ENVH RefundHarnett
N0RIF'1r -
Account Number:
Project Number:
Vendor Name:
Vendor Number:
Remittance Address:
Date 8-07-12
COUNTY OF HARNETT
CHECK 110-0000-345.30-01
M. Bryan Moore
409-B Brightwood Drive
Fayetteville, NC 28303
FTI Mail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Description
Amount
Food & Lodging Plan Review Fee
$ 200.00
RE: The Wing Company
Application # 12-5-29463
Total Amount Due
$ 200.00
Reason for check request: Returning fees due to restaurant being a franchised establishment.
This check request has been examined by me and is hereby approved for payment.
Department Head or uth rized Designee
Graham H. Byrd, R.E.H.S.
his instrument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Date
Harnett County Finance Director