1994, 12-02 Permit: 94006202 Refund., MV120144JW-.
Deft_ 0?0 -
C4-) _)w N-JRC
VENDOR:
(:ASTLEWOOIJ HOMES
12702 E. WOAA r3
SPOKANEV WA 99 '_:. �
Vendor conbm*Tel
LGFS PAYMENT DOCUMENT
SPOKANE COUNPY AUDITOR
Cordlrmbtq Order
BIM M.
chulge Ota #E
Bid ID
Bknket#I
FOB.PO DATE: BLDG/ROOM: BUYER
ACCTG. PERIOD: 1 = .1 DELIVERY DATE: WAREHOUSE:
JOFW DONALD L. LABRECQUE
s LNif F
DESCRIPTION
COMMODITY NO REP ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE
w-340-1Go231
-*4
43 '-�-
+:)C"j
4 _''41
40.00
0'
@
0.000000
40.00
u10 6 2 0 z
-*5 - N,,
YVI PROJECT NOT REQUIRED - 100% RMND
401
4
4241
��>a
l
0.000000
40.00
"1
�vJ�
X21 ; CG
10.0'3
09
4')1
00
0.000000
10.00
-4940;)6 7-
*1
-4 C
J0
121) 02
10.00
07
1
0.000000
40eOO
9 4 ; , 6 � -_j Y
-*6 - N.
5014 SUNVYVAL E -PROJECT NOT REQUIRED - 100% REFUND
@
0.000000
40.00
0.000000
10.00
PAGE TOTAL:
180.00
GRAND TOTAL:
300.00
01
+01
43 '-�-
+:)C"j
4 _''41
40.00
0'
4U6
0'_C
221J 3:w
10.00
03
401
4
4241
40.00
C4
4 6
"1
�vJ�
X21 ; CG
10.0'3
09
4')1
00
4241
40100
05
4,0
-4 C
J0
121) 02
10.00
07
401
43ti
CGO
4241
40.00
n q have been 1, uncle do he artily undo penalty of perjury that sufficient funds have been budgeted for this claim, the
oonditi or contracted for. :nd
a 'aN have bee d, services rendered or labor performed as described herein or contracted for, that the claim is
ust, and unpa ligation against Spokane County or fund agency indicated above, that I am authorized to authenticate
ceru to said i
^ SIGNED T=
1_ 1 — 1'— GT U —
chulge
--
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
G
DATE PAGE
?. �. F 'i
Pv# ` M V 1J r 9L+ W_
Mpc 030— .JJ EN-OR0F
VENnOM
C`ASTLEWOOD HOME
12702 E. -NORA #3
SPOKANEy WA 99226
Vuedor ConowlIT.l
I FOB:
ACCTG. PERIOD:
NTS-
LGFS PAYMENT DOCUMENT
SPOKANE COUNPY AUDITOR
BIM TO:
Coop Order
Chww Olde
Bid ID
BLftbet#
PO DATE: BLDG/ROOM: BUYER
1 4 DELIVERY DATE: JClErJ WAREHOUSE:
ENTERED B'SC PURCHASING DIRECTOR
)ESCRIPTION
:Ob(MODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE
#'94 0 C 6 2 U 7 -*1 - N. 5011 SUNNYVALE - PROJECT NOT REQUIRED - 100% REFUND
@ 0.000000
1-19 =+,1 o s ;--,j3 -*2 - N. 5010 SHAMROCK - PROJECT NOT REQUIRED - 100% REFUND
00000000
"1'940-16205 —*2
J 00000000
94 0 0 d 2.3 6 -*3 - N. N. 5019 SHAMROCK - PROJECT NOT REQUIRED - 100% REFUND
a 00000000
I"
VI#
DONALD L. LABRECQUE
TOTAL PRICE
10.00
10000
43.00
40@00
u 0.000000 10000
v0 -*4 - N. 4810 SUNNYVALE - PROJECT NOT REQUIRED - 100% REFUND
1� 0.000000 10000
PANE TOTAL: 120.00
FUND AGCY RG I $BORG ACT OBI SB OBI REV SRO SB REV RPT CAT I BS ACOT TOBO. PAY THIS NT I PT
REC NG C ION PAYMENT CERTIFICATION
Ida in quan have been 1, o hereby rtify under penalty of perjury that sufficient funds have been budgeted for this claim, the
in condi ' con
for. mate ' Is have services rendered or labor performed as described herein or oonttacted for, that the claim is
just and unpa tion against Spokane County or fund agenq indicted above, that) am authorized to authenticate
SIGNED rtify said m.
TITLE SIGNED TITLE
DATE 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 TME 1
DATE IPAGL
� rU"j'
Pv#1 MV1201 9 4jiA
Dept � — :' i J F '? A
VMMOL.
C,ASTLEWJuT 'riori= S
12702 Ea NCIAA. :.
SPOKANEI WA ��=1
veodor Coafacmi
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SEBA TO. BIM TO:
Coaflraft Order
Chww Omer
Bid D
Blanket#
FOB: PO DATE: BLDG/ROOM: BUYER
ACCTG. PERIOD: ` ` ' ' DELIVERY DATE:WAREHOUSE:
CY Kft4PFJTS• owrmroon oar. Jct c.W DONALD Le LA BRE C QUE
RECEIVING CERTIFICATION
Materials dry have been
received in aa/ do ' r contracted for.
SIGNED
TITLE
DATE
PAYMENT CERTIFICATION
I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
marials en furnished, services rendered or labor performed as described herein or contracted for, that the claim is
a j rte and obligation against Spokane County or fund agency indicated above, that I am authorized to authenticate
rtrd ce to said
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 thercoC
SIGNED TITLE 3
DATE PAGE
'
T
J,,'
441. ` -
iuouj
40.OJ
1�
I
10.00
11
1
:
4241
4 *00
1�
4''�
��.,
,1; 7
221{! ��_
10.00
GRAND TOTAL: 300.00
RECEIVING CERTIFICATION
Materials dry have been
received in aa/ do ' r contracted for.
SIGNED
TITLE
DATE
PAYMENT CERTIFICATION
I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
marials en furnished, services rendered or labor performed as described herein or contracted for, that the claim is
a j rte and obligation against Spokane County or fund agency indicated above, that I am authorized to authenticate
rtrd ce to said
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 thercoC
SIGNED TITLE 3
DATE PAGE
NUMBER
CONTRACTOR
SUBDIVISION
LOT & BLOCK
RV
CK
94S 726
94S 727
J
14 rl I q Xt.1 I c. (c rrc,,.
4 5?'5 q, �Q �� r�
4 - S c
Lot , ieo leenn I
W,
as 728
13Z�t �1ec���„�
le3o , ohi I
�i115
94S 729
AVE
y L22�,f.4�OG►
94S 730
-Po-4- ctc(6
13Ct ( <; nAo
45152. 0221
Ok fir"' Ri II,
•J
sas 731,Z51
,3 t I Cary (aa,,j3n
452.x.3.'10 o q
%UomgI
•t++,
L -Iq A-22-
•22.94S
94S732
�� a,wctswt
is3D42�1�
•
A.7 -
64S 733
CQ.0 i l�"'i
Q. 1't
52d
9
• rl O�I f� ow a�C
;•Ga ►f t
vs17Sif�
94S 736
c,
► S l c`�
I
mc
-a
94S 736
I�.� 5 D I o .S-AX^Ajijo -�.
C)052
a o1
'
16-4
94S 737
1`, o i q- ZVkp. r� AXL.
4 60 6-� , q O5 2-
lfh
- B-2.
94s 738
, —r;Diq rOC-(6
1E63(sr3.Gla5�.
�R•3
94S 73
94S 740
l�+ l I
45; 6.3, 4052,
- 2v
-2-3
94S 741
94S 742
p
n o o 'p
D K -n _-n
C)-n
0
94S 743 VV, o
N
D
Z
94S 744 1�
D mCn
o o o,
m
. --
ao
c
o m
mo
745
z
:13
rn
a94S n
w
O
O
cZ
a
0
746 pN
m o94S
'
-T-
PI
94S 747 u
,
Z
14 teue
94S 748 PC��p
F`
m
ccn
_
r z z 121
c c
CIL 1
T
D m m m
N
94S 749
D r n n
m N
4S 750
to I
N{
I
I
A04 771 - -575--57,0