1991, 01-17 Permit 91000052 RefundSPOKANE COUNTY. PAYMENT VOUCHER
NUMBER
113883
I. VENDOR
CODE
NAME NPRC.0 HEATING & Aik CONDITiJNING
5051 EAST TRENT AVENE
ADDRESS
SPOKANE, WA 99212
LINE
NO.
VENDOR
INVOICE NUMBER
ACCOUNT DISTRIBUTION, ORIGINATING ENTITY (ALL VOUCHER TYPES)
ORGAN -
FUND AGENCY IZATIONATION
ACT
OBJ
SUB REV SUB
OBJ SOURCE REV
JOB
NUMBER
REPT
CATEG
BS
ACCT
DATE
1/17/91
AGENCY CODE ENFORCr'F°�IT
NAME
AUDITORS STAMP
❑ 1099 REQ'D ID#
DESCRIPTION
AMOUNT
{91000052
008
2420
2210
07
REFUND
26.80
DETAIL DESCRIPTION
1 REFUND ON PERMIT #91000052 FOR 10202 EAST FERRET DR.
PER COPY OF PERMIT AND NOTE - PROJECT CANCELED
$36.00 X 80% = $28.80
INTRA-GOVERNMENTAL VOUCHER
SELLERS ACCOUNT DISTRIBUTION
ORGAN- SUE REVENUE REV
FUND AGENCY IZATION ORG ACTIVITY SOURCE SRC
JOB NUMBER RPT.
CATEG.
OFFSET
RECEIVABLES
ACCOUNT
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services
rendered or the labor performed as described herein or contracted
for, and that the claim is a just, due and unpaid obligation, and that
I am authorized to authenticate and certify to said claim.
SIGNED
TITLE
DATE
I, the undersigned do hereby
certify under penalty of perjury
that sufficient funds have been
budgeted for this claim, the ma-
terials have been furnished, ser-
vices rendered or labor performed
as described herein or contracted
for, that the claim is a just, due
and unpaid obligation against
Spokane County or fund agency
indicated above, that I am autho-
rized to authenticate and certify
to said claim.
SIGNE Nr-
1FFICE ADMI$ISTRATOR
TITLE
DATE
1/17/91
TOTAL
28.80
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