HomeMy WebLinkAboutRBPR-11-2022-42819.tif catawba county
public health
AUTHORIZATION OF REFUND
Date: 8/2/2023
Case#: RBPR-11-2022-42819
Applicant: Miranda Tarvainen
Refund Amount: 5530.00
Refund Reason: Withdrawn. Refund all but S70 for flagging visit made
Authorizing Signature: J ' 4' f,�
Received By Staff:
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Date: " `Ti'
catawbacountync.gov
Environmental Health
Cotowbo 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: 8/2/2023
Make Payment To: ACp6, Voucher No(s)
Miranda Tarvainen T t $ Z,
404 25th St SW 1,4
. . 47•
Hickory, NC 28602
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ATTACHMENT
Prepared by: Julia English
Description Amount
RBPR-11-2022-42819 withdrawn. Refund all but$70 for flagging visit made $530.00
Sub-Total
Food Tax
Sales Tax
Total $ 530.00
;, 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)
4'A CATAWBA COUNTY
64 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE: 828,465.8399
Wednesday,August 2,2023
18 4 2 sM www.catawbacountync.gov
PAYOR:
TARVAINEN,MIRANDA
PAYMENTS
TRANSACTION NUMBER: TRC-69954319-02-08-2023
PAYMENT DATE: 08/02/2023
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
11-22-414956 110-580200-663000 Well Permit&Inspection Fee ($300.00)
11-22-414956 110-580200-663000 Authorization to Construct Fee(N ($150.00)
ew/Expansion) Fee
11-22-414956 110-580200-663000 Improvement Permit Fee ($80.00)
TOTAL PAYMENTS: ($530.00)
RBPR-1 1-2022-42 8 1 9
CASE TYPE: Residential Building Plan Review WORK CLASS: Modular
SITE ADDRESS: 2239 JOHN BOWMAN RD,HICKORY NC 28602
Applicant MIRANDA TARVAINEN,404 25TH ST SW,HICKORY NC 28602
C:8282283557 MTARVAOI@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Owner RODNEY WHITE, 1314 SHIREBOURN,HICKORY NC 28602
C:828-291-9701
Contractor HICKORY WELL DRILLING,340 140 ACCESS RD,HILDEBRAN NC 28637
B:8283240035C:8283976465
receipt 08/02/2023 16:22 Page 1 of 1