HomeMy WebLinkAboutEHPR-05-2022-41027.TIF (i)
Catawba county
public health
AUTHORIZATION OF REFUND
Date: 6/13/22
Case #: EHPR-05-2022-41027
Applicant: Jose Roberto Godoy Diego
Refund Amount: S450.00
Refund Reason: Application withdrawn.
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Authorizing Signature:
Received By Staff: Jsrit.a, cl+iti
Date: 149/1312-2-
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 6/13/2022
Make Payment To: �$A C0G Voucher No(s)
Jose Roberto Godoy Diego E4/ -r $ �x 1223 Old Conover Startown Rd d H
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Newton, NC 28658
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ATTACHMENT
Prepared by: Julia English
Description Amount
application withdrawn $450.00
Sub-Total
Food Tax
Sales Tax
Total $ 450.00
For Accounting Use
Fund Cost Center Object Project Amount Only
110 580200 663000
Total
The undersigned hereby certifies that the goods or services specified above have been received
or performed. Payment has not been previously authorized and this expenditure is a proper
charge to the appropriation indicated. The above charge is certified to you for payment.
(SIGNATURE-APPROPRIATE OFFICIAL)
�p'A co CATAWBA COUNTY
f+� 100A SOUTHWEST BLVD
d ILNEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Monday,June 13,2022
I8 4 2 SM www.catawbacountync.gov
PAYOR:
Roberto Godoy Diego,Jose
PAYMENTS
TRANSACTION NUMBER: TRC-41575840-13-06-2022
PAYMENT DATE: 06/13/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-22-406436 110-580200-663000 Authorization to Construct(Repair) ($300.00)
Fee
TOTAL PAYMENTS: (S300.00)
EHPR-05-2022-41027
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 1223 OLD CONOVER STARTOWN RD,NEWTON NC 28658
Owner JOSE ROBERTO GODOY DIEGO, 1223 OLD CONOVER STARTOWN RD,NEWTON NC 28658
C:8283204549
••NO PEOPLESOFT ACCOUNT ASSIGNED••
receipt 06/13/2022 10:23 Page 1 of 1
•44$A • CATAWBA COUNTY
ti 100A SOUTIIWEST13LVD
� NEWTON,NORTH CAROLINA 28658 RECEIPT
ill? aPI IONE:828.465.8399
Ia Monday,June 13, 2022
I84 hl
2 sM www.catawbacountync.gov
PAYOR:
Roberto Godoy Diego,Jose
PAYMENTS
TRANSACTION NUMBER: TRC-41574721-13-06-2022
PAYMENT DATE: 06/13/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-22-406436 I10-580200.663000 Authorization to Construct(Repair) ($150.00)
Fee
TOTAL PAYMENTS: ($150.00)
EH PR-05-2022-41027
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 1223 OLD CONOVER STARTOWN RD,NEWTON NC 28658
Owner JOSE ROBERT()GODOY DIEGO, 1223 OLD CONOVER STARTOWN RD,NEWTON NC 28658
C:8283204549
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 06/13/2022 10:24 Page 1 of 1