HomeMy WebLinkAboutFLI-05-2022-171552.TIF #2-4\11114,N
catawba county
public health
AUTHORIZATION OF REFUND
Date: 6/6/2022
Case#: FLI-05-2022-171560,171557,171552
Applicant: Peace River Concessions
Refund Amount: S225.00
Refund Reason: 3 TFE permits paid. 2 were exempt, so no permit required, 1 did
not operate
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Authorizing Signature: 1114
Received By Staff: i4.4(
Date: U'0)
catawbacountync.gov
Environmental Health
Ccicwho County Government Center
25 Government Diive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 6/3/2022
Make Payment To: ,' ' cQ Voucher No(s)
Peace River Concessions ce
1830 Ironwood Ct v .�'-.: —3Venice, FL 34293 Y
1F342
ATTACHMENT
Prepared by: Julia English
Description Amount
refund 3 Temporary Food Establishment permit applications. 2 were exempt 1 did not operate $225.00
Sub-Total
Food Tax
Sales Tax
Total $ 225.00
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)
Y'A cc) CATAWBA COUNTY
ET1 1- 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
‘)711 ,y," Friday,June 3, 2022
.]$4 Z sM www.catawbacountync.gov
PAYOR: Peace River Concessions
Peace River Concessions
PAYMENTS
TRANSACTION NUMBER: TRC-41006243-03-06-2022
PAYMENT DATE: 06/03/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-22-406469 110-580200-663000 Temporary Food Establishment ($75.00)
Fee
TOTAL PAYMENTS: ($75.00)
F LI-05-2022-171552
CASE TYPE: Food&Lodging Institutions WORK CLASS: 73-Temporary Food Establishmen
SITE ADDRESS: 1960 HWY 70 SE,HICKORY NC 28602
Applicant PEACE RIVER CONCESSIONS, 1830 IRONWOOD CT,VENICE FL 34293
C:3153456974
**NO PEOPLESOFT ACCOUNT ASSIGNED**
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receipt 06/03/2022 12:19 Page 1 of 1