ENVH REFUNDHarnett
COUNTY
NORTH CAROLINA
Account Number:
Project Number:
Vendor Name:
Vendor Number:
Remittance Address:
Date: May 12, 2017
COUNTY OF HARNETT
CHECK REQUEST FORM
110-0000-345.30-01 F/L
Old North State Landscape Dev. Inc.
7010 Mount Hermon Church Road
Durham, NC 27705
❑X Mail to payee
F1Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Fee collected by Central Permitting in error. Property has public
sewer.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
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
Description
Amount
Existing Tank Fee
$ 100.00
RE: Proposed 40 x 16 pool/cabana
HTE# 17-5-41263
Location: 422 Wade Stewart Circle
Landowner: Brenda Zinkhan Landowner
Total Amount Due
$ 100.00
Fee collected by Central Permitting in error. Property has public
sewer.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
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