1994, 04-19 Permit: RefundPv#
Dept 030 o CODE ENFORCE
REFUND
MV041494JW3
VENDOR
STEINMETZ SERVICE
2114 N. PINES MDS SUITE
SPOKANE, WA 99206
Vendor Contact/Tel
3
ATO:
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
Confirming Order
BILL TO:
Chance Order #
Bidet
Blanlmt#
VI#
FOB:
ACCTG. PERIOD:
COMMENTS -
04/94
PO DATE:
DELIVERY DATE:
ENTERED RY-
JOEW
BLDG/ROOM
WAREHOUSE
BUYER
PURCHASING, DIRECTOR -
COMM
TOR DONALD L. LABRECQUE
COMM LN#
DESCRIPTION
COMMODITY NO
REF ACCT LINE 1 QUANTITY 1 UNIT
UNIT PRICE
TOTAL PRICE
094001914 - 7119 E FAIRVIEW AVE -DUPLICATE PERMIT - 100% REFUND
DUPLICATE TO #94002836 il
100% X 37.00 = $37.00
0.000000
PAGE TOTAL:
GRAND TOTAL:
37.00
37.00
37.00
LINE NO. I FUND
AGCY
ORC SB ORC I ACT OBI SB OBI I REV SRC I SB REV I RPT CAT
IBS ACCT
JOB NO. I PAY THIS AMOUNT
I P/F
01
406
030 0008
2210
07
GRAND TOTAL:
37.00
37.00
RECEIVING CERTIFICATION
Materiels noted In quantity � have been
received in good eondlbon or contracted for.
�v
SIGNED
TITLE r
DATE
'1_11_'1"
PAYMENT CERTIFICATION
I. the undersigned to hereby cenify under penalty of perjury that sufficient funds have been budgeted for this daim, the
materials have been furnished, services rendered or labor performed as described herein or contracted for. that the claim ts
e jus& due and unpaid obligaytion against Spokane County or fund agency indicated above. that 1 am authonred to authenticate
and certifyto said claim! y\
SIGNED \ TITLE
DATE
DEPARTMENT 2
TRAVEL CERTIFICATION
I hereby artily under penalty of perjury that Ibis
Is e true and correct daim for necessary expenses
inwned by me and that no payment has been received
by me on account thereof.
SIGNED TITLE
DATE
PAGE
1
SIEINME[Z
Service
Sales
Heating & Air Conditioning
(509)922-2034
2114 N. Pines Road, Suite 3 • Spokanc, WA 99206
STEINIIA147KF
March 23, 1994
Spokane County Department of Buildings
W 1026 Broadway
Spokane, WA 99260-0500
To Whom It May Concern:
Please Cancel permit number 94001914 for David Knerr of 7119 E Fairview.
Please reimburse Steinmetz Heating & A/C $37.00 for this.permit.
Sincerely,
2• c.;
Z4 a F. Orednick
Steinmetz Heating & A/C