1993, 06-01 Permit: 93003911 RefundREFUND
Pv# MV0528MJW01
Dept n3n — rnDF FNcnRCE
VBZIDOR:
STURM HEATING, INC.
EAST 205 INDIANA
`SPOKANE, WA 99207
• Vendor Contact/Tel
- EPS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO:
Combmbu Order
BILL TO:
Change adz #
Bid ID
Blanket#
Ill BP 000004)0(11
VI#
FOB:
ACCTC. PERIOD: 05/93
COMMFNTS-
COMM
PO DATE:
DELIVERY DATE:
ENTF.RFD BY JOEW
BLDG/ROOM:
WAREHOUSE:
BUYER
PT RCHASINO OIRFCTORD ON ALD Le LABR ECOUE
-?'T COMMODITY NO' -
?�ir4UANTITYI4.^7 .5
UNIT+sr.
;:93003911 - E. 1202 Q ACE
8090 REFUND - PROJECT CANCELED
a
tA,1t4;'I4wYUNIT7PRICE tS',. : x, �•f,•.,�:I, ..
^ �• "�' [,"' TOTAL PRICE
0.000000
29.60
PAGE TOTAL: 29.60
GRAND TOTAL: 29.60
- 4INE NO;•
01
EL.
M rials noted
rue' in Good
SIGNED
406
TITLE
DATE/
030 0008
SB ORG
;ACT?'
GOBI t..
S OBI
REVRC "1
REV'SRC"=T
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2210 07.
enT nom;
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'PAY THIS AMOUNT*
P/F
RTE?+ICATION PAYMEtN CERTI 'CATION
wry I have been 1, c undersigned..teby certify under penalty of perjury that suf tient funds have been budpted (or this claim, the
on or contracted for. mate Is have been ri. 'shed, rvices rendered or labor performed as desaibed herein or contorted for, that the claim is
• MA . and unpaid • .. tgi epinn Spokane County or fund agency indicated above, that 1 am authorised to authenticate
• •. rti A. uid daim. -
SIGNED -. TTT E
DATE h : — I
29.60
GRAND TOTAL: 29.6C
RtAVEL CERTIFICATION
1 hereby certify wrier penalty of perjuy that this
is • true and correct Beim for necessary expenses
incurred by me and that no payment hes been received
by me on account thereof.
SIGNED TITLE
DATE PAGE
1
TRANSn
STURM Heating, Inc.
PHONE (509) 325-4505
FAX (509) 328-4819
EAST 204 INDIANA
SPOKANE, WA 99207
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