ENVH REFUNDHarnett
COUNTY
COUNTY OF HARNETT
CHECK REQUEST FORM
Account Number: 110-0000-345.18-00
Project Number
Vendor Name:
H & H Onsite Homes, LLC
Vendor Number:
Remittance Address:
2919 Breezewood Avenue, Suite 300
Date 11-19-2015
Fayetteville, NC 28303
❑X Mail to payee
E] Check to be picked up by:
(Requires approval of Finance Officer)
Approved: _ Disapproved:
Reason for check request: Owners of property backed out per Travina with H & H Onsite. No site visit was
performe.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
r /
Graham H. Byrd, R.E.H.S. L e °
T6.�strllment has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Description
Amount
ENVH Soil Evaluation Fee
$ 750.00
HTE # 15-5-37341
Owners: Vickie Thomas Dickens
McFarland Rd Lt 3-B
Total Amount Due
1 $ 750.00
Reason for check request: Owners of property backed out per Travina with H & H Onsite. No site visit was
performe.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
r /
Graham H. Byrd, R.E.H.S. L e °
T6.�strllment has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director