1990, 04-10 Payment VoucherVENDOR
CODE
NAME WRS & ASSOCIATES
ADDRESS P.O. BOX 14084
SPOKANE, WA 99214
SPOKANE COUNTY PAYMENT VOUCHER
LINE
NO.
VENDOR-'..
INVOICE NUMBER
AUDITORS STAMP
ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL VOUCHER TYPES)
FUND
AGENCY
ORGAN-
IZATION
ACT
OBJ
SUB
OBJ
REV •
SOURCE
'SUB
REV
JOB
NUMBER
BLDG&SAFETY
yob
48-6-
y 31c
030
OGCO
0008
4241
REPT
CATEG'
'ACCT'
❑ 1099 REQ'D ID#
DESCRIPTION
AMOUNT,
REFUND
$200,00
FUND
DETAIL DESCRIPTION
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
REV
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.
TOTAL
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
I am authorized to authenticate and certify to said claim.
SIGNED
TITLE
DATE
A Ifs.r.n
SIGNED
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
EXAMINED and ALLOWED
DATE
CHAIRMAN
MEMBER
MEMBER
19