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HomeMy WebLinkAboutEHPR-04-2023-43911.TIF catawba county public health AUTHORIZATION OF REFUND Date: 6/8/2023 Case#: EHPR-04-2023-43911 Applicant: Terry Sherrill Refund Amount: $150.00 Refund Reason: EHPR-04-2023-43911 revised to tank only Authorizing Signature: • Received By Staff: Date: tgb3 catawbacountync.gov Environmental Health Ccicwbo 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: 6/8/2023 Make Payment To: ��'AC0 Voucher No(s) Terry Sherrill 41111061. 5203 Anderson Mountain Rd �© :: -i Maiden, NC 28650 H 42 ATTACHMENT Prepared by: Julia English Description Amount EHPR-04-2023-43911 revised to 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 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 co Coo SOUTHWEST B BLVD ACOUNTY NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 Thursday,June 8,2023 1 g 4 2 sM www.catawbacountync.gov PAYOR: Sherrill,Terry PAYMENTS TRANSACTION NUMBER: TRC-65874365-08-06-2023 PAYMENT DATE: 06/08/2023 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 04-23-420686 110-580200-663000 Authorization to Construct Fee (N (S150.00) ew/Expansion) Fee TOTAL PAYMENTS: ($150.00) EHPR-04-2023-43911 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 5203 ANDERSON MOUNTAIN RD,MAIDEN NC 28650 Applicant TERRY SHERRILL,5203 ANDERSON MOUNTAIN RD,MAIDEN NC 28650 C:828461047I **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner IDA SHERRILL,5203 ANDERSON MOUNTAIN RD,MAIDEN NC 28650 IDA,SHERRILL@YAHOO.COM receipt 06/08/2023 13:39 Page 1 of 1