REFUND res-
Harnett COUNTY OF HARNETT
COUNTY CHECK REQUEST FORM
NORTH ( AROLINh
Account Number: 110-0000-322-30-01 X Mail to payee
Project Number: 17-50042494 Check to be picked up by:
Vendor Name: Coats Area Chamber of Commerce
Vendor Number: (Requires approval of Finance Officer)
Remittance Address: 127 S McKinley St Approved: Disapproved:
Coats NC 27521
Description Amount
(8)T-pole Fees $480.00
Total Amount Due $480.00
I\
Reason for check request: T-pole fees are being refunded as approved by he board
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
This insturment has been
preaudlted in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Harnett COUNTY OF HARNETT
COUNTY CHECK REQUEST FORM
NORlll LAR( .n;A
Account Number: 110-0000-322-53-02 X Mail to payee
Project Number: 17-50042494 Check to be picked up by:
Vendor Name: Coats Area Chamber of Commerce
Vendor Number: (Requires approval of Finance Officer)
Remittance Address: 127 S McKinley St Approved: Disapproved:
Coats NC 27521
Description Amount
FM Fees $50.00
Total Amount Due $50.00
1QI
Reason for check request: refunded as approved by the board j
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
This insturment has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
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