HomeMy WebLinkAboutEHPR-11-2022-42797.TIF catawba county
public health
AUTHORIZATION OF REFUND
Date: 11/28/22
Case#: EHPR-11-2022-42797
Applicant: Silvino Reyes Leal
Refund Amount: S300
Refund Reason: application EHPR-11-2022-42797 withdrawn
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Authorizing Signature: i t�,�/
Received By Staff: 1 Gi, 1,a-fp()
Date: � �81J3
catawbacountync.gov
Environmental Health
Co►cwbo 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: 11/28/2022
Make Payment To: �4 ____ Voucher No(s)
Silvino Reyes Leal
4372 Morning Dr ti
Claremont, NC 28610 v
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ATTACHMENT
Prepared by: Julia English
Description Amount
Application EHPR-11-2022-42797 withdrawn $300.00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)
�$A • CATAWBA COUNTY
��' l G 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
U79 0 PHONE:828.465.8399
Monday, November 28,2022
8 4 2 5M www.catawbacountync.gov
PAYOR:
Reyes Leal,Silvino
PAYMENTS
TRANSACTION NUMBER: TRC-52 1 46093-28-1 1-2022
PAYMENT DATE: 11/28/2022
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
11-22-414856 110-580200-663000 Authorization to Construct(Repair) (S300.00)
Fee
TOTAL PAYMENTS: ($300.00)
EH PR-1 1-2022-42797
CASE TYPE: Environmental I lealth Plan Review WORK CLASS: Septic Malfunction
SITE ADDRESS: 4372 MORNING DR,CLAREMONT NC 28610
Owner SILVINO REYES LEAL,4372 MORNING DR,CLAREMONT NC 28610
C:8287815605
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 11/28/2022 14:29 Page 1 of 1