1990, 04-10 Payment VoucherVENDOR
CODE
NAME WRS & ASSOCIATES
ADDRESS P.O. BOX 14084
SPOKANE, WA 99214
SPOKANE COUNTY PAYMENT VOUCHER
ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL VOUCHER TYPES)
LINE
Na
1
VENDOR
INVOICE NUMBER ,
FUND AGENCY ORGAN-
IZATION
BLDG&SAFETY
kW(
DO0v
0008
ACT
OBJ
SUB REV • SUB:
OBJ SOURCE REV '
JOB';:'
NUMBER
REPT BS
CATEG ACCT"
AUDITORS STAMP
❑ 1099 REQ'D ID#
• DESCRIPTION
AMOUNT
4241
REFUND
$200.00
FUND
100% REFUND FOR DUPLICATED PERMIT #'S
89-5368
89-5369
89-5027
89-5217
AGENCY
ORGAN-
IZATION
SUB
ORG
INTRA -GOVERNMENTAL VOUCHER
SELLERS ACCOUNT DISTRIBUTION
ACTIVITY
REVENUE
SOURCE
U8
REV
SRC
JOB NUMBER
RPT,
CATEG.
OFFSET•
RECEIVABLES
I, the undersigned do hereby
certify under penalty of perjury
that sufficient funds have been
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered or labor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
Spokane County or fund agency
indicated above, that I am autho-
rized to authenticate and certify
to said claim.
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that
1 am authorized to authenticate and certify to said claim.
SIGNED
TITLE
DATE
TITLE OFFICE MANA ER
DATE
4/10/90
$200.00
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury
that this is a true and correct claim for
necessary expenses incurred by me and
that no payment has been received by me
on account thereof.
SIGNED
TITLE
DATE
DATE
EXAMINED and ALLOWED
19
CHAIRMAN
MEMBER
MEMBER