Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutUntitled VE#
r- 3 1 -'-'
(AP use only)
. . . ,,,, _.
dez '� ACCOUNTS PAYABLE CHECK REQUEST
\ i
1` Request Date 12/10/2021 Department Choose one or Type
Check Payable to JACK NG
CITY OF Address 1729 ALTA OAKS AVE
.ARCADIA
City,State,Zip Code ARCADIA, CA 91006
•
INVOICE NUMBER(S)
(if applicable)
ACCOUNT NUMBER(S) AMOUNT
714-2275 $ 1,859.00
$
$
$
$
TOTAL CHECK AMOUNT $ 1 ,859.00
Reason for Payment:
DEMOLITION BOND PERMIT DEMO-B00-050-553
1122 DRAKE RD
APPRCIUED,BII'INMOST BE tid'NED:is*•AUTHOR(iED SIGNERS) ., .. . .
Signature Date Approved
ate:. .� C .. '�*f :, :, 4 ,' ;_; L a § x� i e f
lid SIGNATURM REQUMRED,FOR ANY CHECK AMOUNT OVER$2,5.00 i
Signature Date Approved
ACCOUNTS:.PAYABLE.USE.ONLY, <._, , ,
Check here if check is to be ri Reviewer's Initials
returned to Department
VR112019