ENVH Refund of FeesHarnett
0 0 0 N T Y
NORTH CAROLINA
Account Number
Project Number:
Vendor Name:
Vendor Number:
Remittance Address
Date: 5-24-16
COUNTY OF HARNETT
CHECK REQUEST FORM
110-0000-345.18-00
Charles D. Hudson
1417 West Core Road
Dunn, NC 28334
FX Mail to payee
El Check to be picked up by:
(Requires approval of Finance Officer)
Approved: _ Disapproved:
Reason for check request: Per James Manhart, this application should have been treated as a repair with no
fee. Refund the 100.00 and 650.00 ENVH fees ($750.00 )
This check request has been examined by me and is hereby approved for payment.
Department Head or uthorized Designee Date
Graham H. Byrd, R.E.H.S.�" �i 5_
This in ent ha been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Description
Amount
Environmental Health Fees
$ 750.00
Application # 16-5-38438
Placement of DWMH on W. Core Road
Total Amount Due
I $ 750.00
Reason for check request: Per James Manhart, this application should have been treated as a repair with no
fee. Refund the 100.00 and 650.00 ENVH fees ($750.00 )
This check request has been examined by me and is hereby approved for payment.
Department Head or uthorized Designee Date
Graham H. Byrd, R.E.H.S.�" �i 5_
This in ent ha been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director