ENVH Existing Tank Refund•
NORTH CAROLINA
Account Number:
Project Number:
Vendor Name:
Vendor Number:
0 ` a '' MA
110 - 0000 - 345.18 -00
Nettie Ray
Remittance Address: 25 Shetland Lane
Date: 7/25/13 Bunnievel, NC 28323
ElMail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Reason for check request: Property connected to city sewer - no septic tank
This check request has been examined by me and is hereby approved for payment.
Department Head or pthorized Designee / / Date
Graham H. Byrd, R.E.H.S
Thi " rument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Description
Amount
ENVH Existing Septic Tank Inspection Fee
$ 100.00
Application # 13 -5 -31723
Address: 5158 Titan Roberts Rd
Purpose: To permit placement of a 2456 DWMH
Total Amount Due
$ 100.00
Reason for check request: Property connected to city sewer - no septic tank
This check request has been examined by me and is hereby approved for payment.
Department Head or pthorized Designee / / Date
Graham H. Byrd, R.E.H.S
Thi " rument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director