Fillable VENDOR APPLICATION LAKE COUNTY, FLORIDA www.lakecountyclerk.org CLERK OF (Lake County Florida Clerk of the Circuit Court and Comptroller)

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Page 1 of 2 Rev. 06/27/2018
VENDOR APPLICATION
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
LAKE COUNTY, FLORIDA
www.lakecountyclerk.org
The following constitutes a request by the applicant to be placed on a list of suppliers who may
be tendered solicitations to furnish materials/services to the Clerk
of the Circuit Court and
Comptroller, Lake County, Florida. Return this application to:
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
PURCHASING OFFICE
550 West Main Street
Post Office Box 7800
Tavares, FL 32778-7800
Phone: 352-253-2638 Fax: 352-253-2644
purchasing@lakecountyclerk.org
COMPANY NAME AND ADDRESS: MAILING ADDRESS:
COMP
ANY PHONE: COMPANY FAX:
COMP
ANY WEB ADDRESS:
TYPE OF ORGANIZATION: Individual Partnership Corporation-State
Female Owned Minority Owned
YEARS
IN BUSINESS: FEDERAL ID #:
NAMES
OF PERSON(S) IN YOUR ORGANIZATION
AUTHORIZED TO SIGN BIDS, OFFERS, AND CONTRACTS IN YOUR NAME
NAME: TI
TLE: PHONE #: FAX #:
YOUR TYPED NAME: SIGNATURE: DATE:
_________________________________
PURCHASING USE ONLY
Vendor # Date Entered Entered By
Page 2 of 2 Rev. 06/27/2018
Mark (X) the following listed goods/services on which you desire to bid. If goods and services listed do not
cover your good or service, or the commodity category is too general, please attach a statement describing your
good or service. Brochures or catalogues would also be helpful.
GOODS:
045-00 Appliances & Equipment, non-
commercial
070-00 Automotive Vehicles & Related
Transportation Equipment
080-00 Badges, Emblems, Name Tags and
Plates – Identification
195-00 Clocks, Timers, & Watches
200-00 Clothing & Apparel
204-00 Computer Hardware & Peripherals
204-93 Data Processing Systems
207-00 Computer Accessories & Supplies
208-00 Computer Software
250-00 Data Processing Cards & Paper
265-00 Draperies, Curtains & Upholstery
285-00 Electrical Equipment & Supplies
287-00 Electronic Components, Replacement
Parts & Accessories
310-00 Envelopes, Plain or Printed
340-00 Fire Protection Supplies
345-00 First Aid & Safety Equipment
350-00 Flags, Flagpoles, Banners, &
Accessories
360-00 Floor Covering
395-00 Forms, Continuous: Paper, Forms
Labels & Folders
425-00 Furniture: Office
445-00 Hand Tools, Accessories & Supplies
450-00 Hardware & Related Items
515-00 Lawn Maintenance Equipment & Parts
560-00 Material Handling & Storage
Equipment
575-00 Microfiche & Microfilm Equipment &
Supplies
578-00 Miscellaneous Products
600-00 Office Machines Equipment &
Accessories
620-00 Office Supplies, Miscellaneous
645-00 Paper, Office
655-00 Photographic Equipment & Supplies
691-00 Printing, General
715-00 Publications & Audio Visual Materials
725-00 Radio, Telecommunications Equipment &
Accessories
801-00 Signs & Related Supplies
803-00 Sound Systems, Components & Accessories
840-00 Television Equipment & Accessories
880-00 Visual Education Equipment & Supplies
SERVICES:
915-00 Communications & Media Related Services
918-00 Consulting Services
918-28 Computer Hardware Consulting
918-29 Computer Software Consulting
918-30 Computer Network Consulting
918-49 Finance/Economics Consulting
918-58 Governmental Consulting
918-75 Management Consulting
920-00 Data Processing Services & Software
924-00 Educational Services
928-00 Equipment Maintenance: Automobiles,
Trucks, Trailers
931-00 Equipment Maintenance: Furniture
939-00 Equipment Maintenance: Office Machines,
Photographic, and Radios/Televisions
939-15 Equipment Maintenance: Calculators
939-21 Equipment Maintenance: Computers, Data
Processing Equipment
939-27 Equipment Maintenance: Copy Machines
939-54 Equipment Maintenance: Microfilm &
Microfiche Equipment
939-87 Equipment Maintenance: Typewriters
946-33 Debt Collection Services
952-00 Human Services
953-00 Insurance, All Types
958-00 Management Services
961-53 Marketing Services
966-00 Printing & Related Services
966-71 Paper Shredding
975-00 Rental or Lease of Equipment
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VENDOR APPLICATION LAKE COUNTY, FLORIDA www.lakecountyclerk.org CLERK OF (Lake County Florida Clerk of the Circuit Court and Comptroller)

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Completed 18 April 2021

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