HomeMy WebLinkAbout1993, 02-04 Permit: 93000065 RefundM
PV# .
Dept
VENDOR
Vendor Cordact/Sel
EPS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SH P M. BILL TO:
Corduamnp Order
Change Osier #.
Bid ID
Blanket#
RC#
VI#
FOB: PO DATE: BLDG ROOM:
ACCTG. PERIOD: DELIVERY DATE: WAREHOUSE:
COMM LN# I DESCRIPTION
COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE
�t.
W 80% REFUND FOR 7518 EAST SINTO AVE -PROJECT CANCELED
80% REFUND FOR 7217 EAST GIRARD CT -PROJECT CANCELED
PAGc TOTAL: bc
LINE NO. FUND AGCY ORO_SB ORG ACT OB SB OB REV SRC SB REV I RPT CAT BS ACCT JOB NO PAY THIS AMOUNT P/F
28.80
,KANu TOTAL.: y7960
RECEIVING CERTIFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION
Materials noted in quantity / have been 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the I hereby certify under penalty of perjury that this
received in good condition or contracted for. materials have been fumisbed, services rendered or labor performed as described herein or contracted for, that the claim is is a true and correct claim for necessary expenses
a just, due and unpaid obligation against Spokane County or fund agency indicated above, that 1 am authorized to authenticate incurred by me and that no payment has been received
SIGNED and certify to said claim. by me on account thereof.
TITLE SIGNED �� TITLE SIGNED TITLE
DATE DATE t"� DATE PAGE
DEPARTMENT 2
ANDERSON'S SHEET METAL
HEATING & AIR CONDITIONING
E13903 TRENT AVENUE
SPOKANE, WA 99216
(509) 928-0960
TO: SPOKANE COUNTY DEPARTMENT OF BUILDINGS
1303 W. BROADWAY AVE.
SPOKANE, WA. 99260
REGARDING: PERMIT FOR ROSS
7 217 E. GIRARD 02.
SPOKANE, WA. 99212
PROJECT # 93000065
WE WOULD LIKE TO REQUEST A REFUND FOR THIS PERMIT DUE TO THE JOB
BEING CAN(Ef.T .
THANK YOU
KRISTY WHITE
(509) 928-0960