1994, 12-02 Permit: 94005205 Refundt
' .RcFUNu
MV12 0 19 4
P,v#
Dept 030 — (--OD,=IUt=0RC+-
VENDOR:
CASTLEWOOD HOMES
12702 E. NORA ; 3
SPOKANEt WA 992-16
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SFS TO:
I �1
c hwlw Ordw #.
Bid D
Blanket#[
VI#f
FOB: PO DATE: BLDG/ROOM: BUYER
ACCTG. PERIOD: 12/94 DELIVERY DATE: WAREHOUSE:
JOEW DONALD L. LABRECQU
LN DESCRIPTION; R c
COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE , `PRICE
9 4 0 r 6 20 7
-*1 - N.
5011 SUNNYVALE - PROJECT NOT REQUIRED - 100% RMAD
ctD
0.000000
10.00
o:) 4 (i o 5 ? , 3
-*2 - N.
5010 S VMW - PROJECT NOT REQUIRED - 100% REFUND
i)
0.000000
10.00
v94"D06205
-*2
@
0.000000
40eOO
9 4 0 0 62 0 6
-*3 - N.
N. 5019 SHAMROCK - PROJECT NOT REQUIRED - 100% REFUND
0.000000
40.00
m340+)S
-*3
@
0.000000
10.00
-*4 - N.
4810 SUNNYVALE - PROJECT NOT REQUIRED - 100% REFUND
a
0.000000
10.00
PAGE TOTAL:
120e00
1 ION PAYMENT CERTIFICATION
have been I, d o hereby rtify, under penalty or perjury that sufficient funds have been budgeted for this claim, the
contracted for. mate ' Is have services rendered or labor performed as described herein or contracted for, that the claim is
just and unpa tion against Spokane County or fund agency indicated above, that I am authorized to authenticate
a rtify said M.
SIGNED _ — TITLE
DATE
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
PAGE i
'Z ='1f
MV1 :+j
Dept 03n — IN r- J R C
VENDOR:
CASTLEW00 HCC i
12702 E• O0 A .s3
SPOKANE] WA
Vandor ConWaVTel
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
Corfim4ta Order
:I •
Ownoe Ondw #
Bid ID
Blanket#
FOB: PO DATE: BLDG/ROOM: BUYER
ACCTG. PERIOD: 12/94 DELIVERY DATE: WAREHOUSE:
J0FW DONALD Le LABRECQUE
LNDESCRIPTION
COMMODITY NO REP ACCT LINE QUANT17Y UNIT UNIT PRICE TOTAL PRICE
x ?
/d have been I, uncle do he certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
or contracted for.ma 'cels have bee d, services tendered or labor performed as described herein or contracted for, that the claim is
a just, and unpa liption against Spokane County or fund agency indicated above, that I am authorized to authenticate
��mk-�
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 TITLE 2
DATE TAG6
4D C , ;; 2,711 —*4
0 * 000000
40.00
4u, t) 6 ._
-*5 -
N. 5010 SUNNYVALE - PROJECT NOT REQUIRED - 100% REFUND
0.000000
40.00
it
0e000000
10600
"1 4 C)').- 7 - *1
00000000
40.03
—*6 —
N. 5014 SUNNYVALE — PROJECT NOT REQUIRED — 100% REFUND
@
0.000000
40.00
—*6
0.000000
10.00
PAGE TOTAL:
180.00
GRAND TOTAL:
300.00
s.N"NQ
AQCT
ORO
SB ORO
ACT
OBI
SB OBI
REV SRC
SB REV
RPT CAT
BS ACCT
10131NO.
PAY THIS NT
01
401 43
:"00
4241
40.00
02
4J6 f"Z0
0003
2210 02
10.00
03
401 4
0001.E
4241
40.00
04
406 j3'1
GOOCI
2?1�. 02
10.00
0^
4')1 r�3
i(sOiJ
4241
40.00
0.5
4'e 6 J;'
�0=- .
:1210 02
10.00
07
401 43
0000
4241
40.00
/d have been I, uncle do he certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
or contracted for.ma 'cels have bee d, services tendered or labor performed as described herein or contracted for, that the claim is
a just, and unpa liption against Spokane County or fund agency indicated above, that I am authorized to authenticate
��mk-�
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 TITLE 2
DATE TAG6
P4 MV1201=)4J4
Dept v 0— A F 'j a
CASTLEWOOD HGM::
12702 Ea, NORA :;3
SPOKANE? WA
Veador ComovTol
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SEM M.
FOB: PO DATE:
ACCTC. PERIOD: t ' DELIVERY DATE:
Cordlrrt'o Order
JJEW
BIIasM.
BLDG/ROOM:
WAREHOUSE:
Change Order #_
Bid ID
Blanket#
Vi#
DONALD Le LABRECQUE
LINO.
I FUND
( AGCY
I ORG
I SB ORO
( ACT
I OBI
SB OBT
REV SRC
SB REV
RPT CAT
BS ACCT
1OB NO
PAY TMS
AMOUNT' `
PIF
8
4I'D 5
J?J
C1005
10.00
09
401
436
0000
4=41
40eOJ
10
406
);;
;J0�-3
2; ii. 0?
10.00
401
+3j�
7Ui:l
42L+1
40.00
12
4`)K
)3,
:'�c
22101 'D2
10.00
RECEIVING CERTIFICATION
Materials tityk have been
received in cod wn ' r contracted for.
SIGNED
TME
DATE '—
PAYMENT CERTIFICATION
1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
me rias en furnished, services tendered or labor performed as described herein or contracted for, that the claim is
a j zee and obli tion against Spokane County or fund agency indicated above, that 1 am authorized to authenticate
ce to said
SIGNED TITLE
DATE ^�
GRAND TOTAL
TRAVEL CERTIFICATION
I hereby artily 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
300.00
3
FAGa
NUMBER
CONTRACTOR
SUBDIVISION
LOT & BLOCK
I RV
CK
94S 726
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94S 727
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4S 728
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94S 729
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l4L2 2 .O�OfP
94S 730e
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94S 731
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94S 732ff'ln544C
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94S 735
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4G30, y D L
Aq. 1 101
94S 736hi
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94S 737
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94S 738
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94S 73
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94S 740
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20
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94S 741
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94S 747
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94S 748jpVo��p
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94S 749 �.t*� `7
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