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1994, 12-02 Permit: 94006204 RefundPV# Dept Q tt C VENDOR 12702 E• 'OIA :%8 S?OKANEI WA 99216 LGFS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR Vendor Contact/Tel Confirmmp order :I • SYS1 Change Order #_ Bid ID Blanket# RC#_ VI# FOB: PO DATE: BLDG/ROOM: BUYER ACCTG. PERIOD: I / q 4 DELIVERY DATE: WAREHOUSE: COMMENTS- ENTERED BY-- PURCHASING DIRECTOR - COMM LN# I DESCRIPTION COMMODITY NO REF ACCT LINE QUANT17Y UNIT UNIT PRICE TOTAL PRICE "94006201 —*4 V 0 000000 *'9 4 0 0 6 20 2 —*5 — N. 5010 SUNNYVALE — PROJECT NOT REQUIRED — 100% RMX > 0.00i3C , 40+Ci ii4VPJ �11 s_—*5 1t �}•iiLt VL�i 10• 1#9 4 0 0 6 20 4 —*6 — N. 5014 SUNNYVALE � PROJECT NOT REQUIRED — 100% RF -W .94006 20 4 —*6 0•,r's0� 1t'iaU'- RECEIVING CERTIFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION Materials noted in quantity J have been 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the I hereby certify under penalty of perjury that this received in good condition or contracted for. materials have been furnished, services rendered or labor performed as described herein or contracted for, that the claim is is a true and correct claim for necessary expenses a just, due and unpaid obligation against Spokane County or fund agency indicated above, that I am authorized to authenticate incurred by me and that no payment has been received SIGNED and certify to said claim. by me on account thereof TITLE DATE SIGNED DATE �t DEPARTMENT2 SIGNED TITLE PAGE �i AL 1 T _ 7 IINL NO. FUND AGCY ORQ SB ORG ACT OBI SB OBI REV SRC SB REV I RPT CAT BS ACCT TOB NO. I PAY THIS AMOUNTF L.i1t.' .: 02 406 030 000 221L 03 401 436 00'00 4241 04 406 U0 0©s?3 2210 05 401 41G 000308 4241 406 030 0008 221c r.r3 ^fir^ 424_ RECEIVING CERTIFICATION PAYMENT CERTIFICATION TRAVEL CERTIFICATION Materials noted in quantity J have been 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the I hereby certify under penalty of perjury that this received in good condition or contracted for. materials have been furnished, services rendered or labor performed as described herein or contracted for, that the claim is is a true and correct claim for necessary expenses a just, due and unpaid obligation against Spokane County or fund agency indicated above, that I am authorized to authenticate incurred by me and that no payment has been received SIGNED and certify to said claim. by me on account thereof TITLE DATE SIGNED DATE �t DEPARTMENT2 SIGNED TITLE PAGE PV# Dept VENDOR Vendor Cordact/Yel LGFS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR Cordlrtrrmp Order BUL TO: Change Order # Bid ID Blanket# Fr—#_ VI# FOB: PO DATE: BLDG/ROOM: BUYER ACCTG. PERIOD: DELIVERY DATE: WAREHOUSE: COMM LN# I DESCRIPTION COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE LINE NO. FUND GCT ORO SB ORO ACT OB SB OBI REV SRC SB REV I RPT CAT BS ACCT iOB NO PAY THIS AMOUNT P/F ..'J 1V.lJ , 09 401 43 4241 40.0; 10 405 030 uo0 )13 2210 02 10.013 11 401 436 0000 421+1 40901- 12 405 03v 0008 2210 ^2 10.0; RECEIVING CERTIFICATION PAYMENT CERTIFICATION Materials noted in quantity J have been 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the received in good condition or contacted for. materials have been fumished, services 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 1 am authorized to authenticate SIGNED s. and certify to said claim. TITLE SIGNED TITLE DATE DATE DEPARTMENT2 sriAld:: 1*J rAL: 300.00 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 thereoll SIGNED TITLE DATE PAGE LGFS PAYMENT DOCUMENT PV# SPOKANE COUN'T'Y AUDITOR Dept VENDOR STEP M. BILL TO: 12702 E. MORA 1:8 SPOKANEv dA 99216 Vendor Cordact/Tel Cordna®p Order Change Order # Bid ID Blanket# RC# VI# FOB: PO DATE: BLDG; ROOM: BUYER ACCTG. PERIOD: DELIVERY DATE: WAREHOUSE: COMM LN# I DESCRIPTION COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE -*1 - N. 5011 SUNNYVALE - PROJECT NOT REQUIRE) 100% RM * -*Z - N. 5010 SHAMROCK - PROJECT NOT REQUIRED - 100% REW w 0.0000 -*2 0.000000 -*3 - N. N. 5019 SHAMROCK - PROJECT NOT REQUIRED - 1007. REFI V 0+000000 40 -*3 0.000000 - = -*4 - N. 4810 SUIV,MNALE - PROJECT NOT REQUIRED - 100% RFFLW 0.000000 10.0 'AGt T31A.., 12v LINE NO. I FUND t AGCY ORG SB ORG ACT OBI SB OBI REV SRC SB REV I RPT CAT I BS ACCT TOB NO PAY THIS AMOUNT /F P RECEIVING CERTIFICATION PAYMENT CERTIFICATION Materials noted in quantity V have been 1, the undersigned do hereby certify, under penalty of perjury that sufficient funds have been budgeted for this claim, the received in good condition or contracted for. materials have been furnished, services 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 authorized to authenticate SIGNED and certify to said claim. TITLE SIGNED TITLE DATE DATE DEPARTMENT2 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 DATE PAGE NUMBER CONTRACTOR SUBDIVISION LOT & BLOCK RV CK 94S 726(! } r' r . �� (�7 �?..c C �P'•i t" ^{.�" ''i 0 q t.E t b . 94S 7272.v0- •c�� aS 728 �3 z�� 1.ec 3(P30' , 07i s4s 729 m 94S 730 �PCL-I"' (`cCCY?�,, t3��►n-}�, y5l52, 022-! ��,�t`-: 94s 731 s, 3i i L4 Egrly 6a-'-on 4524.31 r o coq �- �2- L, -114 - 2Q- 94S 732f�ii� (p b a1h'e n1 3 0'1.2► �y� §4s 733 C� ( 1 1 t"4a %*a.ri) '' J' :'� 94S 734 Vt - �� z �e.r' i r• (�1Q:.� f.-J 4� w a f-ci '1.Ga , 94S 735 Oct i P�►.1 s� ►\ �3 t, ti �_.�., �� , a c `Jif �o-5' -:. l 94S 736 !�iW�3+za+9052 2- 94S 737 nc11*r�r. 9-2. 94S 738 94S 73 S01,0 5kj)rt, 6, 4(P3L},X1052 D14_bZ r� g 94S 740 , til 1 Vic— 453!3, 9062. 94S 741 Ll A 94S 742 o (_n o o O -' O 94S 743WJ.i U) z m m �ID�� ' i�lm m = �D 0X 0 z D m 94S 744 c: - 0 o 0 0; o r m ' o m c cc m m m -< O m m D p 94S 745�� '1 l� W D° D O c D D o o n ' O 94S 746 } + I n 94S 747 pw) �A Z F. c c li Ul 3] i r- m 94S 748�� 'jp�l r- > cn m m m' 94S 749 L&(r� �j2 I D n r a m N c" 1 m z 0 D z 750 4S l)- kas z m — m m O Z D o D �( CI SC/ sse/fl �? 3 ?q 3�oSl i 7 71 - SSSo SC/ sse/fl sDJ 7 71 - SSSo