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so 'ti <br /> O , <br /> PFM Financial Services LLC <br /> . <br /> rp orrt Corporate Center <br /> A One Cor Drive, Suite 701 01 <br /> ... Bohemia NY 11716 <br /> Phone 631 -580 -6258 <br /> -c11 Free 800- 356 -5148 <br /> Fax 888- 356 -3188 <br /> Application to Participate www.poweroardpfm.com <br /> To participate in the PCard program, the following information must be completed and signed by an <br /> authorized representative. <br /> Legal Name of Entity City of Centerville <br /> Mailing Address 1880 Main Street <br /> Centerville, MN 55038 <br /> Federal Tax ID Number 41- 1267014 <br /> Name and Title of Authorized Representative Dallas Larson, City Administrator <br /> Central Bank <br /> Bank Account to be debited for the charges (or) Account # <br /> Fund Account to be debited for the charges <br /> Name and Title of Person Who Will Administer Dallas Larson, City Administrator <br /> PCard Program <br /> Mailing Address of the Administrator - Telephone ( ) <br /> Fax L <br /> Email <br /> Current Annual Budget $2,054,700 <br /> Population 4000 <br /> Highest Month End Spend Amount $200,000 <br /> (Excluding Payroll) <br /> Your purdmsmy Lard cndrt lnu' will bo mvu'wcil durum/Iv June <br /> Harris Bank rryuin a c opy of your organiralion s aurlitpd <br /> /man( rd sldl, nu?ilis within thirty 130) drys of r.uniPli' burr reach <br /> year. <br /> Please indicate the month of the year your audit <br /> is generally completed & available: <br /> Are your audited financials available online? Yes <br /> (Y /N) <br />