT

CONTRACTOR

CONTRACT FOR: Bannon Lakes Amenity Center

Jacksonville FL 32256

CONTRACT DATE: 11/03/2016

CONSULTANT

CONTRACTOR'S APPLICATION FOR PAYMENT

ORIGINAL CONTRACT SUM

Net change by Change Orders

2,681,282.41

-6,456.10

CONTRACTOR'S CERTIFICATION OF WORK

;r·

The undersigned Contractor certifies that to the best of the Contractor's knowledge., infonnallon and belief the Work covered by this Application for Payme1,t has been completed in accorllance_)Nill) the Contract Documems. that all amounts have been paid by
the Contractor for Wo 4cwwt•·   r previous Certificates for Payment were issued and
u <	/4- .,;;._	 	 	

CONTRACT SUM TO DATE (Line 1+2)
TOTAL COMPLETED & STORED TO DATE

2.674.826.31

2,674.826.31

payments received	,-;
CONTRACTOR:

nt payment shown herein is now/ue./
Date:	/ f /17

(Column G on detailed sheet)
RETAINAGE:
a_ 0.00 % of Completed Wort<
{Column D+ E on detalled sheet)
b. ......Q.:!!Q¾ of Stored Material (Column F on detailed sheet}

Total Retafnage {lines Sa .,. 5b or Total in Column I of detailed sheet)
TOTAL EARNED LESS RETAINAGE (Line 4 less Line Total)
LESS PREVIOUS CERTIFICATES FOR PAYMENT (line 6 from prior Certlficate}
CURRENT PAYMENT DUE

1,200.35

0.00

l.J.00.35 2,673,625.96
2,531,616.82

142,009.14
1,200.35

State ot :J'l$.-v	County of: ,,,..-

Subscribed and swom to before me t	i
.    ,

dof   )	.•
 	,fr --
lt"(:li .

ARCHITECTS CERTIFICATE FOR PAYMENT
In accordance with the Conlract Documents. based on on.site observa!lon and the dat,a comprising the above application. the Architect certifies tothe best of the Arcnllect's knowledge. information and belief the Work has progressed as Indicated. the quality of
the Work rs in eccon:tance with the Contract Documents. and the Contractor is entitled to
payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFfED•••------······-··-···········-	$, 	_

BALANCE TO FINISH, INCLUDING RETAINAGE	 	
(Line 3 less Une 6)

(Attach explanation if amount certified tfiffers from amount applied forJ. lnitis>I all fig11ms

CHANGE ORDER SUMMARY	ADDITIONS	DEDUCTIONS	
lotal 1.,;nanges approved in
Previous month by Owner	6,611.93	-11,437.03	
Total approved this Month	0.00	-:-1,631.00	
NET CHANGES by Change Order	6,611-93	-13,068.03	
TOTAL	-6,456.10		

on this Application and on the COntinuation Shettt that are changed lo conform with
the amount certified.

""'/

 	  	 /21

Dale: ! ,,; r-
Thls Certificate ls non negotiable. The AMOUNT CERTIFIED Is payable only to the Contractor named herein. 1$Suanc;e. payment and acceptance of payment are wi,lhout prejucfice to any rights of the Owner or Contractor on this Contract.

PROGRESS BILLING
Schedule of Work Completed 
Description of Work	Scheduled	Changes	Contract	Previous   Current Comp.  Stored Mat. Total Comp.	%	Balance	Retained

610- Performance Bond	25,018.98	60.61	25,079.59	25,079.59		25,079.59	100.00	
1000- Project Management	119,976.00		119,976.00	119,976.00		119,976.00	100.00	
1003 - Job Trailer	3,000.00		3,000.00	3,000.00		3,000.00	100.00	
1005 - Small Tools	250.00		250.00	250.00		250.00	100.00	
1006 - Surveying & layout	9,401.00		9,401-00	9,401.00		9,401.00	100.00	
1007 • Blueprinting	640.00		640.00	640.00		640.00	100.00	
1008- Photographs	100.00		100.00	100.00		100.00	100.00	
1010- Testing	4,200.00		4.200.00	4,200.00		4,200.00	100.00	
1015- Temp Locks	9C.00		90.00	90.00		90.00	100.00	
1017 - Generator Fuel	1.00	2,021.21	2,02221	2,022.21		2,02221	100.00	
1018-Generator Rental	1.00	10,686.99	10,687.99	3,673.36	7,014.63	10,687.99	100.00	
1020 - Permits	7,300.00		7,300.00	7,300.00		7,300.00	100.00	
1030 - BuUders Risk Insurance	9,805.00		9,805.00	9,805.00		9,805.00	100.00	
1031 - liability Insurance	10,725.13	37.88	10,763.01	10,763.01		10,763.01	100.00	
1044- Mamng/Shipping	96.00		96.00	96.00		96.00	100.00	
1050- Safety	500.00		500.00	500.00		500.00	100.00	
1060 - lce/\Nater	50.00		50.00	50.00		50.00	100.00	
1110 - Portable Toilets	2,640.00		2,640.00	2,640.00		2,640.00	100.00	
1505- Temp Electric	800.00		800.00	800.00		800.00	100.00	
1507 - Temp Water	800.00		800.00	800.00		800.00	100.00	
1510- Temporaiy Fence	600.00		600.00	600.00		600.00	100.00	
1520- Submittals	200.00		200.00	200.00		200.00	100.00	
1530 - Field Office Supplies	160.00		160.00	160.00		160.00	100.00	
1580 - Project Sign	302.00		302.00	302.00		302.00	100.00	
1710- lntermediate Cleanup	3,600.00		3,600.00	3,600.00		3,600.00	100.00	
1720- Dumpsters	13,500.00		13,500.00	13,500.00		13,500.00	100.00	
1730- Closeout Docs	300.00		300.00	300.00		300.00	100.00	
1800 - Punch Out	500.00		500.00	500.00		500.00	100.00	
1875 - Final Clean	1,596.80		1,596.80	1,596.80		1,596.80	100.00	
2010- Misc. S!teworl<Allow.	25,000.00	-20,700.00	4,300.00	4,300.00		4,300.00	100.00	
2014 - 3/4" Crushed Rock	850.00		850.00	850.00		850.00	100.00	
2530 - Pool Deck Pavers	43,870.00		43,870.00	43,870.00		43,870.00	100.00	

P n&:11·   ?

PROGRESS B!WNG
Schedule of Work Completed
Description of Work	Scheduled	Changes	Contract	Previous	CurrentComp.	Stored Mat.	Total Comp.	%	Balance	Retained	
2829 - Dog Park Fencing	22,880.00	5,370.00	28,250.00	26,250,00		28,250.00	100.00	
2831 -Vinyl 3-Rail Fencing	2,700.00		2,700.00	2,700.00		2,700.00	100.00	
2832 - Tot Lot Fencing	7,532.00	-7,532.00						
2833-AJuminum Pool Fencing	21,126.00		21,126.00	21,126.00		21,126.00	100.00	
2836 - Dumpster Gates	8,600.00		8,600.00	8,600.00		8,600.00	100.00	
2838 - Pool Enclosure Gate	2,900.00		2,900.00	2,900.00		2,900.00	100.00	
2840 - Bike Rack		850.00	850.00	850.00		850.00	100.00	
2860 - Sports Courts	120,270.00		120,270.00	120,270.00		120,270.00	100.00	
2870 - Playground Equipment	70,000.00	7,368.00	77.36aoo	n,3sa.oo		n,368.oo	100.00	
2880 - Site Furnishings	4,154.00		4,154.00	4,154.00		4,154.00	100.00	
2900 - Landscaping	240,616.00	-8,140.43	232,475.57	232,412.60	62.97	232,475.57	100.00	
2910 - Irrigation	89,301.00		89,301.00	89,301.00		89,301.00	100.00	
2990 - Dumpster Enclosure	7,250.00		7,250.00	7,250.00		7,250.00	100.00	
2992 - Deco Site Columns	15,930.00		15,930.00	15Jl30.00		15,930.00	100.00	
3000 - Concrete	65,529.00		65,529.00	65,529.00		65,529.00	100.00	
3010- Tree Rings	4,302.00		4,302.00	4,302.00		4,302.00	100.00	
3020- Tot Lot Slab	2,018.50		2,018.50	2,018.50		2,018.50	100.00	
3345- Termite Treatment	1,126.00		1,126.00	1,126.00		1,126.00	100.00	
4210 - Brick Veneer	47,810.00	1,350.00	49,160.00	49,160.00		49,160.00	100.00	
4212 - Brick (Pool & Dumpster	)	4,667.00	4,667.00	4,667.00		4,667.00	100.00	
4222 - CMU Masonry	9,825.00		9,825.00	9,825.00		9,825.00	100.00	
4720 -Arch. Cast Stone	11,100.00	2,805.70	13,905.70	13,905.70		13,905.70	100.00	
5100 - Misc. Steel	250.00		250.00	250.00		250.00	100.00	
5150 -Added Tie-Downs		2,800.00	2,800.00	2,800.00		2,800.00	100.00	
5515- Ladders	175.00		175.00	175.00		175.00	100.00	
5720 - Handrails & Railings	8,332.00		8,332.00	8,332.00		8,332.00	100.00	
6015 - Heavy limber Matertal	8,483.00		8,483.00	8,483.00		8,483.00	100.00	
6020 - T&G & Beams - Exterior 6,679.00		6,679.00	6,679.00		6,679.00	100.00	
6100- Rough Framing Install	58,675.00		58,675.00	58,675.00		58,675.00	100.00	
6101 - Lumber Package	43,475.IJO		43,475.00	43,475.00		43,475.00	100.00	
6103 - Shutters & Hardware	6,090.00		8,090.00	8,090.00		8,090.00	100.00	
5105 - Misc. Blocking	500.00		500.00	500.00		500.00	100.00	
'5160 - Hardie Lap Siding	11,631.00		11,631.00	11,631.00		11,631.00	100.00	

p,.,,.,..

PROGRESS BILLING
Schedule of WOik Completed

6190 - Truss Packages	17,511.00		17,511.00	17,511.00	17,511.00	100.00	
6400 - Cabinetry & SS Tops	22,961.00	420.00	23,381.00	23,381.00	23,381.00	100.00	
6451 - Interior Trim Material	1,934.00		1,934.00	1,934.00	1,934.00	100.00	
6452 - Interior Trim Install	10,902.00		10,902.00	10,902.00	10,902.00	100.00	
6453 - T&G - Interior	2,846.00		2,846.00	2,846.00	2,846.00	100.00	
6454 - Hardle Soffit	3,051.00		3,051.00	3,051.00	3,051.00	100.00	
6458 - PT Wood brackets	5,367.00		5,367.00	5,367.00	5,367.00	100.00	
6462 - PVC Brackets	2,986.00		2,986.00	2,986.00	2,986.00	100.00	
6700 - Framing Hardware	500.00		500.00	500.00	500.00	100.00	
6791 - Exterior Trim Install	43,614.00		43,614.00	43,614.00	43,614.00	100.00	
7100 - Waterproofing	17,227.00		17,227.00	17,227.00	17,227.00	100.00	
7200 - Insulation	19,061.00		19,001.00	19,001.00	19,061.00	100.00	
7300 - Roofing	70,645.00		70,645.00	70,645.00	70,645.00	100.00	
TT20- Gutters & Downspouts	14,320.00	-5,026.00	9,294.00	9,294.00	9,294.00	100.00	
7920 - Sealants and Caulks	350.00		350.00	350.00	350.00	100.00	
8101 - Door Installation	3,850.00		3,850.00	3,850.00	3,850.00	100.00	
8211 - MDF Interior Doors	1,656.00		1,656.00	1,656.00	1,656.00	100.00	
8220 - Fiberglass Doors	13,838.00		13,838.00	13,838.00	13,838.00	100.00	
8240 - Counter Barn Doors	900.00		900.00	900.00	900.00	100.00	
8305 -Access Doors	160.00		160.00	160.00	160.00	100.00	
8410- Storefront Systems	18,900.00		18,900.00	18,900.00	18,900.00	100.00	
,8450 - Pella Window Package	29,989.00		29,989.00	29,989.00	29,989.00	100.D0	
,9501 - Window Installation	6,000.00		6,000.00	6,000.00	6,000.00	100.00	
8710- Door Hardware	13,843.00		- 13,843.00	13,843.00	13,843.00	100.00	
!:>100 - Stucco	5,000.00		5,000.00	5,000.00	5,000.00	100.00	
9105 - Stucco - Dumpster	2,500.00		2,500.00	2,500.00	2,500.00	100.00	
l:¾250 - Gypsum Board	36,244.00		36,244.00	36,244.00	36,244.00	100.00	
13437 - Tree Ring l11e	3,630.00		3,630.00	3,630.00	3,630.00	100.00	
13541 - Flooring	48,014.00		48,014.00	48,014.00	48,014.00	100.00	
9900 - Palnting	28,333.00	1,960.88	30,293.88	30,293.88	30,293.88	100.00	
9910 - Site Painting	500.00		500.00	500.00	500,00	100.00	
·10165- Toilet Partitions	12,314.00		12,314.00	12,314.00	12,314.00	100.00	
110433 - Informational Slgnage	9,467.00		9,467.00	9,467.00	9,467.00	100.00	

Description of Work	Scheduled	Changes	Contract	Previous  Current Comp.  Stored Mat. Total Comp.	%	Balance	Retained

1,200.35

p,.n,,-  4.

''. --,...··

PROGRESS BILLING		
Schedule of Work Completed		
l)escription of Work	Scheduled
10522 - Fire Extinguishers	849.00	Changes	Contract
849.00	Previous
849.00	Current Comp.	Stored Mat.	Total Comp.
849.00	% 100.00	Balance	Retained	
10536-Awnlngs	690.00		690.00	690.00			690.00	100.00			
10705 - Bahama Shutters	4,260.00		4,260.00	4,260.00			4,260.00	100.00			
10800 - Bath Accessories	12,488.00		12,488.00	12,488.00			12,488.00	100.00			
10850 - Mirrors	1.192.00		1,192.00	1,192.00			1,192.00	100.00			
11450-Appliances	5,526.00		5,526.00	5,526.00			5,526.00	100.00			
13152- Swimming Pool	442,345.00	1,376.00	443,721.00	443,721.00			443,721.00	100.00			
13300 - Tennis Shade Structure 4,140.00		4,140.00	4,140.00			4,140.00	100.00			
13305 - Pool Shade Structures 26,900.00		26,900.00	26,900.00			26,900.00	100.00			
15100 - Plumbing	45,600.00	4,269.37	49,869.37	49,869.37			49,869.37	100.00			
15110- Site Plumbing	4,500.00		4,500.00	4,500.00			4,500.00	100.00			
15405 - Pool Shower	200.00		200.00	200.00			200.00	100.00			
15700-HVAC	76,547.00	-14,195.00	62,352.00	62,352.00			62,35200	100.00			
16000 - Electrical	107,000.00	2,213.30	109,213.30	107,000.00	2,213.30		109,213.30	100.00			
"16100- Hook up Generators	1,190.00	1,190.00	1,190.00			1,190.00	100.00			
16250 - Electrical FIXtUres	139,000.00		139,000.00	139,000.00			139,000.00	100.00			
16720 - Security System	20,000.00	-2,388.84	17,611.16	17.611.16			17,611.16	100.00			
17200- Owner Contlngenc,;										
17900 - Contractor's Fee	134,500.00	2,079.23	136,579.23	135,841.00	738.23		136,579.23	100.00			
Totals:	2,681,282.41	-6,456.10	2,674,826.31	2,664,797.18	10,029.13		2,874,826.31	100.00		1,200.35	

P<>m•· Rt'>ff.

 	 	

 	_.  ,-A-.....,, -----  	--   •-	- - -•-  --  --• -•--A• -- •----

REQUISITION  NO. 99
(2016 Acquisition and Construction Account)

BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT (ST. JOHNS COUNTY, FLORIDA)
$11,850,000
Specfal Assessment Revenue Bonds, Serfos 2016

The undersigned, a Responsible Officer of Bannon Lakes Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District to  The  Bank  of   New York Mellon Trust Company, N.A., as trustee (the "Trustee"), dated as of January 1, 2016 (the "Indenture"), (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 99

Name of Payee: Life Fitness, 2716NetworkPlace, Chicago, IL 60673-1271

Amount Payable: Total: $69,959.92

(D)	Bannon Lakes CDD Invoice: 5335847, 5339053, 5350968, 5353898,
5357727,5367080,5371964

(E)		Fund or Account from which disbursement to be made: 2016 Acquisition and Construction Account

The undersigned hereby certifies that:

this requisition is for Costs of the 2016 Project payable from the 2016 Acquisition and Construction Account that have not previously been paid;

each disbursement set forth above is a proper charge against the 2016 Acquisition and Construction Account;

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attach..--nent upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.
Dated: Octob r 12, 2017

BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT
By:b	
Arthur E. Lancaster
Chairperson, Board of Supervisors

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.

ENGLAND, TI-IlMS & MILLER, INC.

By:	 Title: District Engineer

A Division of Brunswick Corporation
9525 Bryn Mawr Avenu.e, Rosemont, IL 60018
Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

!!:>CYBEX	i # HF)  IT J

5335847
1561972
PO WANER 28-MAY-17
27-JUN-17
472876
472876

INVOICE# ORDER# CUSTOMER PO # INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

INVOICE

;'....	.

....,..,,

I ;;> 1 ll ' ,1 j :( ,V t: f! \l2'(1
•

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVO SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED.  SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Duo Oat&:	I Sales Rep	Terms of Sales:	Shipping Terms:	Ship Date:.	
27.JUN-17	'  WILKINSON, STEPHEN	NET30		07-JUN-17	
OTV
ORPGRED	QTY
SHfP	BIO	PART NO..	DESCRIPTION/SERIAL#	UNfTPRICE	Tf'.NSION	
1	1	0	OSCP	OPTIMA SERIES CHEST PRESS
101716717279 101714808036	1,475.00	1,475.00	
1	1	0	OSCP-0502	SHR.FULL	138.45	138.45	
1	1	0	OSPD	OPTIMA SERIES LAT PULL DOWN
101704712308 101714808033	1,525.00	1,525.00	
1	1	0	OSPD-0502	::;HR.FULL	138.45	138.45	
1	1	D	SADB	SIGNATURE ADJUSTABLE DECLINE BENCH
081704009242	604.50	604.50	
1	1	0	SMAB	SIGNATURE MULTIPLE ADJUSTABLE BENCH
081704027170	746.85	746.85	
1	1	0	GROUP-ROW-01	RowGX
RGX170401113	1,595.30	1,595.30	
2	2	0	95XE-DOMXX-04	CROSS-TRAINER Discover SE3 DOMESTIC
ASX125016 ASX125017 GAN103457 GAN10346 1	5,275.00	10,550.00	
2	2	0	DISC-95XBASE•B2B-3Y
R	EXT WARR-PARTS & LABOR- 3 YEAR, DISCOVER
95X BASE	147.00	294.00	
2	2	0	ELEV-ENGAGE-DSCV- NT0  B2B-3YR	EXT WARR-PARTS & LABOR- 3 YEAR, ELV ENGAGE-DSCV-NT	202.00	404.00	
1	1	0	95CE-DOMXX-04	UPRIGHT BIKE Discover SE3 DOMESTIC
APU113902 GAN103467	4,525.00	4,525.00	
1	1	0	DISC-95CBASE-B2B-3Y
R	EXT WARR-PARTS & LABOR- 3 YEAR, DISCOVER
95C BASE	98.00	98.00	
1	1	0	ELEV-ENGAGE-DSCV-
NT-828-3YR	EXT WARR-PARTS & LABOR- 3 YEAR, EL V ENGAGE-DSCV-NT	202.00	202.00	
1	1	0	95RE-DOMXX-04	RECUMBENT BIKE Discover SE3 DOMESTIC
APB111818 GAN103454	4,525.00	4,525.00	
1	1	0	DISC-95RBASE-B28-3Y
R	EXT WARR-PARTS & LABOR- 3 YEAR, DISCOVER 95RBASE	98.00	98.00	
1	1	0	ELEV-ENGAGE-DSCV-	EXT WARR-PARTS & LABOR- 3 YEAR. ELV	202.00	202.00	

Page 1 of 2 CONTINUED ON NEXT PAGE SEE LAST PAGE FOR TOTALS.

,o, Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, ll 60018
Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5335847
1561972
PO WAIVER 28-MAY-17
27-JUN-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS.
Due Date:	Sales Rep:	T ofSale$:	Shlpplnf Terms:	ShtpOete:	
27.JUN-17	WILKINSON, STEPHEN	NET30		07-JUN-17	
OTY
ORDERED	QTY
SHIP	BIO	PART NO,	.	DE8CRIP110NISERIAL#	UNITPRICE	EXTEN$10N	
			NT-B2B-3YR	ENGAGE-DSCV-NT			
			FREIGHT ALL	FREIGHT CHARGES		518.31	
			INSTALLATION	Installation Charges		1,832.78	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	29,472.64
0.00
nno	
		(29,472.	

)

ot..
:f\t>
"	(ll).-"' L	l.c
e;r;lt

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 2of 2

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE::

□

US$ TOTAL DUE :

5335847
PO WAIVER
28-MAY-17
27-JUN-17
29,472.64

MAIL THIS PORTION ALONG WITH PAYMENT TO: LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX 10# 36-084-8180

INVOICE

5339053
1561972
PO WAIVER 09-JUN-17
09-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# lNVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS
DueDate:	Sa Rep:	Tenns of Sales;	j
Shipping Terms:	I ShlpDate:	
09..JUL-17	WILKINSON, STEPHEN	NET30	j 09.JUN-17	
OTY
ORDERED	QTY SHIP	BIO	PARTNO.	DESCRIPTION/SERIAL#	UNITPRICE	EXTENSiON	
1	1	0	OSRW	OPTIMA SERIES SEATED ROW
101717718035 101704805974	1,425.00	1,425.00	
1	1	0	OSRW-0502	SHR.FULL	138.45	138.45	
1	1	0	OSLP	OPTIMA SERIES LEG PRESS
101716717513  101717808587	1,800.00	1,800.00	
1	1	0	OSLP-0502	SHR.FULL	138.45	138.45	
1	1	0	LF-FR-71087	LIFE FITNESS FvAM ROLLER 6X36	29.96	29.96	
1	1	0	LF-FMK-72217	LIFE FITNESS- FITNESS MAT- BLACK	37.06	37.06	
1	1	0	LF-SB55-71053	LIFE FITNESS STABILITY BALL - 55 CM - RED	31.96	31.96	
1	1	0	LF-SB65-71055	LIFE FITNESS STABILITY BALL- 65 CM- GRAY	36.76	36.76	
1	1	0	HT-DHCB-M	DUAL HANDLE COVERED BAND-RED-MED	23.40	23.40	
1	1	Q	HT-DHCB-V	DUAL HANDLE COVERED BAND-GREEN-VHVY	25.35	25.35	
1	1	0	HT-CLB-V	COVERED LOOP BAND-GREEN-VHVY	20.80	20.80	
1	1	0	HT-CLB-H	COVERED LOOP BANO-BLUE-HVY	19.50	19.50	
1	1	0	PS-13642	BATTLING ROPE· BLACK	95.21	95.21	
1	1	0	LF-MB10-71011	LIFE FITNESS MEDICINE BALL - 10LB - BLACK	40.66	40.66	
1	1	0	LF-MB12-71013	LIFE FITNESS MEDICINE BALL - 12LB - RED	46.03	46.03	
1	1	D	LF-M84-71005	LIFE FITNESS MEDICINE BALL • 4LB • RED	24.13	24.13	
1	1	0	LF-MB6-71007	LIFE FITNESS MEDICINE BALL· 6LB-GRAY	30.29	30.29	
1	1	0	LF-MBB-71009	LIFE FITNESS MEDICINE BALL - BLB - BLUE	35.96	35.96	
1	1	0	PS-70283	BOSU PRO BALANCE TRAINER	147.21	147.21	
1	1	0	BOLT DOWN
PACKAGE	BOLT DOWN PACKAGE FOR STRENGTH
PRODUCTS	10.00	10.00	
			FREIGHT ALL	FREIGHT CHARGES		152.58	

Page 1 of 2 CONTINUED ON NEXT PAGE SEE LAST PAGE FOR TOTALS.

A Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018
Mein (800)735-3867 Fax (847)288-3795 US TAX ID# 36-084-8180

INVOICE

5339053
1561972
PO WAIVER 09.JUN-17
09-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE Fl 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED.  SEE REVERSE SIDE FOR TERMS AND CONDITIONS.
Due Date:	Sates Rep:	Terms of Sele&:	Shipping Terms;	ShtpDaie:	
09.JUL-17	WILKINSON, STEPHEN	NET30		09-JUN-17	
OTY
ORDERED	. QTY SHIP	BIO	PART NO.	DESCRIPTION/SERIAL#	UNrrPRICE	EXTENSION	
			INSTALLATION	Installation Charges		588.79	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	4,897.55
0.00
( 4Js1:sj	
ot.
'3\9
""""' L	t>\4

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 2 of2
-------------- ------ --- ----- ------------- ------------ -------------	--- ------ -----------------

IN VOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5339053
PO WAIVER 09-JUN-17
09-JUL-17
4,897.55

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5350968
1561972
PO WAIVER 21-JUN-17
21-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNllY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS.
Due Date:	Sai.:.Rep:	Term• of Sates:	Shlpping.T9"'1$:	Ship Date:	
21.JUL-17	WILKINSON, STEPHEN	NET30		21-JUN-17	
UlY
ORDERED	QTY
SHIP	810	PART NO.	DESCRIPTION/SERIAL#	UNITPRICE	EXTENSrON	
1	1	0	OSDB3	OPTIMA SERIES 3 TIER DUMBBELL RACK
101713716026	575.00	575.00	
			FREIGHT ALL	FREIGHT CHARGES		18.47	
			INSTALLATION	Installation Charges		86.30	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	679.77
0.00
n..oo..
(679:77		
			)	
bt 	
-s-ro
11,io-f\ tt:,
/r-Mevi•lt

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
-------- --- --- -----------------------------------------------------------------	------------

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5350968
PO WAIVER 21-JUN-17
21-JL.Jl.-17
679.77

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A DMslon of Brunswick CO!'POration
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5353898
1561972
PO WAIVER 23-JUN-17
23-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS
OU.Daw.	Sales p:	J Terms of Sale:	Sltlpplng Terms:	Shlpbata:	
23.JUL-17	WILKINSON, STEPHEN	NET30		23-JUN-17	
OTV
ORDERED	QTY
SHIP	BJO	PARTNO.	DESCRIPTION/8ERtAL#	UNITPRICE	EXTENSION	
1	1	0	ACC-KB-1002-01	American Kettlebell,SKG,Cast Iron.Charcoal	24.70	24.70	
1	1	0	ACC-KB-1003-01	American Kettlebell,12KG,CastIron.Charcoal	34.45	34.45	
1	1	0	ACC-KB-1004-01	Amerlcan Kettlebell,16KG,Cast lron,Charcoal	42.90	42.90	
1	1	0	ACC-KB-1005-01	American KetUebell,20KG,Cast Iron.Charcoal	51.35	51.35	
2	2	0	HS-DB-3011-01	Hammer Dumbbell 25LB Each,Rubber,Round	65.00	130.00	
2	2	0	HS-DB-3013-01	Hammer Dumbbell 30LB Each,Rubbe,Rr ound	70.20	140.40	
2	2	0	HS-DB-3014-01	Hammer Dumbbell 35LB Each.Rubber.Round	76.05	152.10	
2	2	0	HS-DB-3015-01	Hammer Dumbbell 40LB Each,Rubber,Round	82.55	165.10	
2	2	0	HS-DB-3016-01	Hammer Dumbbell 45LB Each.Rubber.Round	88.40	176.80	
2	2	0	HS-DB-3017-01	Hammer Dumbbell 50LB Each.Rubber .Round	94.25	188.50	
1	1	0	HS-OP-200-401	Hammer Olympic Plate 5LB,Urethane,RndX	14.30	14.30	
2	2	0	HS-OP-2003-01	Hammer Olymplc Plate 1OLB,Urethane,RndX	23.40	46.80	
1	1	0	HS-OP-2002-01	Hammer Olympfc Plate 25LB,Urethane,RndX	57.85	57.85	
			FREIGHT ALL	FREIGHT CHARGES		109.44	
			INSTALLATION	Installation Charges		60.48	

Order Comments:	SUB-TOTAL
TAX: DEPOSIT:
US$ TOTAL DUE:		1,395.17
0.00	

ot_

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE T, O LIFE FITNESS	1	-j./
--------- ----------- ------ -------------------  ----------- -- ------ -------- ----- -------------- 

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5353898
PO WAIVER
23-JUN-17
23-JUL-17
1,395.17

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO  IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of Brunswick Corporaijon
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5357727
1561972
PO WAIVER 28-MAY-17
27-JUN-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH Fl 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Du.Date:	ISale6Rop:	Terms of Sates:	Shipphlg Tenne!	Ship Date:	
27-JUN-17	I WILKINSON, STEPHEN	Nl:T30		28--JUN-17	
OTY
ORDERED	arv
SHIP	BIO	PARTNO.	DESCRIPlJOMJSERfAL#	UNJT PRICE	EXTENSION	
2	2	0	HS-DB-3003--01	Hammer Dumbbell 5LB Each,Rubber,Round	29.25	58.50	
2	2	0	HS-DB-3005-01	Hammer Dumbbell 10LB Each,Rubber,Round	40.30	80.60	
2	2	0	HS-DB-3009-01	Hammer Dumbbell 20LB Each.Rubber.Round	58.50	117.ou	
3	3	0	95TE-DOMXX-04	TREADMILL DISCOVER SE3 DOMESTIC
AST153611 AST153609 AST153608 HUT100064 HUT100083 HUT100085	7,273.50	21,820.50	
3	3	0	DISC-95TBASE-82B-3Y
R	EXT WARR-PARTS & LABOR- 3YEAR. DISCOVER
95TBASE	515.00	1,545.00	
3	3	0	ELEV-ENGAGE-DSCV-
TR-B2B-3YR	1:7' 1 WARR-PARTS & LABOR- 3 YEAR, ELV
ENGAGE-DSCV-TR	202.00	606.00	
			FREIGHl ALL	FREIGHT r.;HARGES		246.75	
			INSTALLATION	Installation Charges		913.32	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	25,387.67
0.00
r 38 :	

>

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
---------------------------	------ "-----------------------------------	------------- -------- --

INVOICE: CUSTOMER PO : INVOICE DATE: DUE OATE:

□

US$ TOTAL DUE:

5357727
PO WAIVER 28--MAY-17
27-JUN-1?
25,387.67

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of BrunlM'ick Coiporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-a180

INVOICE

5367080
1561972
PO WAIVER 10-JUL-17
09-AUG-17
472876
472876

INVOICE# ORDER# CUSTOMER PO # INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Due Date:	SalesRep:	Tenn$ of Sale$:	Shipping Terms:	ShipOam:	
09-AUG-17	WILKINSON, STEPHEN	NET30		10-JUL-17	
gn
ORO'=RED	QTV
SHIP	BIO	PARTNO.	D ONISERIAL#	UNITPRICE	EXTEN8fON	
2	2	0	HS-DB-3007-01	Hammer Dumbbell 15LB Each,Rubber,Round	52.00	104.00	
			FREIGHT ALL	FREIGHT CHARGES		2.88	
			INSTALLATION	Installation Charges		1.60	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	108.48
0.00
t'fl)S.48D
00.0Q_	

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
----- --------------------------------------------------------------------------------------

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5367080
PO WAIVER 10-JUL-17
09-AUG-17
108.48

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A DMsiQn of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5371964
1561972
PO WAIVER 14-JUL-17
13-AUG-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Oueoate;	Salas Rep:	Tem11J of Sale$:	Shlppmg Term.:	Ship Date:	
13-AUG-17	WILKINSON, STEPHEN	NET30		14-JUL-17	
OTY
ORDERED	QTV
SHIP	BIO	PARTNO.	DESCRIPl10NISERIAU#	UNFTPRICI!	EXTENSION	
1	1	0	FXTT-VCV	Synrgy360T Versa-Cable-Versa - REQ BOLT TO
FLOOR
FXTT-VCV0717B002	3,948.10	3,948.10	
1	1	0	FXT-STP-STD01	SYN360STEP
FXT-STP02178060	282.10	282.10	
1	1	0	FXT-DIP-STD01	SYN360 DIP
FXT-DIP0317B048	210.60	210.60	
1	1	0	FXTT-VC-0617	Rope Pull - Power Pivot - Suspension Chin -TRX	1,959.10	1,959.10	
1	1	0	FXTT-CV-0710	Stall Bars	542.10	542.10	
			FREIGHT ALL	FREIGHT CHARGES		595.34	
			INSTALLATION	Installation Charges		481.30	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	8,018.64
Cr 0.00
u.vv
8,018.64---	

)

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
-----------------------------	· -------------------------------------·-------------------------

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5371964
PO WAIVER 14-JUL-17
13-AUG-17
8,018.64

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

D.

Bannon Lakes Community Development District
9655 Florida Mining Blvd., Bldg. 300, Suite 305, Jacksonville, Florida 32257
Memorandum

Date: To:

From: Re:

October 2017
Bannon Lakes Board of Supervisors Jim Oliver, Richard Whetsel
Brian Stephens / Louis Cowling Operations Manager
Bannon Lakes CDD
Monthly Operations Report

The following is a summary of activities related to the field operations of the Bannon Lakes Community Development District.
Storm Preparation/ Clean Up:
All furniture was returned to the pool deck and covered patio.
Tennis screens were put back up.
Shade structures were repaired by shade America thru Carlton at no cost to the district.
The roof cap was repaired.
John worked directly with Urban Foresters on the large Oaks. The Landcare Group stood up the smaller trees that were down in the common areas.

\

We will be placing furniture back on the patio and some ofthe pool furniture on the 14e1  and 151
The remainder of the furniture will be placed the week of the 18th along with putting the tennis screens back in place.
Landscape/ Irrigation:
Annuals were rotated.
Sod replacement is scheduled for area disturbed by conduit installation in front of the clubhouse.
We have scheduled sod installation behind any Oak Tree replacement.
Several irrigation breaks were repaired.
Amenity/ Site:
Cleaning of the pools and club facilities has been done on the weekly schedule.
Fitness Center dispensers have been installed.
Several pieces of furniture have been replaced on the covered patio.
The annual pool permit was paid for in early August.
Pool and janitorial maintenance began in August.
Broken FPL light pole was reported and pending replacement.

Ponds:
1. Pond treatments resumed on monthly schedule.
Other Projects:
1.	None at this time...
Should you have any questions or comments regarding the above information, please feel free to contact me at (904) 759-8907 or Rich at (904) 759-8923.

TENTH ORDER OF BUSINESS

A.

13annon Lakes
Community Deve{oyment District
'Unaudited:financia{ State1nents as of
.Jlugust 31,  2017

'Bannon Lakes
Community 'DeveCo_pment 'Distrkt Combined''BaCance Sfi.eet
	.'August 31,

(genera{	2017

'Debt Service	

Cayita{ Project	

:Memoranaum On{y	
.'Assets:					
Casfi	
$264,895			
$264,895	
Investments:					
'Reserve		$385,750		$385,750	
CayitaCizea Interest		$877,687		$877,687	
Construction			$122,761	$122,761	
COI			$0	$0	
Vue :from 1Jevefoyer			$47,979	$47,979	
1Jue :from Otfier				$0	
Custod'y				$0	
V.tiCities 'Deyosit				$0	
'Tota{ .'Assets	$264,895	$1,263,437	$170,740	$1,699,073	

LiabiCities:					
.'Accounts Paya6{e	$5,730			$5,730	
.'Accrued''Exyenses	$0			$0	
Vue to Otfier				$0	
Vue to (jenera{ :fund'				$0	
Contracts Paya6{e					
'Retainage Paya6{e			$170,740	$170,740	
:fund''BaCances:					
'Restricted' for 1Je6t Service		$1,263,437		$1,263,437	
'Restricted' for Cayita{ Projects			$0	$0	
:Nonsyenaa6{e	$0			$0	
'Unassigned'	$259,165			$259,165	
'Tota{ LiabiCities & :fund''Equity	$264,895	$1,263,437	$170,740	$1 699,073	

Page 1

annon Lakes
Communit}J_ 'Deve{ vme.nt 'District
(i'E:NE'R.JlC :ru:N'D
Statement  of'Revenues  & 'Exyenditures
:for 'Tfie Perioa'Ending .August 31, 2017

	.Jtc{oytea
13uaget	Proratec[
'Tfiru 8/31/17	.J\.ctua[
'Tfiru 8/31/17	
'Variance	

'R'EV'E:N'U'ES:		
.J\.ssessment - 'Direct	$439,183	$439,183	$439,183	$0	
'Devefoyer Contri6utions	$113,021	$0	$0	$0	
'Tota['Revenues	 	$552,204	$0	$439,183	$0 I

'EXP'E:N'DI'T'll'R'ES:		
lL3.1m		
Suyervisors	$4,000	$4,000	$0	$4,000	
:JIC.J\. 'Exyense	$306	$306	$0	$306	
'Engineering	$4,000	$3,667	$10,263	($6,597)	
.Attorney :fees	$20,000	$18,333	$10,882	$7,452	
'Dissemination	$3,500	$3,208	$3,208	($0)	
.J\.nnua[ .J\.udit	$4,200	$2,925	$2,925	$0	
.J\.r6itrage	$600	$600	$600	$0	
.J\.ssessment 'Ro[(	$5,000	$5,000	$5,000	$0	
Trustee :fees	$10,000	$6,000	$6,000	$0	
:Managenient :fees	$45,000	$41,250	$41,250	$0	
Information 'Tecfinofogy	$1,600	$1,467	$1,467	$0	
'Te[eyfione	$200	$183	$102	$81	
Postage	$500	$458	$132	$327	
Insurance	$5,500	$5,500	$5,100	$400	
Printing ana 13inding	$3,000	$2,750	$1,343	$1,408	
Lega[ .J\.cfvertising	$3,000	$2,750	$1,343	$1,407	
Otfier Current Cfiarges	$700	$642	$766	($125)	
Office Suyyfles	$400	$367	$129	$237	
'Dues, Licenses & Su6scriptions	$175	$175	$175	$0	

'Tota[.J\.aministrative	
$111,681	
$99,581	
$90,685	$8,896 I	

.J\.menity Center					
Insurance 'lltiflties	$10,273	$0	$0	$0	
'Te[eyfione	$3,000	$2,750	$0	$2,750	
'E[ectric	$32,500	$29,792	$4,185	$25,607	
'Water/Irrigation	$10,000	$9,167	$3,593	$5,574	
Ca6[e	$1,600	$1,467	$0	$1,467	
<;;as	$200	$183	$0	$183	
'Refuse	$3,000	$2,750	$192	$2,558	
Security					
Security :Monitoring	$600	$550	$0	$550	
.J\.ccess Caras	$500	$458	$0	$458	
:Management Contracts					
:faciflty :Management	$42,000	$38,500	$6,250	$32,250	
Pao[ .Attendants	$24,000	$22,000	$0	$22,000	

Page 2

annon Lakes
Community_ 'Deve{o_pment 'District
(j'E:N'E'R.'AL Yl1:N'D
Statement of Revenues & 'Exyenditures
:for Tfie Perioa'Endi11£J August 31, 2017

	Aaoytea
'Buaget	Proratea
Tfiru 8/31/17	Actua{
Tfiru 8/31/17	
'Variance	

Continue a Management Contacts
:fie{aMgmt/ Amnin	$7,500	$6,875	$0	$6,875	
Pao{ Maintenance	$8,000	$7,333	$683	$6,650	
Pao{ Cfieniicafs	$6,000	$5,500	$960	$4,540	
Janitoria{	$6,000	$5,500	$830	$4,670	
:faciflty Maintenance	$7,500	$6,875	$0	$6,875	
Reyairs & Maintenance	$5,000	$4,583	$1,187	$3,397	
Maintenance Reserves	$0	$0	$0	$0	
New Cayit a{ Projects	$0	$0	$0	$0	
Syecia{ 'Events	$3,000	$2,750	$0	$2,750	
:J{o{fr[ay 'Decorations	$1,500	$1,375	$0	$1,375	
:fitness Center Reyairs/Suyyfles	$0	$0	$0	$0	
Office Suyyfles	$250	$229	$0	$229	
ASCAP/'B:MI Licenses	$500	$458	$0	$458	
Amenity  Center 'Exyenditures	 	$172,923	$149,096	$17,880	$131,216 I

GrounaMaintenance 'Ex,penditures		
:J{ycfro{ogy Quaflty/:Mitigation	
$3,600	
$3,300	
$0	
$3,300	
Landscaye Maintenance	$200,000	$183,333	$42,750	$140,583	
Landscaye Conti11£Jency	$20,000	$18,333	$0	$18,333	
Lake Maintenance	$12,000	$11,000	$465	$10,535	
(jrouna Maintenance	$12,000	$11,000	$156	$10,844	
Pumy Reyairs	$2,500	$2,292	$0	$2,292	
Street{iglit Reyairs	$5,000	$4,583	$0	$4,583	
Irrigation Reyairs	$7,500	$6,875	$202	$6,674	
Misce{Caneous	$5,000	$4,583	$0	$4,583	
RecCaim )\later	$0	$0	$37,096	($37,096)	
Tota{ (jrounaMaintenance 'Exyenditures I 	$267,600	$245,300	$80,668	$164,632 I
TOTAL 'EXP'ENS'ES	 	$552,204	$493,977	$189,232	$304,745 I

'EXC'ESS 'R'EV'E:N'U'ES ('EXP'E:N'DIT'U'R'ES)		$0	$249,951	
Yl1:N'IJ 'B..'A_L..'A_NC'E • 'Beginning		$0	$9,214	
Yl1:N'D 'B..'A_L..'A_NC'E · 'Ending		$0	$259,165	

Page 3

'Bannon Lakes
Community  1JeveCoyrrumt District
/genera( fund'
:Jvlantfi 'By :Jvlantfi Income Statement
:fisca(year 2017

'Revenues:
.'Assessments - 'Direct 'DeveCoyer Cantri6utians

I    Octa6er	:Ncrvem6er	'Decem6er	Januan1	:fe6ruan1	:Marcfi	.Jlpri(	:May	June	Ju(v	.'AUfJ..USt	Septem6er	Tata(

$0	$109,796	$27,833	$36,728	$0	$38,416	$116,615	$0	$27,833	$81,963	$0	$0	$439,183	
$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	
$0	$109,796	$27,833	$36,728	$0	$38,416	$116,615	$0	$27,833	$81,963	$0	$0	$439,1831	

Tata('.Revenues	I
'Ex,:penditures:
.Jtaministrative
Suyervisors	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
:fJC.Jl 'Exyense	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
'Engineering	$1,138	$270	$654	$757	$706	$1,581	$333	$638	$540	$1,823	$1,824	$0	$10,263
.Jlttarney :fees	$844	$560	$256	$1,853	$841	$38	$1,828	$0	$2,165	$982	$1,516	$0	$10,882
'Dissemination	$292	$292	$292	$292	$292	$292	$292	$292	$292	$292	$292	$0	$3,208
.Jlnnua[.Jtuait	$0	$0	$0	$0	$0	$0	$0	$0	$600	$2,325	$0	$0	$2,925
.Jtr6itrage	$0	$0	$0	$0	$0	$0	$0	$600	$0	$0	$0	$0	$600
.'Assessment norr	$5,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$5,000
Trustee :fees	$0	$0	$0	$6,000	$0	$0	$0	$0	$0	$0	$0	$0	$6,000
:Management :fees	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$0	$41,250
Comyuter Time	$133	$183	$83	$133	$133	$133	$133	$133	$133	$133	$133	$0	$1,467 Te{eyfione			$9		$22	$16		$6		$0		$6		$6		$0		$19		$17		$0	$0		$102 'Postage		$94			$4		$1		$]		$2		$4                     $2                      $5                      $2                      $13                      $2                      $0                      $132 Insurance                                               $5,100                          $0                         $0                          $0                          $0                         $0                          $0                         $0                          $0                          $0                          $0                         $0                   $5,100 'Printing ana'Binding                                   $158                      $103                        $56                          $7                        $90                        $52                      $146                     $189                      $129                      $162                     $251                          $0                   $1,343 Lega[ .Jtavertising                                           $166                       $80                       $81                       $81                       $81                       $83                       $81                        $81                       $83                      $526                         $0                          $0                   $1,343  Otfier Current Cfiarges                                   $22                       $21                        $35                        $33                       $38                        $38                       $38                        $35                       $84                        $35                      $387                         $0                      $766 Office Suyyues                                                  $21                         $0                         $0                         $0                       $15                       $21                       $15                        $15                       $10                        $16                        $15                          $0                      $129  'Dues, Licenses & Su6scriptions                       $0                      $175                       $0                       $0                       $0                       $0                       $0                       $0                       $0                       $0                      $0                       $0                      $175 TatarMministrative I $16,725 $5,460 $5,225 $12,914 $5,949 $5,998 $6,625 $5,738 $7,807 $10,073 $8,170 $0 $90,6851
.Jlmenity Center
Insurance	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0 Te{eyfione	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0 'E{ectric	$0	$0	$0	$0	$0	$0                 $42                 $91                 $25                 $3,402                 $624                 $0                 $4,185 'Water/Irrigation                                         $0                          $0                         $0                          $0                         $0                         $0                          $0                         $0                          $0                   $2,950                      $643                          $0                   $3,593 CaG{e $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
/gas	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0		$0	$0		$0 '.Refuse	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$192	$0	$192 Security  :Monitoring	$0	$0	$0	$0	$0	$0                             $0                             $0                             $0                             $0                             $0                             $0                         $0
.Jlccess Cards	$0	$0	$0	$0	$0	$0		$0		$0		$0		$0		$0	$0		$0 faciuty :Jvlanagement	$0	$0	$0	$0	$0	$0	$1,250	$1,250	$1,250	$1,250	$1,250	$0	$6,250 Too[.Jlttenaants	$0	$0	$0	$0	$0	$0                          $0                          $0                          $0                          $0                          $0                          $0                      $0
:fie[a:Mgmt/ .Jlamin	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0		$0	$0		$0 Too[:Maintenance	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$683	$0	$683 Tao[ Cfiemicafs	$0	$0	$0	$0	$0	$0                     $0                     $0                      $0                      $0                     $960                      $0                     $960 Janitoria[                                                               $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                      $830                          $0               $830
:faciCity :Maintenance	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0		$0	$0		$0 '.R.eyairs & :Maintenance	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$1,187	$0	$1,187 Maintenance 'Reserves	$0	$0	$0	$0	$0	$0                       $0                        $0                        $0                        $0                        $0                        $0                        $0    New  Cayita['Projects                         $0                         $0                         $0                         $0                         $0                         $0                         $0                         $0                         $0                         $0                         $0                         $0                         $0      Syecia['Events                                                           $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                          $0                    $0
Page4

'Bannon Lafi.es
Com:munity 'De:veCoyment 'District
!genera[:fun,;{
:Montfi 'By :Montfi Incmne Statement
:FiscaCyear 2017

.Jlmeni Center Omtinuecf

I    0cto6er	:Navem6er	1Jecem6er	Januan1	:Fe6ruanL	:Marcfi	.Jlpri[	:Mat/	June	Ju['L,	.Jlueust	Septem6er	Tota[

:J{oucfay 1Jecorations	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
:Fitness Center Reyairs/Suyyues	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Office Suyyues	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
.Jl.SC.Jl'P/'B:MI Licenses	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0

I	$11,sso

Tota[.Jlmenity   Center	 	$0		$0		$0		$0	$0	$0	.      $1,292	$1,341	$1,275	$7,601	$6,369	$0	1
·------····----------------

!i:i_rouwf :Maintenance 'E2£!!.endltures		
:J{ycfrofogy Quauty/:Mitigation	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	
Landscaye Jvlaintenance	$0	$0	$0	$0	$0	$4,859	$5,675	$5,675	$5,675	$9,795	$11,071	$0	$42,750	
Landscape Contingency	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	
Lali.e :Maintenance	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$465	$0	$465	
lgrouncf :Maintenance	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$156	$0	$156	
'Pumy Reyairs	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	
Street[igfit Reyairs	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	
Irrigation Reyairs	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$202	$0	$202	
:Jvlisceffaneous	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	
Rec[aim 'Water	$0	$0	$0	$0	$0	$5,541	$7,638	$12,013	$7,691	$2,022	$2,191	$0	$37,096	
Tota[ lgrouncf Jvlaintenance '.Exyenditul	$0	$0	$0	$0	$0	$10,400	$13,313	$17,688	$13,366	$11,817	$14,084	$0	$80,668 I	
Tota['Exyenses	I	$16,725	$5,460	$5,225	$12,914	$5,949	$16,398	$21,230	$24,768	$22,448	$29,492	$28,624	$0	$189,232 I
'Excess  Revenues  ('Exyendltures)	I	($16,725)	$104,336	$22,609	$23,814	($5,949)	$22,018	 $95,385	($24,768)	$5,385	$52,471	($28,624)	$0	$249,951  1

Page 5

Bannon Lakes
Community 'Devet:o_pment 'District
'D:E'B'T S:E'R'VIC:E :PU:N'D
Statenient  of 'Revenues  & :Exyendltures
:for 'Ifie  Perioa'Enaing  August 31, 2017

	.'A.yyrovea
'Buaget	Proratea
Tfiru 8/31/17	.Jlctua{
Tfiru 8/31/17	
'Variance		

'Rtt:EJ\f'U:ES:						
Interest Income	$0	$0	$0	$0		
Syecia{ Assessments	$0	$0	$0	$0		
'TO'T5'l£ 'Rtt:EJ\f'U:ES	$0	$0	$0			

'EXP:E:N'DI'T'll'R:ES:						
Series 2016
Interest 'Exyense - 11/ 01	

$292,563	

$292,563	

$292,563	

$0		
Interest 'Exyense - 05/01	$292,563	$292,563	$292,563	$0		
Princfpa{ 'Exyense - 05/ 01	$0	$0	$0	$0		

TOT5'l£ :EXP:E:N'DI'T'll'R:ES	
$585,126	
$585,125	
$585,125	$0 I	

OTJ-[:E'R SO'll'RC:ES/(11S:ES)						
InteifunaTransfer In/(Out)	$0	
$0	$0	$0		
'Bona Proceeds	$0	$0	$0	$0		

'TO'T5'l£ OTJ-[:E'R SO'll'RC:ES .Jl:N'D 11S:ES	
$0	
$0	
$0	$0 I	
						
:EXC:ESS 'R'EY'EN'll'ES ('EXP'E:N'DIT'll'R'ES)	($585,126)		($585,125)			

:f'llN'D 'B.Jl.L.'A.NC'E - 'Beginning	
$1,462,812		
$1,848,562			
:f'llN'D 'B.Jl.L.'A.NC'E - 'Ending	$877,686		$1,263,437			

Page 6

annon Lakes
Community Vevefo_pment Vistrict
C.JlPI'I'.'AL  P'JWJ'EC'I'S :fv.:NTJ
Statement  of Revenues & 'Exyenditures

I

:for Tfie Perioa'Ending .Jlugust 31, 2017

Series

2016

1Jevefoyer Contribution		$47,979	
Interest Income

	I	$0
$47,979 I	
'EXP'E:NTJ I'I'11.'R'ES:			
Cayita{ Out{ay		
$5,269,865	
Cost of Issuance		$0	
'I'O'I'.'AL 'EXP'E:NTJ I'T11.'R'ES		$5,269,865	

O'T:J['E'R S011.'RC'ES/(11.S'ES)			
'Bona Proceeas		
$0	
Interfuna'Transfer In (Out)		$0	

'TO'T.'AL O'T:J['E'R S011.'RC'ES/(11.S'ES)

'EXC'ESS 'R'EV'E:N'U'ES ('EXP'EJ\fDI'TV'R'ES)

:f1.1J\fD 13.JlL.Jl:NC'E - 'Beginning

:f1.1J\fD 13.JlL.Jl:NC'E - 'Ending

I	$0 I
I	($5,221,886)  1

I	$5,221,886  I
I	$0.00 I

Page 7

'Bannon Lakes
Community 'Deve{oyment 'District Long Term 'Devt 'Reyort

Series 201 6 Special Assessment Bonds			
Interest Rate:	4.5% -5.0%		
Maturity Date:
Reserve Fund Definition: Reserve Fund Requirement:	11/1 / 48
50% of Max Annual Debt Service
$385,750.00		
Reserve Balance:	$385,750.00		
Bonds outstanding - 1/31/201 6	$11,850,000		
Less: May 1, 2016	$0		
ICurrent Bonds Outstanding	$11,850,000 1	

Page 9

B.

anrwn.£af..es Community 'DeveCoyment 'District
475 West Town Pface, Suite 114
St.'A.U[JUStine,:f.£ 32092
:fY17 :Assessment 'Receiyts

ASSESSED TO	

# Units	SERIES 2016 DEBT SERVICE
ASMNT	
FY 17
O&M ASMNT	

TOTAL ASMTS	
RREF 111-P-EP ARAGON INVESTMENTS LLC (ACRES)	65.78	-	29,657.42	29,657.42	
RREF 111-P-EP CYPRESS PARK FARMS LLC (ACRES)	68.86	-	31,046.07	31,046.07	
SUBTOTAL ADMIN O&M	134.64	-	60,703.49	60,703.49	
RREF 111-P-EP BANNON LAKES JV LLC	61	-	50,630.00	50,630.00	
AVH NORTH FLORIDA, LLC	51	-	42,330.00	42,330.00	
KB HOME JACKSONVILLE, LLC	177	-	146,910.00	146,910.00	
PULTE HOME CORPORATION					
SUBTOTAL SERIES 2016 LOTS	456

0

591	-
-
-	378,480.00

-
439,183.49	378,480.00
-
-
439,183.49	
TAX ROLL ASSESSED					
TOTAL ASSESSED					

DUE/ RECEIVED	

BALANCE
DUE	SERIES 2016 DEBT SERVICE
RECEIVED	
FY 17
O&M RECEIVED	

TOTAL RECEIVED	
RREF 111-P-EP ARAGON INVESTMENTS LLC (ACRES)	-	-	29,657.42	29,657.42	
RREF 111-P-EP CYPRESS PARK FARMS LLC (ACRES)	-	-	31,046.07	31,046.07	
SUBTOTAL ADMIN O&M	-	-	60,703.49	60,703.49	
RREF 111-P-EP BANNON LAKES JV LLC	-	-	50,630.00	50,630.00	
AVH NORTH FLORIDA, LLC	-	-	42,330.00	42,330.00	
KB HOME JACKSONVILLE, LLC	-	-	146,910.00	146,910.00	
PULTE HOME CORPORATION	-	-	138,610.00	138,610.00	
SUBTOTAL SERIES 2016 LOTS	-	-	378,480.00	378,480.00	
TAX ROLL RECEIPTS					
TOTAL RECEIPTS/ DUE	-	-	439,183.49	439,183.49	
439,183.49
NO LOTS PLATTED IN TIME TO BE PLACED ON 2016 PROPERTY TAX BILLS. ASSESSMENTS INVOICED DIRECTLY WITH PAYMENTS DUE IN INSTALLMENTS OF 25% DUE 10/15/16, 1/1/17, 4/1/17, 7/1/17
THERE IS AN ADDITIONAL $133,020.51 DUE FOR DEVELOPER CONTRIBUTION

SERIES 2016 BONDS ISSUED ON 456 UNITS. UNDER CAPITALIZED INTEREST UNTIL 11/1/19 A ASMTS START FY19
IPERCENT COLLECTED	0%	100.00%	100.00%

Page 8

C.

1Jannon Lakes Community 'Deve{oyment 'District

jvate	Cfieck Num6ers	..'A.mount I	

(Jenera[ :funa			
9/7/17	138-140	$	8,412.32	
9/21/17	141-144	$20,477.50	
9/28/17	145-147	$ 4,682.29	
'Tota{ Cfieclis	$	33,572.11	
St. Jofins County 'Utiaty	$	
3,864.32	
:f'P.£	$	2,322.78	
'Tota{ Paia'E[ectronica{{y	$	6,187.10	
'Tota{ GeneraC,J'und	s	
39,759.21 1	

Cfieck 'Run Sumniary 0cto6er 10, 2017

AP300R	YEAR-TO-DATE ACCOUNTS PAYABLE PREPAID/COMPUTER CHECK REGISTER
***  CHECK DATES 09/01/2017 - 09/30/2017 ***	BANNON LAKES - GENERAL FUND
BANK A BANNON LAKES-GENERAL

RUN 10/10/17	PAGE	1

CHECK  VEND# ...••INVOICE..•.....EXPENSED TO...	VENDOR NAME DATE	DATE	INVOICE	YRMO DPT ACCT# SUB SUBCLASS

STATUS	AMOUNT	....CHECK•....
AMOUNT	#

9/07/17 00003

9/01/1726	201709 310-51300-34000	*
SEP MANAGEMENT FEES
9/01/1726	201709 310-51300-35100	*
SEP INFORMATION TECH
9/01/1726	201709 310-51300-31600	*
SEP DISSEMINATION FEES
9/01/1726	201709 310-51300-51000	*
OFFICE SUPPLIES
9/01/1726	201709 310-51300-42000	*
POSTAGE
9/01/1726	201709 310-51300-42500	*
COPIES
9/01/1726	201709 310-51300-41000	*
TELEPHONE
9/01/1726	201709 310-51300-49000	*
COMPUTER ACCESS SYSTEM

-

- - - - - - - - - - - - - - - - - - GOVERNMENTAL MANAGEMENT SRVCS LLC

3,750.00
133.33
291.67
15.06
.92
185.25
18.40
584.69

4,979.32 000138

9/07/17 00019

8/25/17 13129557 201708 320-57200-45210
POOL CHEMICALS

*	960.00

9/07/17 00014

9/01/17
9/01/17

POOLSURE
8	201709 320-57200-45200
SEP POOL MAINTENANCE
8	201709 320-57200-46001

*	683.00
*	1,250.00

960.00 000139

9/01/17

SEP
8

OPERATIONS MANAGEMENT 201709 320-57200-45300

*	540.00

SEP JANITORIAL SERVICES

RIVERSIDE MANAGMENT SERVICES, INC

2,473.00 000140

9/21/17 00006

9/21/17 00006

9/21/17 00017

9/21/17 00013

9/07/17 6165	201709 310-51300-45000
INSURANCE POLICY CHANGE

-	-

-	-  -  -	-  - - - - - - - -  -  -  - E-GIS INSURANCE ADVISORS LLC 9/07/17 6167		201709 300-15500-10000
FY18 INSURANCE
- -  -  -  - -  -  -  -  -  - -  -  -  -  -  -  - EG- IS INSURANCE ADVISORS LLC 9/01/17 318294	201709 330-53800-46800
SEP LAKE MAINTENANCE

-	-

-  -  -	-  -  -  -  -  -  - - - - - -  -	LA- KE DOCTORS, INC. 8/31/17 4381	201708 330-53800-46400
IRRIGATION REPAIRS

*	1,078.00

*	18,733.00

*	465.00

*	201.50

1,078.00 000141

18,733.00 000142

465.00 000143

LANDCARE GROUP, INC.	201.50 000144

BANL -BANNON LAKES- BSANCHEZ

AP300R	YEAR-TO-DATE ACCOUNTS PAYABLE PREPAID/COMPUTER CHECK REGISTER
***  CHECK DATES 09/01/2017 - 09/30/2017 ***	BANNON LAKES - GENERAL FUND
BANK A BANNON LAKES-GENERAL

RUN 10/10/17	PAGE	2

CHECK  VEND# .....INVOICE........EXPENSED TO...	VENDOR NAME DATE	DATE	INVOICE	YRMO DPT ACCT# SUB SUBCLASS

STATUS

AMOUNT	....CHECK.....
AMOUNT	#

9/28/17 00007

9/28/17 00005

9/14/17 185059	201708 310-51300-31100
AUG PROFESSIONAL SERVICES

-

-  -  -  -  -  - - - - - - - - -	-  - EN- GLAND THIMS &    MILLER INC 8/31/17 95848	201707 310-51300-31500
NOTICE RULE ADOPTION

*	1,824.15

-	- - - - - - - - - - -

1,824.15
- -	-

- - - - - - - - - - -

*	1,515.62

000145

- - - - - - - - - - - - - - - -

HOPPING GREEN & SAMS
- - -

- -  -  -	1,515.62 000146

9/28/17 00014

9/19/17 9	201708 330-53800-46100
AUG GROUNDS MATINENANCE
9/19/17 9	201708 320-57200-60000
REPAIRS & MAINTENANCE

*	156.02
*	1,186.50

RIVERSIDE MANAGMENT SERVICES, INC	1,342.52 000147

TOTAL FOR BANK A TOTAL FOR REGISTER

33,572.11
33,572.11

BANL -BANNON LAKES- BSANCHEZ

Governmental Management Services, LLC
1001 Bradford Way
Kingston, TN 37763

Invoice

Bill To:
Bannon Lakes CDD 475 West Town Place Suite 114
St. Augustine, FL

Invoice#:  26
Invoice Date: 9/1/17
Due Date: 9/1/17
Case:
                         P.o. Number:

Description	Hours/Qty	Rate	Amount

Management Fees September 2017 /·-;;I · 61 3 · 3 4
Information Technology- September 2017 1, ,, 6 1 J • 3	I
Dissemination Agent Services - September 2017 I·3 1 • 51 3• 3 , <t>
Office Supplies I· 31 · 51 3 · 61
Postage I <3 J • 5 1,'3 '12- Copies l • 3 J • s1'3 • 1-12...5 Telephone  ,.	1 •613•'11
Computer for access system /· 3 1 • S 1 3 • '--1 "f			3,750.00	3,750.00
133.33	133.33
291.67	291.67
15.06	15.06
0.92	0.92
185.25	185.25
18.40	18.40
584.69	584.69	
					
Total	$4i979.32
Payments/Credits	$0.00
Balance Due	$4,979.32

lnvotce	Date	8/25/201.7	
	lnyoh;e #	131 96574103	

OOlSU

Subtotal
TaX_
Total
Amount Due.

i

1707 ToWnhmst Dr Hou!'ltqn T:X 77Q43 ar pocils11re.com .
80. 858-POOL (7665)
WW\11,poolsurep)m	Terms	Net2J)	
	OtieDate	.9/.14/ 0D'	
	PO#		
	Delivery Ticket#	Sal s Order #131928()	
BIii To		Del{Vecy Date	8l23/2Q17	
BRiavnenrsoinde· Man g1;1111enf Services·
Lakes CDD	.	. .
9655 Florida Mlnrifng- Blvc:l West
bldg 30O:St,Jit!:'.l- 305
J .cl<sonvme FL 32257		beriyery Location:	Bannon Lakes P/:lol	
		Customer ff:	.f3BANQ26	
		
Ship To·	Bannon LaKes CDD' 435 Bann6n Lakes Blvd SLAvgustine FL 32095	
LAT .FEE.:: This constilutes:nolfce under the Jrultlin lending act that any accounts rernaihing unpaid after ll:le due date are-subject to.11t2% per. monJti late ,ctiat(le and attorneyrees.	·	·	·	
lt m JO	Hem	Qtta:htity	Unitir	Rate	Amount'	
115'-300
160-0$.0	B!eaciJ Mlr:iibt.dk Deliveretj
Pool Aqid pulk by Galton

13!;/;JfM 9-1-1;
1>	·	.
$ 1rJ.OtJ, 9qC[,'Js;), lO
I ·32	· 577. . 45 2.1	400
120	gal
gal	:tso
3,00	.q00.00,
3$0,00-	

96d:od
.   62.40.
L022:40,
$t022.40

ii   ·.•.··.
J ••••

o .>. • " > 0 ;•-:, :., ..,. \ ,- T I }" Y • •• ..., > •• < • .; h a ' '- •• •,_ ;. • •• T •• 7 ' • > • 0 ' r • • > • - f • • "' ., Y' - Y' • • • • • ' • • ' • • • • -' • • a, ;, • C , • ~• 7 .-,- 7 T ,,- < • • • •• • ~ - • • • > ' ' ' > ! ' ..! : < "< • • ->.- • ~ " ", • ".,_

RertiittancaSltp.
c11stomer
hw9ic.e ti

13$ANQ25
1312955741OS

AmounlOue	$1,U22AO.
AQlollnt paid.	 	
!Vlak Che¢!{ Payab!eTo
Poois(lrr:f
PO Box .553,72
Houston, TI<c77255-5372

1rn111111111111111111111u11
131295574103

Riverside Management Services> Inc

Date	Invoice#	
9/1/2017	8	

Jacksonville, FL 32257

13onnon Lukes CDD
9655 Florldn Mi11lng Blvd W Suite 305
Jncksonvlllc, PL 32?.57

9655 Florida lvfining Blvd West

BHITo

j/

Quantlly	DMcriptlon	Rate	Amount	
	Pool M inlenonce Services" September 2017	;'l'l.0• •,:1,,46'-;t.D	683,00	683,00	
	Operations Management Services • September 2017 '!,, 2,c>, Si '2., "J /,,Ot) I	1,250.00	1,250.00	
	Janltorlnl Servicos· September 2017 :, ;i,.0  , 5 1· ,	'S '30	540.00	540.00	

P.O. No,

Terms

Project

Total

$?.,473.00

J_.	,,)
q if ..ll

I•

ln

surance & Risk Advisors

Bannon Lakes Community Development District c/o Governmental Management Services
475 West Town Place, Ste 114 St. Augustine, FL 32092

INVOICE

Bannon Lakes Community Development District
618	

Kristina Rudez	

lnvoice#6165

Thank You

x---

Please detach and return with payment

Remit Payment To: Egis Insurance Advisors, LLC Lockbox 234021 PO Box 84021
Chicago, IL 60689-4002

(321)320-7665

cbltner@eglsadvisors.com

Customer: Bannon Lakes Community Development District

6165	

09/01/2017	

Policy change	
Policy #100116279 10/01/2016-10/01/2017
Florida Insurance Alliance Package -Add Property 9/1/17 Due Date: 10/7/2017
I· 3l0·513·L.JS
''J,nsurav1c	lie C,,honse
(,

SEP 1 8 201/	

1,078.00	
	
1,078.00	
	Thank You	
FOR PAYMENTS SENT OVERNIGHT:
Egis Insurance Advisors LLC, Fifth Third Wholesale Lockbox, Lockbox #234021, 4900 W. 95th St Oak/awn, IL 60453			

Bannon Lakes Community Development District

618

lnvoice#6167

I

Insurance & f<isk Advisors

Bannon Lakes Community Development District c/o Governmental Management Services

475 West Town Place, Ste 114 St. Augustine, FL 32092

X-------------

Ple,;.se cletach and return with payrneI1t.
--------,--•·-·······-··-·--··-----····----·----...--.----··--·-·--------	 	

Customer: Bannon Lakes Community Development District

6167	

10/01/2017	

Renew policy	Policy #100117279 10/01/2017-10/01/2018
Florida Insurance Alliance Package  -  Renew  policy Due Date: 10nt2017
\· 300· ISS · I
"F	If	1nsumnce''
(,

(• r.: [)  li  Q    ,, '.)1  ··,
vt:.1    ·"  u    {.1 (	

18,733.00	
	
18,733.00	

FOR PAYMENTS SENT OVERNIGHT:
Egls Insurance Advisors LLC, Fifth Third Wholesale Lockbox, Lockbox #234021, 4900 W. 95/h St Oak/awn, IL 60453		

t_"lhv61cB;( +\ <Effecflveh :0      ''./? Transactibit>r:.	,criu.: . ·

Remit Payment To: Egis Insurance Advisors, LLC
Lockbox 234021 PO Box 84021
Chicago, IL 60689-4002

(321)320-7665

cbitner@egisadvlsors.com

09/07/2017

 

SH> 14	20'17

INVOICE
lnv<iise #	3rBZ9'4
Account #	71.:H1S

·sANNoN LAi< :s -p-6	-
OMS MANAGEMENT 4:75 Wtii.H TOWN PLACE SUITn 114
St AUOUSTINfb PLOlUDA 340,92

Bill T.o

---·""' ·

· ·

P.Q,N·;,:"·"-···-·-= r""----

3'54.J 'Stot-e Roud 411; Winter Sprhrgs,.FL 32798

trivoid, Date Due,Pate

9/l/i017

9/1 i/2U!7

.Invqice QuesHous:
Please <mil us at
f-800-666-5253 or
lakes@lakedocJors.com:

..,. 	

   '<-••-=•	"="'"-""'---"-   ,u   -•=-----N-.  TLQ_D_i\_Y S- ----...,- :MAS  -1

terms

Re;-7

-·----It-e-m -N-um.. ber   ----

MbnihltWatedvlaoaf!,ellleni Service

-

Description

Amount

,fos.oo.

Cusfom.erTotal Balance

$465,00

To liel1i ensure t>rompt nml n<:em·ntc. crcdlJ1oypur nccou11t, p!ense in Ju e yo1i1' 1l¢ 01n,it numbel' nod lovpl<io 1111hi)>cr 01.1 youi'Jhe¢1( fiililalwnys hid11d11-your ren\lfhincestub ,vith

yqilr jlnym nt.

-

·	·

·

PlcliS:e IQ-initse1id n.11 ·co1•l'l.!S'pondenc(IWiti1your P!l)'.lllel\t 11scit ,nny d l11y.ool 1•espcins\\·
lo Y.\llll' lnq\ih'.Y,

Amoiiil(.Englqsc<I	Invoice# -=: 	J_rng
Account#	721475
Date	-·	9/l/2017	
			
:snve o S1nm1i - Oo dreen & Of/ PnpeFlcsslft vc YQUr invoice-cmnUedl	
E1irnll nildress:	··		

PLEASE1:iETAGli &., TU.R'.'NTHIS PORTIONWlTHPAYMENi'
--.a-il.lto-,-  ---.,-.- · · = 	,
BANNON LAKES CDD-
OMS MANAGEMENT
475 WES'fTO\VNP6AcB"
SUlTE fl4

lFPAYINO nv CREDJTCARD, FILL OVT BELOW
_	Mn$tercnrd	--	Vliia	-- An1oric11n Express
Curd#	
Card Verifkntio1rl/
ElqU)ateii .
Pr!iit Nnino			

Billitig Address: Check;bQx J(some .os.above	
	
Sig!l l.tlre		

st AUOUS'l'INE, FLORIDA 20\IZ

L.,J

o.-------··-·'"- 	.... c..- --•-·'""'"'..,, 		_
!'Jens Clwc Jfox irNew.i\ddr u11d Mak Cllntigcs. Ahoi/¢

The Lnke D.9ctors1Inc, 3543 State Road _419 Winter Spiings, E'L 327QS-

- ----	- "

---

Terms	Date	Invoice#	
Net30	8/31/2017	4381	

Invoice

Irrigation• Landscape, Maintenance

P.O. Box 893 Bunnell, FL 32110
Tel. 386-586-3321 Fax 386-586-3330

Bill To

Bannon Lakes CDD
475 W. Town Place, Suite 114 St. Augustine, FL 32092

SEF' 1 5 2017

'	Project	Project#	
Bannon Lakes CDD	M102	
Description	Quantity	Rate	Amount	
Irrigation Service: 8/16 Bannon Lakes Pkwy. - (3) 6P, (6) MPR nozzles, (1) 1/2" MA, (1) 1/2" coupling, Tree bubbler, (1) 3/4" 90°, (I) 3/4" cap, (3) 3/4" PVC

1·33 ·53?·L/l.clf
/3		201.50	201.50	

Attn:Brian Sanchez	Total	$201.50	
	Payments/Credits	$0.00	
	Balance Due	$201.50	

Bannon Lakes, CDD	September 14, 2017
c/o Governmental Management Services	Project No:	13061.12000	
475 West Town Place	Invoice No:	0185059	
Suite 114
St. Augustine, FL 32092			

Project	13061.12000	Bannon Lakes CDD Professional Services rendered through August 31, 2017 Professional Personnel

Senior Engineer

Expenses
Reproductions

Labor

Totals
Total Labor

Total Expenses

Hours
10.00
10.00

Current
1,800.00

Rate
180.00

1.15 times Prior
22,771.25

Amount
1,800.00
1,800.00

21.00
21.00
To-Date
24,571.25

1,800.00

24.15

Contract Limit			25,000.00	
Remaining			428.75	
Expenses	24.15	1,127.67	1,151.82	
Contract Limit			2,500.00	
Remaining			1,348.18	
Invoice  Total this Period	$1,824.15

1-31•51"3·3\1
7

England•Thim &mm,.r, Inc.
B/l'.,INEERS • FVNNERS •SURVEYORS •OiSI  LMIDSCAPE ARC1-41TECTS
t417SOIISI.A'J1.1$Nlefload1J ,\lt,fbr\:jt322.ii3•1el -5{2:. )•lil.'Cm-0451)485 CA-OJ00151<lC-O<@\I

Hopping Green & Sa111s
Attorneys and Counselors
119 S. Monroe Street, Ste. 300
P.O. Box 6526 Tallahassee, FL 32314
850,222.7500
================================= STATEMENT=================================
August 31, 2017

Bannon Lakes Community Development District c/o GMS, LLC
475 West Town Place, Suite 114
St. Augustine, FL 32092

General Counsel
BLCDD	00001	WSH

Bill Number 95848 Billed through 07/31/2017

/·3/·S/3 · 315
s

FOR PROFESSIONAL SERVICES RENDERED
07/06/17	KFJ		Prepare budget hearing notice; confer with Haber and correspond with district manager,

0.20 hrs

07/13/17	WSH

Prepare notices for rule adoption for annual user fee and suspension/termination policies.

0.60 hrs

07/18/17	WSH

07/18/17	KFJ

07/19/17	WSH

07/24/17	WSH

07/24/17	KFJ

07/25/17	WSH

07/25/17	KFJ

07/26/17	WSH

07/27/17	WSH

07/27/17	KFJ

07/31/17	JBC

Review correspondence regarding notices for public hearing; prepare for July	0.30 hrs board meeting.

Correspond with district manager regarding budget hearing documents.	0.20 hrs

Prepare for, travel to and back and participate in board meeting.	1.90 hrs

Confer with Oliver regarding O&M assessments and review documents	0.40 hrs regarding same.

Correspond with Haber regarding budget hearing documents.	0.20 hrs

Review user card registration form; confer with Oliver regarding same and	0.60 hrs resolutions for budget and O&M assessments.

Confer with Haber regarding annual assessments; prepare budget and funding	0.70 hrs documents.

Review and revise budget and assessment resolutions.	0.30 hrs

Review and revise resolution adopting rules and rates.	0.30 hrs

Correspond with district manager regarding budget hearing documents; prepare	0.50 hrs rule adoption resolution and correspond with district manager.

Analyze records retention rules update; prepare memorandum regarding same.	0.10 hrs

Total fees for this matter	$1,459.50

DISBURSEMENTS
Travel
Travel - Meals

52.29
3.83

General Counsel	Bill No. 95848	Page  2
======== = == ===== ============ =============================== = ============ ===
Total disbursements for this matter	$56.12

MATTER SUMMARY

Cooksey, Jennings B.	0.10 hrs	245 /hr	$24.50	
Jusevitch, Karen F.- Paralegal	1.80 hrs	125 /hr	$225.00	
Haber, Wesley S.	4.40 hrs	275 /hr	$1,210.00	
TOTAL FEES			$1,459.50	
TOTAL DISBURSEMENTS			$56.12	
TOTAL CHARGES FOR THIS MATTER			$1,515.62	

BILLING SUMMARY

Cooksey, Jennings B.	0.10 hrs	245	/hr	$24.50	
Jusevitch, Karen F.- Paralegal	1.80 hrs	125	/hr	$225.00	
Haber, Wesley s.	4.40 hrs	275	/hr	$1,210.00	
TOTAL FEES				$1,459.50	
TOTAL DISBURSEMENTS				$56.12	
TOTAL CHARGES FOR THIS BILL				$1,515.62	

Please include the bill number on vour check.

Riverside Management Services, Inc
Jacksonville, FL 3225'.'/

Bonnon J..rtkes CDD
9655 Florlda Mining Blvd W" Suiie, 05	.
facksonv.ille, Fl, 32257

BillTo

9655 Fl-orida Mining Blvd. West

Invoice

Date	Invoice#	
9/19/2-()17	9	

	P:O. N◊;	Terms	Projecl	
				
Quantity	Description	Rate	Amount	
	Faclllty MaintenanceAugust 1.- Augi1 t 3.J,'2017
.M.nlnte1\un91> SuppUes:- A11gi1;R20 l.7	·

t"(.IIJ,1'!\1)5 ;A tj'\+-t--'\w" «;.	IJt 156..() 'J.
) •$  ,,...  5 ,g  ,,81616

;v\ .i ,,..f-,.....,c:v,?4-	I i: t 16-15
l
/·J;k;..  :c:, 1  l;,, .. 6,ol/J6
f'u	4	e,	+1 G ..ief li
I	156.02
1,186:SO

IC!
fr/	156,02
1,.186,50

[)
I	,,.,r,
vl	
	Total	$1,3'12.52	

M8lt'.ITENANCE BILLABLE PURCHASES
Porlod Ending 0/5/17
[;!!STRICT'	OATS	SUPPLIES	PRICE	MP!.Ol'.EE
 	
BL
BANNON LAKES
8/1'1117	Web duster	9.18	8,$_
8114/17	Telescoplo pole	28.70	S.S.
8114/17	Pool stabruzer (2)	51.83	B.S,
8J25/f7	Loclllng key box	20.74	B.S.
8/251!7	Ryob! blower	136.05	B,S,
8125/17	1<3al Gas c.1n	16.38	6,$,
ll/25/17	2-CycleOII	5.68	B.S,
8/28/17	1" PVC Pipe	4.50	a.s,
(l/28/17	Funnel	1.67	B.S,
8/28117	.2" Combo lock	1$,52	S.S.

TOTAL 	$303,04 

RMS

8/9117	Medium brvsh pad repla men\s	5,75	S.A.
8/9117	Blue Ule cleaner	20,42	S.A.
8/0/17	relescoplc pool sc:wbber	18.81	S.A.
819/17	Piranha skimmer	26.12	S.A.
8/9117	Nylon combo brush	7,71	$.A.
8/9/17	Telescoplo pole	37,66	S.A.
8115/17	Pool conditioner {3)	103.47	13.S.
8/15/17	Total alkalinity	52,76	B,S,
&26117	Gl,iro sanitary wipe dispensers {2)	218.44	s.c.
8125117	Glaro single roll sanitary wipe	229,94	s.o.
8/25/17	Pool condl\ioner {4)	162,38	B,$,

TOTAL 	$883.46	

GRANO TOTAL	$1,188,50

OMS

BANNON LAKES COMMUNITY OEVELOPM!:Ni Pl$TRICT
MAINTENANCE 131LLAB!.E HOURS FOR THE MONTH OF AOGUST 2017

llil!!:	Hourq
8/2/f7	3.5
8/2/17	3.6

TOTAL. 	7 

MILES 	36	

employee Q.escrlpf101\
s.c,	Inspected and removed delJria rrom take$
S.A,	Inspected and rem<Jved dobris from lakes

'Mileage ls reimbursable per seenon 112.061 Florida Statutes Mileage Raia 2009,0A45

BANNON LAl<ES

D.

Bannon Lakes
Community Development District	Construction Funding Request #2
October 13, 2017

Req.  PAYEE	Series 2016 Contruction

99	Life Fitness
Life Fitness Equipment 10/12/17

$	69,959.92

Total Funding Request	$	69,959.92

Bannon Lakes CDD
c/o GMS LLC
475 West Town Place Suite 114
St. Augustine FL 32092

Please make check payable to:

Signature:  	
Chairman/Vice Chairman

Signature:  	
Secretary/Asst. Secretary

REQUISITION  NO. 99
(2016 Acquisition and Construction Account)

BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT (ST. JOHNS COUNTY, FLORIDA)
$11,850,000
Specfal Assessment Revenue Bonds, Serfos 2016

The undersigned, a Responsible Officer of Bannon Lakes Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture from the District to  The  Bank  of   New York Mellon Trust Company, N.A., as trustee (the "Trustee"), dated as of January 1, 2016 (the "Indenture"), (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 99

Name of Payee: Life Fitness, 2716NetworkPlace, Chicago, IL 60673-1271

Amount Payable: Total: $69,959.92

(D)	Bannon Lakes CDD Invoice: 5335847, 5339053, 5350968, 5353898,
5357727,5367080,5371964

(E)		Fund or Account from which disbursement to be made: 2016 Acquisition and Construction Account

The undersigned hereby certifies that:

this requisition is for Costs of the 2016 Project payable from the 2016 Acquisition and Construction Account that have not previously been paid;

each disbursement set forth above is a proper charge against the 2016 Acquisition and Construction Account;

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attach..--nent upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.
The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Attached hereto are originals of the invoice(s) from the vendor of the property acquired or the services rendered with respect to which disbursement is hereby requested.
Dated: Octob r 12, 2017

BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT
By:b	
Arthur E. Lancaster
Chairperson, Board of Supervisors

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than Costs of Issuance, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer, as such report shall have been amended or modified on the date hereof.

ENGLAND, TI-IlMS & MILLER, INC.

By:	 Title: District Engineer

A Division of Brunswick Corporation
9525 Bryn Mawr Avenu.e, Rosemont, IL 60018
Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

!!:>CYBEX	i # HF)  IT J

5335847
1561972
PO WANER 28-MAY-17
27-JUN-17
472876
472876

INVOICE# ORDER# CUSTOMER PO # INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

INVOICE

r; I II·,,, j ( ,Vt: rn e n l

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVO SAINT AUGUSTINE FL 32092

....,..,,

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED.  SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Duo Oat&:	I Sales Rep	Terms of Sales:	Shipping Terms:	Ship Date:.	
27.JUN-17	' WILKINSON, STEPHEN	NET30		07-JUN-17	
OTV
ORPGRED	QTY
SHfP	BIO	PART NO..	DESCRIPTION/SERIAL#	UNfTPRICE	Tf'.NSION	
1	1	0	OSCP	OPTIMA SERIES CHEST PRESS
101716717279 101714808036	1,475.00	1,475.00	
1	1	0	OSCP-0502	SHR.FULL	138.45	138.45	
1	1	0	OSPD	OPTIMA SERIES LAT PULL DOWN
101704712308 101714808033	1,525.00	1,525.00	
1	1	0	OSPD-0502	::;HR.FULL	138.45	138.45	
1	1	D	SADB	SIGNATURE ADJUSTABLE DECLINE BENCH
081704009242	604.50	604.50	
1	1	0	SMAB	SIGNATURE MULTIPLE ADJUSTABLE BENCH
081704027170	746.85	746.85	
1	1	0	GROUP-ROW-01	RowGX
RGX170401113	1,595.30	1,595.30	
2	2	0	95XE-DOMXX-04	CROSS-TRAINER Discover SE3 DOMESTIC
ASX125016 ASX125017 GAN103457 GAN103461	5,275.00	10,550.00	
2	2	0	DISC-95XBASE•B2B-3Y
R	EXT WARR-PARTS & LABOR- 3 YEAR, DISCOVER
95X BASE	147.00	294.00	
2	2	0	ELEV-ENGAGE-DSCV- NT0  B2B-3YR	EXT WARR-PARTS & LABOR- 3 YEAR, ELV ENGAGE-DSCV-NT	202.00	404.00	
1	1	0	95CE-DOMXX-04	UPRIGHT BIKE Discover SE3 DOMESTIC
APU113902 GAN103467	4,525.00	4,525.00	
1	1	0	DISC-95CBASE-B2B-3Y
R	EXT WARR-PARTS & LABOR- 3 YEAR, DISCOVER
95C BASE	98.00	98.00	
1	1	0	ELEV-ENGAGE-DSCV-
NT-828-3YR	EXT WARR-PARTS & LABOR- 3 YEAR, EL V ENGAGE-DSCV-NT	202.00	202.00	
1	1	0	95RE-DOMXX-04	RECUMBENT BIKE Discover SE3 DOMESTIC
APB111818 GAN103454	4,525.00	4,525.00	
1	1	0	DISC-95RBASE-B28-3Y
R	EXT WARR-PARTS & LABOR- 3 YEAR, DISCOVER 95RBASE	98.00	98.00	
1	1	0	ELEV-ENGAGE-DSCV-	EXT WARR-PARTS & LABOR- 3 YEAR. ELV	202.00	202.00	

Page 1 of 2 CONTINUED ON NEXT PAGE SEE LAST PAGE FOR TOTALS.

,o, Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, ll 60018
Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5335847
1561972
PO WAIVER 28-MAY-17
27-JUN-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS.
Due Date:	Sales Rep:	T ofSale$:	Shlpplnf Terms:	ShtpOete:	
27.JUN-17	WILKINSON, STEPHEN	NET30		07-JUN-17	
OTY
ORDERED	QTY
SHIP	BIO	PART NO,	.	DE8CRIP110NISERIAL#	UNITPRICE	EXTEN$10N	
			NT-B2B-3YR	ENGAGE-DSCV-NT			
			FREIGHT ALL	FREIGHT CHARGES		518.31	
			INSTALLATION	Installation Charges		1,832.78	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	29,472.64
0.00
nno	
		(29,472.	

)

ot..
:f\t>
"	(ll).-"' L	l.c
e;r;lt

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 2of 2

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE::

□

US$ TOTAL DUE :

5335847
PO WAIVER
28-MAY-17
27-JUN-17
29,472.64

MAIL THIS PORTION ALONG WITH PAYMENT TO: LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX 10# 36-084-8180

INVOICE

5339053
1561972
PO WAIVER 09-JUN-17
09-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# lNVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS
DueDate:	Sa Rep:	Tenns of Sales;	j
Shipping Terms:	I ShlpDate:	
09..JUL-17	WILKINSON, STEPHEN	NET30	j 09.JUN-17	
OTY
ORDERED	QTY SHIP	BIO	PARTNO.	DESCRIPTION/SERIAL#	UNITPRICE	EXTENSiON	
1	1	0	OSRW	OPTIMA SERIES SEATED ROW
101717718035 101704805974	1,425.00	1,425.00	
1	1	0	OSRW-0502	SHR.FULL	138.45	138.45	
1	1	0	OSLP	OPTIMA SERIES LEG PRESS
101716717513  101717808587	1,800.00	1,800.00	
1	1	0	OSLP-0502	SHR.FULL	138.45	138.45	
1	1	0	LF-FR-71087	LIFE FITNESS FvAM ROLLER 6X36	29.96	29.96	
1	1	0	LF-FMK-72217	LIFE FITNESS- FITNESS MAT- BLACK	37.06	37.06	
1	1	0	LF-SB55-71053	LIFE FITNESS STABILITY BALL - 55 CM - RED	31.96	31.96	
1	1	0	LF-SB65-71055	LIFE FITNESS STABILITY BALL- 65 CM- GRAY	36.76	36.76	
1	1	0	HT-DHCB-M	DUAL HANDLE COVERED BAND-RED-MED	23.40	23.40	
1	1	Q	HT-DHCB-V	DUAL HANDLE COVERED BAND-GREEN-VHVY	25.35	25.35	
1	1	0	HT-CLB-V	COVERED LOOP BAND-GREEN-VHVY	20.80	20.80	
1	1	0	HT-CLB-H	COVERED LOOP BANO-BLUE-HVY	19.50	19.50	
1	1	0	PS-13642	BATTLING ROPE· BLACK	95.21	95.21	
1	1	0	LF-MB10-71011	LIFE FITNESS MEDICINE BALL - 10LB - BLACK	40.66	40.66	
1	1	0	LF-MB12-71013	LIFE FITNESS MEDICINE BALL - 12LB - RED	46.03	46.03	
1	1	D	LF-M84-71005	LIFE FITNESS MEDICINE BALL • 4LB • RED	24.13	24.13	
1	1	0	LF-MB6-71007	LIFE FITNESS MEDICINE BALL· 6LB-GRAY	30.29	30.29	
1	1	0	LF-MBB-71009	LIFE FITNESS MEDICINE BALL - BLB - BLUE	35.96	35.96	
1	1	0	PS-70283	BOSU PRO BALANCE TRAINER	147.21	147.21	
1	1	0	BOLT DOWN
PACKAGE	BOLT DOWN PACKAGE FOR STRENGTH
PRODUCTS	10.00	10.00	
			FREIGHT ALL	FREIGHT CHARGES		152.58	

Page 1 of 2 CONTINUED ON NEXT PAGE SEE LAST PAGE FOR TOTALS.

A Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018
Mein (800)735-3867 Fax (847)288-3795 US TAX ID# 36-084-8180

INVOICE

5339053
1561972
PO WAIVER 09.JUN-17
09-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE Fl 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED.  SEE REVERSE SIDE FOR TERMS AND CONDITIONS.
Due Date:	Sates Rep:	Terms of Sele&:	Shipping Terms;	ShtpDaie:	
09.JUL-17	WILKINSON, STEPHEN	NET30		09-JUN-17	
OTY
ORDERED	. QTY SHIP	810	PART NO.	DESCRIPTION/SERIAL#	UNrrPRICE	EXTENSION	
			INSTALLATION	Installation Charges		588.79	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	4,897.55
0.00
( 4Js1 :5)	
ot.
'3\9
""""' L	t>\4

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 2 of2
-------------- ------ --- ----- ------------- ------------ -------------	--- ------ -----------------

IN VOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5339053
PO WAIVER 09-JUN-17
09-JUL-17
4,897.55

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5350968
1561972
PO WAIVER 21-JUN-17
21-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNllY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS.
Due Date:	Sai.:.Rep:	Term• of Sates:	Shlpping.T9"'1$:	Ship Date:	
21.JUL-17	WILKINSON, STEPHEN	NET30		21-JUN-17	
UlY
ORDERED	QTY
SHIP	810	PART NO.	DESCRIPTION/SERIAL#	UNITPRICE	EXTENSrON	
1	1	0	OSDB3	OPTIMA SERIES 3 TIER DUMBBELL RACK
101713716026	575.00	575.00	
			FREIGHT ALL	FREIGHT CHARGES		18.47	
			INSTALLATION	Installation Charges		86.30	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	679.77
0.00
n..oo..
(679:77		
			)	
bt 	
-s-ro
11,io-f\ tt:,
/r-Mevi•lt

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
-------- --- --- -------------------------------------	---------------------------	--- ----------

I NVOICE: CUSTOMER PO : INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5350968
PO WAIVER 21-JUN-17
21-JL.Jl.-17
679.77

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A DMslon of Brunswick CO!'POration
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5353898
1561972
PO WAIVER 23-JUN-17
23-JUL-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED. SEE REVERSE SIDE FOR TERMS AND CONDITIONS
OU.Daw.	Sales p:	J Terms of Sale:	Sltlpplng Terms:	Shlpbata:	
23.JUL-17	WILKINSON, STEPHEN	NET30		23-JUN-17	
OTV
ORDERED	QTY
SHIP	BJO	PARTNO.	DESCRIPTION/8ERtAL#	UNITPRICE	EXTENSION	
1	1	0	ACC-KB-1002-01	American Kettlebell,SKG,Cast Iron.Charcoal	24.70	24.70	
1	1	0	ACC-KB-1003-01	American Kettlebell,12KG,CastIron.Charcoal	34.45	34.45	
1	1	0	ACC-KB-1004-01	Amerlcan Kettlebell,16KG,Cast lron,Charcoal	42.90	42.90	
1	1	0	ACC-KB-1005-01	American KetUebell,20KG,Cast Iron.Charcoal	51.35	51.35	
2	2	0	HS-DB-3011-01	Hammer Dumbbell 25LB Each,Rubber,Round	65.00	130.00	
2	2	0	HS-DB-3013-01	Hammer Dumbbell 30LB Each,Rubbe,Rr ound	70.20	140.40	
2	2	0	HS-DB-3014-01	Hammer Dumbbell 35LB Each.Rubber.Round	76.05	152.10	
2	2	0	HS-DB-3015-01	Hammer Dumbbell 40LB Each,Rubber,Round	82.55	165.10	
2	2	0	HS-DB-3016-01	Hammer Dumbbell 45LB Each.Rubber.Round	88.40	176.80	
2	2	0	HS-DB-3017-01	Hammer Dumbbell 50LB Each.Rubber .Round	94.25	188.50	
1	1	0	HS-OP-200-401	Hammer Olympic Plate 5LB,Urethane,RndX	14.30	14.30	
2	2	0	HS-OP-2003-01	Hammer Olymplc Plate 1OLB,Urethane,RndX	23.40	46.80	
1	1	0	HS-OP-2002-01	Hammer Olympfc Plate 25LB,Urethane,RndX	57.85	57.85	
			FREIGHT ALL	FREIGHT CHARGES		109.44	
			INSTALLATION	Installation Charges		60.48	

Order Comments:	SUB-TOTAL
TAX: DEPOSIT:
US$ TOTAL DUE:		1,395.17
0.00	

ot_

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE T, O LIFE FITNESS	1	-j./
--------- ----------- ------ -------------------  ----------- -- ------ -------- ----- -------------- 

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5353898
PO WAIVER
23-JUN-17
23-JUL-17
1,395.17

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO  IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of Brunswick Corporaijon
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5357727
1561972
PO WAIVER 28-MAY-17
27-JUN-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH Fl 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Du.Date:	ISale6Rop:	Terms of Sates:	Shipphlg Tenne!	Ship Date:	
27-JUN-17	I WILKINSON, STEPHEN	Nl:T30		28--JUN-17	
OTY
ORDERED	arv
SHIP	BIO	PARTNO.	DESCRIPlJOMJSERfAL#	UNJT PRICE	EXTENSION	
2	2	0	HS-DB-3003--01	Hammer Dumbbell 5LB Each,Rubber,Round	29.25	58.50	
2	2	0	HS-DB-3005-01	Hammer Dumbbell 10LB Each,Rubber,Round	40.30	80.60	
2	2	0	HS-DB-3009-01	Hammer Dumbbell 20LB Each.Rubber.Round	58.50	117.ou	
3	3	0	95TE-DOMXX-04	TREADMILL DISCOVER SE3 DOMESTIC
AST153611 AST153609 AST153608 HUT100064 HUT100083 HUT100085	7,273.50	21,820.50	
3	3	0	DISC-95TBASE-82B-3Y
R	EXT WARR-PARTS & LABOR- 3YEAR. DISCOVER
95TBASE	515.00	1,545.00	
3	3	0	ELEV-ENGAGE-DSCV-
TR-B2B-3YR	1:7' 1 WARR-PARTS & LABOR- 3 YEAR, ELV
ENGAGE-DSCV-TR	202.00	606.00	
			FREIGHl ALL	FREIGHT r.;HARGES		246.75	
			INSTALLATION	Installation Charges		913.32	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	25,387.67
0.00
r 38 :	

>

DETACH PAYMENT STUB AND RETURN WITH CHECK  PAYABLE TO:   LIFE FITNESS	Page 1 of 1
---------------------------	------ "-----------------------------------	------------- -------- --

INVOICE: CUSTOMER PO : INVOICE DATE: DUE OATE:

□

US$ TOTAL DUE:

5357727
PO WAIVER 28--MAY-17
27-JUN-1?
25,387.67

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A Division of BrunlM'ick Coiporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-a180

INVOICE

5367080
1561972
PO WAIVER 10-JUL-17
09-AUG-17
472876
472876

INVOICE# ORDER# CUSTOMER PO # INVOICE DATE DUE DATE
BILL TO#
SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Due Date:	SalesRep:	Tenn$ of Sale$:	Shipping Terms:	ShipOam:	
09-AUG-17	WILKINSON, STEPHEN	NET30		10-JUL-17	
gn
ORO'=RED	QTV
SHIP	BIO	PARTNO.	D ONISERIAL#	UNITPRICE	EXTEN8fON	
2	2	0	HS-DB-3007-01	Hammer Dumbbell 15LB Each,Rubber,Round	52.00	104.00	
			FREIGHT ALL	FREIGHT CHARGES		2.88	
			INSTALLATION	Installation Charges		1.60	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	108.48
0.00
t'fl)S.48D
00.0Q_	

DETACH PAYMENT STUB AND RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
----- --------------------------------------------------------------------------------------

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5367080
PO WAIVER 10-JUL-17
09-AUG-17
108.48

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.

A DMsiQn of Brunswick Corporation
9525 Bryn Mawr Avenue, Rosemont, IL 60018 Main (800)735-3867 Fax (847)288-3795
US TAX ID# 36-084-8180

INVOICE

5371964
1561972
PO WAIVER 14-JUL-17
13-AUG-17
472876
472876

INVOICE# ORDER# CUSTOMER PO# INVOICE DATE DUE DATE
BILL TO# SHIP TO#

BILL TO:
BANNON LAKES COMMUNITY DEVELOPMENT DISTRICT 700 PONTE VEDRA BOULEVARD
PONTE VEDRA BEACH FL 32082-2938

SHIP TO:
BANNON LAKES COMMUNITY DEVELOPMENT
DISTRICT
435 BANNON LAKES BLVD SAINT AUGUSTINE FL 32092

PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN REMITTED SEE REVERSE SIDE FOR TERMS AND CONDITIONS
Oueoate;	Salas Rep:	Tem11J of Sale$:	Shlppmg Term.:	Ship Date:	
13-AUG-17	WILKINSON, STEPHEN	NET30		14-JUL-17	
OTY
ORDERED	QTV
SHIP	BIO	PARTNO.	DESCRIPl10NISERIAU#	UNFTPRICI!	EXTENSION	
1	1	0	FXTT-VCV	Synrgy360T Versa-Cable-Versa - REQ BOLT TO
FLOOR
FXTT-VCV0717B002	3,948.10	3,948.10	
1	1	0	FXT-STP-STD01	SYN360STEP
FXT-STP02178060	282.10	282.10	
1	1	0	FXT-DIP-STD01	SYN360 DIP
FXT-DIP0317B048	210.60	210.60	
1	1	0	FXTT-VC-0617	Rope Pull - Power Pivot - Suspension Chin -TRX	1,959.10	1,959.10	
1	1	0	FXTT-CV-0710	Stall Bars	542.10	542.10	
			FREIGHT ALL	FREIGHT CHARGES		595.34	
			INSTALLATION	Installation Charges		481.30	

Order Comments:	SUB-TOTAL TAX: DEPOSIT:
US$ TOTAL DUE:	8,018.64
Cr 0.00
u.vv
8,018.64---	

)

DETACH PAYMENT STUB ANO RETURN WITH CHECK PAYABLE TO: LIFE FITNESS	Page 1 of 1
------------------------	-----· --------------------------	-------- ---·- --- -- ------- -------- ----

INVOICE: CUSTOMER PO: INVOICE DATE: DUE DATE:

□

US$ TOTAL DUE:

5371964
PO WAIVER 14-JUL-17
13-AUG-17
8,018.64

MAIL THIS PORTION ALONG WITH PAYMENT TO:
LIFE FITNESS
2716 NETWORK PLACE
CHICAGO IL 60673-1271

FOR CHANGE OF ADDRESS CHECK HERE AND FILL OUT NEW ADDRESS INFORMATION ON OTHER SIDE.