HomeMy WebLinkAboutDEMO-19-1231 -r- - :g VE#
(AP use only)
i. ''' ACCOUNTS PAYABLE CHECK REQUEST
°'' 4 Request Date Department 12/10/2021 Choose one or Type.,
a
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Check Payable to LA PLACA CONSTRUCTION
CITY OF Address 2120 MAIN ST, UNIT 230
A C DI ,
City,State,Zip Code HUNTINGTON BEACH, CA 92647
INVOICE NUMBER(SJ
(if applicable)
ACCOUNT NUMBER(S) AMOUNT,
714-2275 $ 3,823.00
$
$
$
$
TOTAL CHECK AMOUNT $ 3,823.00
Reason for Payment:
DEMOLITION BOND PERMIT DEMO-18-1432
1225 RANCHO RD
APPROUEDBY'(MUSTIESIGNEDBYAUTHORIZED:SIGNERS); e ,,z .,.«. , x .,
Signature Date Approved
.2ndSIGNATURE.RECQUIRED F.OR ANY CHECK AMOUNT OUER,$4500 ,. , ::,,... Z„ ;
Signature Date Approved
ACCOUNTS PAYABLE:'USEONLY.. a
Check here if check is to be Reviewer's Initials
returned to Department
VR112019