1990, 04-24 Permit 90000805 Refund VoucherSPOKANE COUNTY PAYMENT VOUCHER
VENDOR
CODE
NAME NORCO HEATING & AIR CONDITIONING
ADDRESS E. 5051 TRENT AVE
SPOKANE, WA 99212
NUMBER
AGENCY
NAME
AUDITORS STAMP
LINE
NO.
VENDOR .
INVOICE NUMBER
ACCOUNT
FUND
DISTRIBUTION,
AGENCY
ORGAN-'
RATION
ORIGINATING
ACT
09J
EN1ITY
SUB
OBJ
(ALL
' REV
SOURCE
VOUCHER
;,SUB
•REV
TYPES)
-- JOB
NUMBER
REPT .
CATEG
,BS
ACCT
• 1099 REQ'D IDS/
DESCRIPTION'
...'AMOUNT, ''
1
BLDG&SAFETY
406
030
0008
221C
07
REFUND
$30.40
DETAIL DESCRIPTION
TOTAL
$30.40
80%
JOB
FUND
REFUND
CANCELED
AGENCY,
ORGAN-
RATION
FOR
SUB
ORG
PERMIT
INTRA-GOVERNMENTAL
SELLERS
ACTIVITY
#90-805
ACCOUNT
REVENUE
.SOURCE
S. 2421
VOUCHER
DISTRIBUTION'
sue
REV JOB NUMBER
PINES
RPT.
CATEG
ROAD
OFFSET
RECEIVABLESACC
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-
rued to authenticate and certify
to said claim.
��
�TIFICAT
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
��
ON
CHAIRMAN
SIGNED- \.\
SELLER CERTIFICATION
I, hereby certify that the materials have been furnished, the services SIGNED
N.
TITLE 0 F F I C E M A RA G E R- _
/
MEMBER
rendered or the labor performed as described herein or contracted TITLE
for, and that the claim is a just, due and unpaid obligation, and that
MEMBER
I am authorized to authenticate and certify to said claim. DATE
DATE 4 / 2 4 / 9 0
AUDITOR