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HomeMy WebLinkAboutMiscellaneous PLANNER 5/21/2013 ELD City of Sprieield die N Voucher OREGON report ID:SPRA103 Accounting Date : May/21/2013 Voucher ID : 00205953 Vendor Number: 0000022472 Handling Code : RE Invoice Date : December/12/2012 Invoice#: TYP212-00004 Anderson, Nathan M DMD LLC 4777 Main Street Approver: MOTT1050 Springfield, OR 97477 Operator: JONE1295 Gross Amount : 907.50 Description Account - Fund Oar Proi/Grant BY Terms AMOUNT Refund-TYP212-00004 215500 821 2013 00 907.50 LUO.o 9,_eyW e�� . 1 -I, -4-k, - ID U , C , Vw-Rfte94 , c§ _ (=L VU9- e1k)L �,,� cL cast_ k-e- 4. y P al z-oc • • • Date Received: 3'11 - 13 Planner. 1 0® rayment Message: Refund-TYP212-00004 Security Deposit Comments: Security Deposit-Site Plan TYP212-00004 Nathan Anderson- Dental Office Landscaping Deposit. } • • MEMORANDUM CITY OF SPRINGFIELD DATE: May 20, 2013 , TO: Andrew BeMiller, Accounting Technician/Assessments FROM: Brenda Jones, Management Support Specialist SUBJECT: Reconciliation of Miscellaneous Deposits Nathan M. Anderson DMD LLC, receipt# 382869 The following deposit fees totaling $ 907.50 were deposited in Miscellaneous Deposits account 821-215500 to off-set City cost regarding the application and/or to insure work was completed as specified by the assigned planner. Deposit Journal Number Name of Applicant Receipt# Amount of Date Deposit 12/12/2012 TYP212-00004 Nathan Anderson, 382869 $ 907.50 DMD LLC I am formally requesting a refund in the amount of$ 907.50 be sent to the listed applicant. I have prepared and processed Voucher # 20.58-0 in the amount of$907.50 to Vendor # 22472. Anderson, Nathan M DMD LLC 4777 Main Street Springfield, Oregon 97478 Please make the following Journal entries to re-class the applicant's deposit in Miscellaneous Deposit, for reimbursement of City cost incurred on the project: $ to If you have any questions, please contact Brenda Jones at extension 3610. Approved: Assigned Planner • pproved: „Wing Supervisor Date Signed: IQ fi J Date Signed: St 0l 24/3 • (\Emir/4f V-2-y--7 SPRI Rd rI�LD"'— • l get CITY OF SPRINGFIELD i+ 4:1 „r;� ac? 0,, ge 0 225 Fifth St —W TRANSACTION RECEIPT 2 Spnngield,OR97477 Fa OREGON • 541-726-3753 www.spnngfield-or.gov permitcenter©spnngfieldor.gov RECEIPT NO: 382869 DATE: 12/12/2012 PDESCRIPTFQ$_ x-tt..s; '-a:4 4:4 .e to " 3.I s rG la O sr'etteJN; D " MO,kiNM „ PLN Financial/Misc Sec Deposits . 821-00000-215500 $907.50 TOTAL DUE: $907.50 P ENT,. ,p.`_ 0 ;41 4,7 , ..IOri .` "fit A1. OMMEPL _-1 0t I r.f)' "" a7 . OUkP Check Nathan Anderson 195 Melton Rd $907.50 1110 Creswell, OR 97455 TOTAL PAID: $907.50 i,Q.C/LU4C3 iQY —21.42 ICie-Q-) Atha/It — Riau TYP.v.2- 00o04 c' •