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HomeMy WebLinkAboutS_Check_Request_Wetlands_LUA17-000131_20230323AP Check Request Form City of Renton - Finance Department 1055 South Grady Way – 5th Floor Renton, WA 98057 FinanceAP@rentonwa.gov Instructions: Use this form for all payment requests including: employee reimbursements, customer refunds, or recording wire or EFT payments __________________________________________________ ________________________________________ Requestor’s Name Ext. Requestor’s Department/Division _____________ ___________________________________________________ _____________________ Vendor # Payable To Date _______________________________________________________________________ _____________________ Check Description Total Check Amount __________________________________________________________________________________________________ Address for Check City State Zip Employee Reimbursement Customer Refund Wire/EFT Payments (If wire attach instructions) Wire/EFT Date _______________________ Other ________________________________ Notes/Comments/Check handling instructions: ________________________________________________________ Emergency Check (outside normal check run) Date Needed __________________________________ _______________________________________________________________________ _____________________ GL Account Number to Charge Amount _______________________________________________________________________ _____________________ GL Account Number to Charge Amount _______________________________________________________________________ _____________________ GL Account Number to Charge Amount _______________________________________________________________________ _____________________ GL Account Number to Charge Amount _______________________________________________________________________ _____________________ GL Account Number to Charge Amount _______________________________________________________________________ _____________________ Signature Printed Name Date Check Information Type of Check Request Account Numbers (GL format: xxx.xxxxxx.xxx.xxx.xx.xx.xxx) Approver Authorization (Department Administrator, Director, or designee) BILLING INVOICE EG00134259 1055 South Grady Way, Renton, WA 98057 Transaction Date: March 17, 2023 AR: Eden Invoice: DEPARTMENT: System Administrator BILLING CONTACT Ryan Kahlo THE WATERSHED COMPANY 750 6th St S Kirkland, WA 98033-6715 REFERENCE NUMBER PAYMENT METHODFEE NAME TRANSACTION TYPE AMOUNT PAID LUA17-000131 Refund Finance APENG - Special Deposit Refund $(28,551.13)650.000000.000.237.00.00.000 ($28,551.13) SUB TOTAL $(28,551.13) $(28,551.13)TOTAL Notes: Created By Date Note Stacy Tucker 03/17/2023 Per project manager, Alex Morganroth refund wetland cash surety Page 1 of 1Printed On: March 17, 2023 Prepared By: Stacy Tucker RECEIPT EG00068066 1055 S Grady Way, Renton, WA 98057 BILLING CONTACT Ryan Kahlo THE WATERSHED COMPANY 750 6th St S Kirkland, WA 98033-6715 Transaction Date: April 20, 2017 REFERENCE NUMBER PAYMENT METHODFEE NAME TRANSACTION TYPE AMOUNT PAID LUA17-000131 Check #3501 $28,551.13 ENG - Special Deposit Fee Payment SUB TOTAL $28,551.13 $28,551.13 TOTAL Page 1 of 1Printed On: April 20, 2017 Prepared By: Diana Hiatt 10555GradyWayRenton,WA98057.BILLINGCONTACTRyanKahloTHEWATERSHEDCOMPANY7506thStSKirkland,WA98033-6715—‘Renton0INVOICEINVOICEDUEDATEINVOICESTATUSINVOICEDESCRIPTIONf’411712017.DueMaitairiariceandmunitoringofwetlandrestorationREFERENCENUMBERFEENAMETOTALLUA17-000131ENG-SpecialDeposit$28,551.13EmeraldCrestWetlandRestorationSUBTOTALTOTALr$28,551.13$28,551.13fLU’I.1_v7c&-fl’Tci(v—t-10L4)I1YUyLei42iIIiu—LF21tL”Hc.9irtL0/C4VitAngieBringierCommunityAssociationManager(CAM)R.aIFv1anage16015thAye,Suite1100-..CIACONNECTSeattle,WA98101CcbiprehensivecornmunltymanagementP:206-508-6650x3604solutionsRM.Washington@CiraMail.comwww.RealManage.comPage1ofI Emerald Crest Owners Association 3501 Union Bank Date:03/02/2017 P0 Box 803555 16-49/1220 Dallas,TX 75380-3555 PaYTOTheC.fR $**2855113** ***Twenty Eight Thousand Five Hundred Fifty One Dollars and Thirteen Cents*** VOID AFTER 90 DAYS City of Renton Utility Division PD Box 9119 Renton,WA 98057-3002 “o i”‘:L oDD9’:DDO3D s”