RefundHarnett
C O U N T Y
'4 lrT;! rARULINA
Harnett
COUNTY
NORTH CAROLINA
Account Number:
Project Number:
Vendor Name:
Remittance Address:
Date:
COUNTY OF HARNETT
CHECK REQUEST FORM
110-0000-345.18-00 EH
Sean Huzar
145 Community Rd
Lillington, NC 27546
6/26/2018
Division of Environmental Health
www.harnett.org
Harnett County Government Complex
307 W. Cornelius Harnett Boulevard
Lillington, NC 27546
❑X Mail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved:_ Disapproved:_
ph: 910-893-7547
fax: 910-893-9371
Reason for check request: See attached email.
This check request has been examined by me and is hereby approved for payment
epartme_Z ead or Authorized Designee Date
R.E.H.S.
\� This instrument has been
r6ouditeal in the manner required
by cal Government Budget
an Fiscal Contro/Act
Harnett County Finance Director
strong roots •new growth
Description
Amount
ENVH Soil Evaluation
S 750.00
18-5-44231- Community Rd
$ 750.00
Total Amount Due
Reason for check request: See attached email.
This check request has been examined by me and is hereby approved for payment
epartme_Z ead or Authorized Designee Date
R.E.H.S.
\� This instrument has been
r6ouditeal in the manner required
by cal Government Budget
an Fiscal Contro/Act
Harnett County Finance Director
strong roots •new growth