HomeMy WebLinkAboutEHPR-07-2022-41659.TIF catawba county
public health
AUTHORIZATION OF REFUND
Date: 9/22/22
Case#: EHPR-07-2022-41659
Applicant: Deana Tackett
Refund Amount: 5300.00
Refund Reason: Application withdrawn.
Authorizing Signature: /7 11✓t 9/A/y
Received By Staff: Liik
&14,:k
Date: �IJ71
catawbacountync.gov
Environmental Health
Cctowbc County Government Center
25 Government Drive I PO Box 389 Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 9/22/2022
Make Payment To: C06 Voucher No(s)
Deana Tackett Q' t 1 Z
2122 Water Plant Rd d
vg
Maiden, NC 28650 il
18 4'Z
ATTACHMENT
Prepared by: Julia English
Description Amount
Application EHPR-07-2022-41659 withdrawn $300.00
Sub-Total
Food Tax
Sales Tax
Total $ 300.00
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)
CATAWBA COUNTY
'q,'' 100A SOUTHWEST BLVD
j NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Thursday,September 22,2022
1842 sM www.catawbacountync.gov
PAYOR:
Tackctt,Deana
PAYMENTS
TRANSACTION NUMBER: TRC-47694544-22-09-2022
PAYMENT DATE: 09/22/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
07-22-409116 110-580200-663000 Authorization to Construct Fee(N ($150.00)
ew/Expansion)Fee
07-22-409116 110-580200-663000 Improvement Permit Fee ($150.00)
TOTAL PAYMENTS: ($300.00)
EH PR-07-2022-41659
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 2122 WATER PLANT RD,MAIDEN NC 28650
Owner DEANA TACKETT,2122 WATER PLANT RD,MAIDEN NC 28650
C:9805257976 DEANAI'ACKE"IT a OUTLOOK.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 09/22/2022 10:50 Pagc 1 of 1