HomeMy WebLinkAboutEHPR-06-2023-44732.tif S .
catawba county
public health
AUTHORIZATION OF REFUND
Date: 8/14/2023
Case#: EHPR-06-2023-44732
Applicant: Kevin Sipe
Refund Amount: S300.00
Refund Reason: Withdrawn. Broken pipe. Repair did not require permit.
Authorizing Signature: 111."-- 144
Received By Staff:
Date: gbithi
catawbacountync.gov
Environmental Health
Cotowba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolin -Disbursement Voucher
Vendor No. Date: 8/14/2023
Make Payment To: Cow Voucher No(s)
Kevin Sipe le/ t t ,Z
3309 Sipe Rd d ion
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Newton, NC 28658 „d�.
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ATTACHMENT
Prepared by: Julia English
Description Amount
EHPR-06-2023-44732 withdrawn. Broken pipe. Repair did not require permit. $300.00
Sub-Total
Food Tax
Sales Tax
Total $ 300.00
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)
ss 361802650511 Permit Search FNPR•06.202344732 TRC-10844440-14-08-2023
anago Payment TtC-10&14440 14 082023
Payment Details Reeesh semi 4jAdoe. JNew ySa.e Caactl
Payment Details Mktg Cal e r SIPS Kevin
l_ Fees Total: $100,00
Peter Method: [4 tt Fees Refund Teal: $300.00 i
Documents "
rimsactiae Note:p07088286 Hisc Total: $0.00
Trena4tlanfAlem 6r14l2023
H story Mix Pelted Total: sD.Dm
Complete Total: $300.00
4arsacuon'Rivet Refund 'i Tmrrctlon Slalom'
L.... ._..._..___I �-- -I Refund Total: $300.00
•
Fee Payments ,Note
Total Due:$300.00 �Auto Allocate Payment
Primary Ftes
Total:$300.00
Refund Amount P Fee Name V Fee Total Q Amount Due Q Amount Paid Q Invoice a Q Entity V Reference Entity V FeePtiortty Q Created On Q Notes
8300.00 .'Authorization to Cor $300.110 $300.00 $0.00 j 06-23-424965 Wan ,j EHPR-06-2023.4 7:0 022/2023 2:56:20 i_..... '�