HomeMy WebLinkAboutFLI-05-2023-194746.TIF r '
catawba county
public health
AUTHORIZATION OF REFUND
Date: 5/11/2023
Case#: FLI-05-2023-194746
Applicant: Little Red Grill LLC
Refund Amount: $75
Refund Reason: will not operate at festival
Authorizing Signature:
Received By Staff:
Date: c f (Z`J 2—�
catawbacountync.gov
Environmental Health
Cciewba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.827O1
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Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 5/11/2023
Make Payment To: ,YwCpG Voucher No(s)
Little Red Grill III1 Z
1308 Alf Hoover Rd
Vale, NC 28168 vQ
8 42
ATTACHMENT
Prepared by: Julia English
Description •Amount
will not operate at festival $75.00
•
Sub-Total
Food Tax
Sales Tax
Total $ 75.00
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 C CATAWBA COUNTY
F,/"1 W 100A SOUTHWEST BLVD
'44NEWTON,NORTH CAROLINA 28658 RECEIPT
a ,,� PHONE:828.465.8399
Thursday,May 11,2023
I842 sM www.catawbacountync.gov
PAYOR: Little Red Grill LLC
Little Red Grill LLC(Green,Angel)
PAYMENTS
TRANSACTION NUMBER: TRC-63822861-11-05-2023
PAYMENT DATE: 05/11/2023
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-23-421956 110-580200-663000 Temporary Food Establishment ($75.00)
Fee
TOTAL PAYMENTS: ($75.00)
FLI-05-2023-194746
CASE TYPE: Food&Lodging Institutions WORK CLASS: 73-Temporary Food Establishmcn
SITE ADDRESS: 30 N COLLEGE AVE,NEWTON NC 28658
Applicant LITTLE RED GRILL LLC, 1308 ALF HOOVER RD,VALE NC 28168
C:7045301681 CARTERZOEY6239@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 05/11/2023 13:37 Page 1 of 1