HomeMy WebLinkAboutEHPR-10-2022-42566.TIF #1111111N
NMOr
Catawba county
public health
AUTHORIZATION OF REFUND
Date: 11/5/2024
Case#: EHPR-10-2022-42566
Applicant: Caine Brittain
Refund Amount: S150.00
Refund Reason: Only needed an AC tank only.
Authorizing Signature: 14(4/N
Received By Staff: Pe7:0 ke (Po'NAti
Date: 1 1'5-(0oaq
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: 11/5/2024
Make Payment To: � �Q Voucher No(s)
Callie Brittain 1 t t
2681 Orchard St (An, ._�►._
Newton, NC 28658
�$42
ATTACHMENT
Prepared by: Keshia Parris
Description Amount
Only needed an AC for tank only. $150.00
Sub-Total
Food Tax
Sales Tax
Total $ 150.00
- - - - For Accounting Use
Fund Cost Center Object Project Amount Only
110 580200 663000 $ 150.00
Total $ 150.00
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)