ENVH REFUNDA
1
AR" h CAROLIiP'
Account Number:
Project Number:
Vendor Name:
Vendor Number:
Remittance Address:
Date 03 -06 -14
110 - 0000 - 345.18 -00
Michael D. Brown
142 Jacob Street
Holly Springs, NC 27540
❑X Mail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Reason for check request: No tank inspection required. Construction is within the original perimeter.
Converting existing porch to a bathroom.
This check request has been examined by me and is hereby approved for payment.
Department Head orAythorized Designee / Date
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
Harnett County Finance Director
Description
Amount
Existing Tank Fee
$ 100.00
Location: Wade Stephenson Road
Application # 14 -5 -32918
Total Amount Due
$ 100.00
Reason for check request: No tank inspection required. Construction is within the original perimeter.
Converting existing porch to a bathroom.
This check request has been examined by me and is hereby approved for payment.
Department Head orAythorized Designee / Date
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
Harnett County Finance Director