HomeMy WebLinkAboutEHPR-10-2022-42580.TIF Catawba county
public health
AUTHORIZATION OF REFUND
Date: 11/9/2022
Case#: EHPR-10-2022-42580
Applicant: Michael Hill
Refund Amount: S230.00
Refund Reason: EHPR-10-2022-42580 Distribution fixed by Bumgarner Septic no
permit needed. Refund less$70 trip fee
Authorizing Signature: 'h✓//
Received By Staff: �-�� 51V
Date: 'I/ 1112Z
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 ( 828 465 8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 11/9/2022
Make Payment To: 14?,A C� Voucher No(s)
Michael Hill Q t $ ‘5"z
2905 Old Shelby Rd 1 ��r d
Hickory, NC 28602 iT
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ATTACHMENT
Prepared by: Julia English
Description Amount
EHPR-10-2022-42580 Distribution fixed by Bumgarner Septic no permit needed. Refund less $230.00
$70 trip fee
Sub-Total
Food Tax
Sales Tax
Total $ 230.00
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
'{+ IO0A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
41.1 O 7 PHONE:828.465.8399
Wednesday,November 9,2022
j8 4' SM www.catawbacountync.gov
PAYOR:
HILL,MICHAEL
PAYMENTS
TRANSACTION NUMBER: TRC-50820 1 56-09-1 1-2022
PAYMENT DATE: 11/09/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
10-22-413762 110-580200-663000 Authorization to Construct(Repair) ($230.00)
Fee
TOTAL PAYMENTS: ($230.00)
EHPR-10-2022-42580
CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction
SITE ADDRESS: 2905 OLD SHELBY RD,HICKORY NC 28602
Owner MICHAEL HILL,2905 OLD SHELBY RD,HICKORY NC 28602
11:8283267078
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 11/09/2022 10:02 Page 1 of 1