HomeMy WebLinkAboutEHPR-07-2022-41718.TIF catawba county
public health
AUTHORIZATION OF REFUND
Date: 7/28/2022
Case#: RBPR-07-2022-41718
Applicant: Jason Drum
Refund Amount: $300.00
Refund Reason: Application withdrawn. Correction does not require permit
Refund fees
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Authorizing Signature:
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Received By Staff: (L1&? 'i/tA/(_,
Date: -7/D0J
catawbacountync.gov
Environmental Health
Cciowbo 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: 7/28/2022
Make Payment To: ?A Co_, Voucher No(s)
Jason Drum E /���Z
3510SNC16Hwy
Maiden, NC 28650 vQ riP
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ATTACHMENT
Prepared by: Julia English
Description Amount
Application withdrawn. Correction does not require permit $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)
‘se,A C CAI'AWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
V t 4 7 PHONE:828.465.8399
�► Thursday,July 28, 2022
18 4 2 srn www.catawbacountync.gov
PAYOR:
Drum,Jason
PAYMENTS
TRANSACTION NUMBER: TRC-44260319-28-07-2022
PAYMENT DATE: 07/28/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
07-22-409384 110-580200-663000 Authorization to Construct(Repair) ($300.00)
Fee
TOTAL PAYMENTS: ($300.00)
EHPR-07-2022-41718
CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction
SITE ADDRESS: 3510 S NC 16 HWY,MAIDEN NC 28650
Owner JASON DRUM,3510 S NC 16 HWY,MAIDEN NC 28650
C:8288509348 ZANARKAND511 a YAHOO.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Contractor ALEX FISHER,,
C:8283126282
receipt 07/28/2022 14:54 Page 1 of1