HomeMy WebLinkAboutEHPR-05-2023-44334.TIF G)
catawba county
public health
AUTHORIZATION OF REFUND
Date: 8/27/2024
Case#: EHPR-05-2023-44334
Applicant: Ruby Vang
Refund Amount: S450.00
Refund Reason: Withdrawn application.
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Authorizing Signature:
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catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 ( Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina- Disbursement Voucher
Vendor No. Date: 8/27/2024
Make Payment To: CQ Voucher No(s)
Ruby Vang �Q' t
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2158 Coley Fish Pond RD v119 4
Newton, NC 28658
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ATTACHMENT
Prepared by:
Description Amount
Withdrawn application. $450.00
Sub-Total
Food Tax
Sales Tax
Total $ 450.00
For Accounting Use ..
Fund Cost Center Object Project - Amount Only
110 580200 663000 $ 450.00
Total $ 450.00
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)
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NEWTON,NORTH CAROLINA 28658 RECEIPT
V 11, PHONE:828.465.8399
TT- Friday,May 12,2023
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PAYOR:
Vang,Ruby
PAYMENTS
TRANSACTION NUMBER: TRC-63882238-12-05-2023
PAYMENT DATE: 05/12/2023
PAYMENT TYPE: Credit Card
305163131
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-23-422581 110-580200-663000 Authorization to Construct(Repair) $450.00
Fee
TOTAL PAYMENTS: $450.00
EHPR-05-2023-44334
CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction
SITE ADDRESS: 2158 COLEY FISH POND RD,NEWTON NC 28658
Applicant ADAM DOUAVUE,,
C:9144063718 ADAMFUJI70@ICLOUD.COM
Owner RUBY YANG,2158 COLEY FISH POND RD,NEWTON NC 28658
H:9144063718C:8282289534
**NO PEOPLESOFT ACCOUNT ASSIGNED**
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receipt 05/12/2023 11:14 Page 1 of!