1992, 10-30 Permit: 92007352 RefundVENDOR
CODE
REFUND
SPOKANE COUNTY. PAYMENT VOUCHER 132004
10/30/92
NAME ALWAYS ACTIVE
ADDRESS P. 0. BOX 141562
SPOKANE, WA 99214
DATE
AGENCY
NAME
CODE ENFORCEMENT
AUDITORS STAMP
ACCOUNT DISTRIBUTION, ORIGINATING ENUTY"(AL
VOUCHER TYPES)
•
1099 REQ'D ID#
LINE
NO.
' VENDOR'
INVOICE NUMBER
FUND
AGENCY
ORGAN-
IZATION
ACT
OBJ
SUB
OBJ
REV
SOURCE
SUB
REV
JOB
NUMBER
REPT
CATEG
BS
ACCT-
DESCRIPTION
AMOUNT
1
92-007352
401
436
0000
4241
REFUND
40.00
2
406
030
0008
221C
02
11
10.00
DETAIL
DESCRIPTION
1 & 2 100% REFUND ON PERMIT N92-007352 FOR SEWER PERMIT FOR
I, the undersigned do hereby
certify under penalty of perjury
TOTAL
50.00
13105 EAST CATALDO AVENUE DUPLICATE PERMIT PER COPIES
that sufficient funds have been
OF PERMITS ATTACHED
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
TRAVEL CERTIFICATION
1 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
indicated above, that I am autho-
rized to authenticate and certify
TITLE
INTRA -GOVERNMENTAL VOUCHER
to said claim:
DATE
FUND
AGENCY
ORGAN-
IZATION
SUB
ORG
SELLERS
ACTIVITY
ACCOUNT
REVENUE
SOURCE.
SUB
REV
DISTRIBUTION
JOB NUMBER
RPT.OFFSET
CATEG. .R ACCOUNFS
EXAMINED and ALLOWED
CERTIFICATION
DATE 19
N.
SIGNED __ _3\
CHAIRMAN
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
_ \ \\
TITLE FF LCE ADMINISTRATORS
MEMBER
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that TITLE
10/30/92
I am authorized to authenticate and certify to said claim. DATE
DATE
MEMBER