HomeMy WebLinkAboutEHPR-06-2023-44572.TIF Catawba county
public health
AUTHORIZATION OF REFUND
Date: 9/25/2023
Case#: EHPR-06-2023-44572
Applicant: Shane Haffey
Refund Amount: 5150.00
Refund Reason: Application EHPR-06-2023-44572 revised back to 3 bedroom
Authorizing Signature: 6,1141- Q`VA/
�,(,L l
Received By Staff: '�4
Date: 10 114)3
catawbacountync.gov
Environmental Health
Cctcwhc 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: 9/25/2023
Make Payment To: ��A Cps Voucher No(s)
Shane Haffey EQ t $
3861 Swanson Rd d '��r� '-�
Sherrills Ford, NC 28673 v ,�
�8 42
ATTACHMENT
Prepared by: Julia English
Description Amount
Application EHPR-06-2023-44572 revised back to 3 bedroom $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)
C.�4'A • CATAWBA COUNTY
E'�" i a 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
O PHONE:828.465.8399
Monday,September 25,2023
1842 SM www.catawbacountync.gov
PAYOR:
Haffey,Shane
PAYMENTS
TRANSACTION NUMBER: TRC-73959209-25-09-2023
PAYMENT DATE: 09/25/2023
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-23-427333 110-580200-663000 Authorization to Construct Fee(N (S150.00)
ew/Expansion)Fee
TOTAL PAYMENTS: ($150.00)
EHPR-06-2023-44572
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 3861 SWANSON RD,SHERRILLS FORD NC 28673
Owner SHANE HAFFEY,3861 SWANSON RD,SHERRILLS FORD NC 28673
C:704-608-1358 SHANEHAFFEY@ATT.NET
ATT.NET
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 09/25/2023 10:21 Page 1 of 1