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ENVH REFUNDa 1 NORTH CAROLINA Description Account Number: 110 - 0000 - 345.18 -00 Project Number: $ 750.00 Vendor Name: Application # 14 -5 -33031 Vendor Number: Cumberland Homes, Inc. Remittance Address: P O Box 727 Date 03 -11 -14 Dunn, NC 28335 ElMail to payee F1Check to be picked up by: (Requires approval of Finance Officer) Approved: Disapproved: Reason for check request: Customer will be using county sewer, erroneously checked "New Septic ". This check request has been examined by me and is hereby approved for payment. Department Head or Authorized Des' nee Graham H. Byrd, R.E.H.S. This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act Harnett County Finance Director Date Description Amount Soil Evaluation Fee $ 750.00 Application # 14 -5 -33031 Location: Woodshire. Phs. 6 - Lt. 450 SR # 1117 - Nursery Rd. Total Amount Due 1 $ 750.00 Reason for check request: Customer will be using county sewer, erroneously checked "New Septic ". This check request has been examined by me and is hereby approved for payment. Department Head or Authorized Des' nee Graham H. Byrd, R.E.H.S. This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act Harnett County Finance Director Date