HomeMy WebLinkAboutRBPR-08-2022-42015.TIF Catawba county
public health
AUTHORIZATION OF REFUND
Date: 8/26/2022
Case#: RBPR-08-2022-42015
Applicant: Charles Pink Jr
Refund Amount: S80
Refund Reason: Applicant wishes to withdraw application for existing system
inspection
Authorizing Signature: J \i2 I
Received By Staff:
Date: WIY-11)3
catawbacountync.gov
Environmental Health
Cciawbo County Government Center
25 Government Drive PO Box 389 Newton NC 28658 ( 828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 8/26/2022
Make Payment To: •(��ACQG Voucher No(s)
Charles Pink Jr �t'
5040 Whitener Rd Q til► y
Hickory, NC 28602 va ��� �'
�42
ATTACHMENT
Prepared by: Julia English
Description Amount
Applicant wishes to withdraw application for existing system inspection $80.00
Sub-Total
Food Tax
Sales Tax
Total $ 80.00
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
t 111 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
1141 Friday,August 26,2022
18 4 ssM www.catawbacountync.gov
PAYOR:
Pink III,Charles Jeffrey
PAYMENTS
TRANSACTION NUMBER: TRC-46014600-26-08-2022
PAYMENT DATE: 08/26/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-22-410849 110-580200-663000 Existing Tank Check Fee ($80.00)
TOTAL PAYMENTS: ($80.00)
RBPR-08-2022-42015
CASE TYPE: Residential Building Plan Review WORK CLASS: Deck/Porch
SITE ADDRESS: 5012 OLD SHELBY RD,VALE NC 28168
Applicant POLINA MISARENKO,5012 OLD SHELBY RD,VALE NC 28168
Owner MELANIE STUBBS,4996 OLD SHELBY RD,VALE NC 28168
Contractor *CHARLES PINK JR,5040 WHITENER RD,HICKORY NC 28602
C:8283585984 CPINK125@GMAIL.COM
GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/26/2022 08:53 Page I of I