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1994, 12-02 Permit: 94006206 RefundR-,: FJN1 PV# M 2 4J1 Dept ' 030 - CODS ENFORCF VEND01 : CASTLEWOOD HOMES 12702 E9 NORA #3 SPOKANEI WA 99216 LGFS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR mim M. Confiradoa Order aunge Order # Bid tD BlanW# on VI# FOB: PO DATE: BLDG/ROOM: BUYER ACCTG. PERIOD: 1 4 DELIVERY DATE: W WAREHOUSE: Jt�E�J DONALD L. LABRECQUE (7-0hOARNTS, ENTPRPr) W- PURCHASING D=(-TOR- I.Nif I DESCRIPTION COMMODITY NO REF ACCT LINE T QUANTITY UNIT UNIT PRICE TOTAL PRICE r0 7 -*1 - N. 5011 RMYVALE - PROJECT NOT REQUIRED - 100% REFUND @ 09000000 10900 3 -i2 - N. 5010 SHAMROCK - PROJECT NOT REQUIRED - 100% REFUND 10.00 a 09000000 @ 09000000 40.00 3 4 0 0 6 2 ') 6 -*3 - N. N. 5019 SHAMROCK,- PROJECT NOT REQUIRED - 100% REFUND ti 00000000 409 00 nr 09000000 10900 -*4 - N. 4810 SUNNYVALE - PROJECT NOT REQUIRED - 100% REFUND a 00 000000 10000 PAuE TOTAL: 120900 ION PAYMENT CERTIFICATION have been 1, o hereby rtify under penalty of 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 contacted for, that the claim is just, and unpa tion against Spokane County or fund agency indicated above, that 1 am authorized to authenticate rtify said m. SIGNED:79� TITIB DATE _ 0 TRAVEL CERTIFICATION 1 hereby certify under penalty of perjury that this is a true and correct claim for necessary eVenses incurred by me and that no payment has been received by me on account thereof. SIGNED T1TI E DATE PAGE 1 P;-FUt3` Pv# 'AV120 4Jv Dept—L-9-3 0 - t: u) U i J R C VENDM- CASTLEWOOD HrY;'— 12702 E. i401A :=o SPOKANEi WA 99"I vendor Conatwvlfei LGFS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR SHM TO: Cottfirmhtp Order Bal M. chaTxp OtaN # Bid ID BlaftloW POB: PO DATE: BLDG/ROOM: BUYER ACCTG. PERIOD: 1= ' Y DELIVERY DATE: WAREHOUSE: NTS- ENTFRFr) PTTRr.RAc;lNr, DIRECTOR- Ji7ErJ DONALD Lo LABRECQUE M1utItR t.U1s nrenoTnmrnwr have been 1, uncle do be certify under penalty of perjury that sufficient funds have been budgeted for this claim, the contracted for. ma 'cels have bee d, services rendered or labor performed as described herein or aontaaed [or, that the claim is a just, and unpa ligation against Spokane County or fund agency indicated above, that I am authorized to authenticate -- .-- I_ v lX v _j _ _ t — TRAVEL CERTIFICATION 1 hereby certify under penalty or perjury that this is a true and correct claim for necessary eipenses incurred by me and that no payment bas been received by me on account theveoC SIGNED TME 2 DATE PAGE �_ -*4 @ 0*000000 40.00 -*5 - N. 5010 SUNNYVALE - PROJECT NOT REQUIRED - 100% REFUND @ 0.000000 40.00 @ 0.000000 10.00 @ 0.000000 40.00 s4 3;,62;,; -*6 - N. 5014 SUNNYVALE - PROJECT NOT REQUIRED - 100% RERM 0.000000 40.00 t9400b2,J4 -*6 l 0.000000 10.00 PAGE TOTAL: 180.00 GRAND TOTAL: 300.00 FUND AGCT ORO S13 ORO ACT OBI SB OBT REV SRC S8 REV RPT CAT BS ACCT TOB NO. TwS AMOUNT 01 401 [+35 0�00 4241 40eOO 02 4JG ()?C 00 j'3 2210 02 10.00 03 401 4r 00011 4241 40.00 34 406 ;3c) GGJB 221;: 02 10.0'0 OS 471 ,J J00j 4241 40.00 08 4'.o 036 2.121Q 02 10.00 07 4131 435 0000 4241 40.00 have been 1, uncle do be certify under penalty of perjury that sufficient funds have been budgeted for this claim, the contracted for. ma 'cels have bee d, services rendered or labor performed as described herein or aontaaed [or, that the claim is a just, and unpa ligation against Spokane County or fund agency indicated above, that I am authorized to authenticate -- .-- I_ v lX v _j _ _ t — TRAVEL CERTIFICATION 1 hereby certify under penalty or perjury that this is a true and correct claim for necessary eipenses incurred by me and that no payment bas been received by me on account theveoC SIGNED TME 2 DATE PAGE �_ Pv# MV1201. rJ!•j Dept. J VENDOM CASTLEWOOD HGei= 12702 E. N7R:A SPOKANE9 WA 9�_1 Vendor ContaoT.1 FOB: 1,-)-/ �u Ar—CTC. PERIOD: .. LN# I DESCRIPTI( LGFS PAYMENT DOCUMENT SPOKANE COUNPY AUDITOR Cltww Ordw # Bid ID MW TO: BIM TO: BknkM# RIC# VI# Co 11 Order PO DATE: BLDG/ROOM: BLNER DELIVERY DATE: JOEW WAREHOUSE: DONALD L. LABRECQUE ENTERED RV- PURCHASING DIRFCTQR- �- I,iNEFO. I FUND I AGCY I ORG I SB ORO I ACT OBl I 11 SB OBI -1- REV SRC SB REV RPT CAT BS ACCT TOB NO PAY THIS AMOUNT ' `` PIF 08 4C6 ; 3.� 100,3 2214 OZ 10.00 09 401 4716 0003 4241 40.00 10 406 >>C; J0 "3 2L 10 02 10.00 11 401 +3E 4241 40.00 12 40E 0Ci61 2210 02 10.00 RECEIVING CERTIFICATION Llateri+'a tiry have been eeceived in od con ' c oontncted roc. SIGNED TITLE DATE —' PAYMENT CERTIFICATION 1, the undersigned do hereby certify under penalty of perjury that sufficient funds bave been budgeted for this claim, the ma rias en furnisbed, services rendered or labor performed as described herein or contracted for, that the claim is a j ue 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: 300.00 TRAVEL CERTIFICATION 1 bereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by me and that no payment bas been received by me on account thereof: SIGNED TITLE 3 DATE PAGL NUMBER CONTRACTOR SUBDIVISION LOT & BLOCK I RV CK 94S 726 r- �; �(��'; !"�^ L{ 5' ,� d g, Ja,. ,.l r 94S 727 I rl ► (C- �e r�'C,. 4 5'i7 �I , Q % �� 4 - a q as 728 r3 Z �t \,&Jr c yo 1p3 o� , 07 t tti S 94S 7291-3-71-7.(� L��fy w�n� � .� Av;E q224,01 -5i0& q4-lPo2 94S 730 .1- ��oc� 13Ct cA 45152. z R -1 _3 94S •731, t� s ,3i I �-{ Egrl� L�.�sn yyx�-1.'r o dq eail ,fir,, L -114 A-2-2- ,22- 94S 94s 732 (610 tip ►i 3W>4. 2-► t j 64S 733 to C � j S, i i M Gt.-<' %- am 1-1 x, E l.,?- ?, '' rf i1`✓ ` L .. 94S 734 �r �pov f Ov�f at"Ct rurg, 94S 735`fiii.?� ► i��"`- 5�t.tin ��1,►, y 05. 4 . 94S 736 tJ 5 O 1 �D SkLMA J46AG C1052 0Z ' 94S 737 , ,SCO) 4-.�tLn. 4010.4052- Ian - S gas 738 94s 73 W-05 l.f , SD ? 6 4(,C14- 94S 740 lo� , 5451 i �jt.tlU� \ic4c- 453 63, '705Z 20 r t -2 13-3 94S 741 G50 rtv�o 3(�3p3, I�-j►�� 94S 742 n = D 0 lq- 94S 743 W. n t z K m- m03 pD m61M 744 J 0 D m o o r Z94S m aomo { O N M m z m m 94S 745 1t.1, °K 'y Z C M O o c m m D D L� �O y c o n 0 94S 746 yl,) , p° 0 0 a 94S 747 �. Z � 94S 748 1 ` 1'� n c m r m m Z Z c c ' D S r > m m -{ N 94S 749 �t"� _ D C J n p m 4S 750 �i 10. 8 Z 9 t�fi N. mp 48 Z cl -5-0/0 s-mio �ic,u.or/ �q 3�ofl 3 -5-0/0 s-mio