1990, 09-28 Permit: 900004125 RefundSPOKANE COUNTYPAYMENT VOUCHER
VENDOR
CODE -
BARTON HEATING &
NAME AIR CONDITIONING, INC.
ADDRESS 11802 EAST MANSFIELD AVENUE
SPOKANE, WA 99206
11#90004125 1 4061 030 10008 12420 1 1 122101 07
1 PERMIT #90004125 ISSUED 8/22/90 FOR 904 N. ST.
CHARLES ROAD, VERADALE, WA 99037
PROCESSING FEE @ 100% $25.00
GAS PIPING @ 100% 1.00
MINIMUM FEE ADJUSTMENT @100% 9.00
U `i-� `�`�I p
NEW PERMIT/%ISSUED PER COPY OF LETf9R�ATTACHED
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that TITLE
I am authorized to authenticate and certify to said claim. DATE
113680
DATE 9/28/90
AGENCY BLDG. & SAFETY
NAME
AUDITORS STAMP
❑ 1099 REQ'D ID#
100% REFUND
I, the undersigned do hereby
certify under penalty of perjury
that sufficient funds have been
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered or labor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
Spokane County or fund agency
indicated above, that I am autho-
rized to authenticate and certify
to said claim.
SIGN��
:
OFFICE ADMIN 1yATOR
TITLE
DATE 9/28190
35.00
35.00
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
EXAMINED and ALLOWED
DATE 19
CHAIRMAN
MEMBER
MEMBER
Bartons
HEATING & AIR
CONDITIONING INC.
922-5000 BARTO HA 110BZ
August 30, 1990
Spokane County
Dept. of Building and Safety
West 1303 Broadway
Spokane, Wa. 99260
To Whom It May Concern:
I am writing for the purpose of obtaining a refund
for a permit taken out by Bartons Heating and Air Conditioning,
Inc. for Chuck Neidigh, 904 N. St. Charles Rd., Veradale
Wa. 99037. The amount of the refund is $35.00. Another
contractor has completed the work and so therefore I will
not need the permit.
Sincerely,
Gary J. Barton
11802 E. MANSFIELD
SPOKANE, WA 99206