BPLB 14-1012 REFUND Overpmt_08-22-14Date Paid: Monday, April 20, 201S
Paid By: COLIN & ADELE HODGSON
Cashier: MRA
Pay Method: CHECK 104213
Printed: Monday, April 20, 2015 12:03 PM 1 of 1 llcfw�
City of La Quinta
VENDOR: 00451 CAMPESINOS UNIDOS INC
DATE ID PO # DESCRIPTION
8/4/2014 6501 REFUND BPLB2014-1012
City. of La Quinta
f
78-.495 Calle Tampico
�— l-a Quinta, CA 92253
M
(760)777-7150
[7 '
PAY ---Thirty Five Dollars and 74/100 Cents---
CHECK NO: 104177
08/22/2014
GL ACCT # AMOUNT
101-0000-42300 35.74
CHECK TOTAL 35.74
WEa FAR 1.0 CHECK NC►'i 104177
1 t210 &)
08/22/2014 $35.74
TO THE CAMPESINOS UNIDOS INC
ORDER PO BOX 39 Au iiaRixeD S[GNATURE
OF BRAWLEY, CA 92227
UTHORize1 si�NATUTt —
10417711' 1:1210002481: 'in 4L59213 24821"
a p
DEMAND / CHECK REQUEST
CFI❑F�
_GXX— Return check to requestor
Name / Title of person requesting check
MONIKA RADEVA, EXECUTIVE ASSISTANT
Department individual is associated with:
COMMUNITY DEVELOPMENT DEPARTMENT
Check payable to:
Mail check
CMPESI_NOS UNIDOS, INC. / ESAP Amount: $ _
Name) (Vendor No.)
P.O. BOX 39
(Address)
BRA-WL Ys_ CA 92227 _
Check description and invoice number:
35.74
Account Number: 101-0000-42300
Project Number: BPLB2014-1012 REFUND
REFUND OF OVERPAYMENT FOR A BUILDING PERMIT FOR 51-405 AVENIDA BERMUDAS
(BPLB2014-1012)
y
ate
APPROVED FOR PAYMENT
(Finance Department Use Only)
BY:
BY:
ACCOUNT NO.
DESCRIPTION
4 4
DEMAND / CHECK REQUEST
F'� ❑F'l'4iF'
XXX Return check to requestor Mail check
Name / Title of person requesting check
MONIKA RADEVA, EXECUTIVE ASSISTANT
Department individual is associated with:
COMMUNITY DEVELOPMENT DEPARTMENT
Check payable to:
CAMPESINOS UNIDOS, INC. / ESAP 35.74
Amount: $
(Name) (vendor o.)
P.O. BOX 39 101-0000-42300
Account Number:
(A dTress
BRAWLEY, CA 92227 Project Number: BPLB2014-1012 REFUND
Check description and invoice number:
REFUND OF OVERPAYMENT FOR A BUILDING PERMIT FOR 51-405 AVENIDA BERMUDAS
(BPLB2014-1012)
I�
(Date - -
APPROVED FOR PAYMENT
(Finance Department Use Only)
BY:
BY:
ACCOUNT NO.
DESCRIPTION
DESCRIPTION
PermitTRAI{
ACCOUNT CITY
PAID
$146.38
BPLB2014-1012 Address: 51405 AVENIDA BERMUDAS Apn: 773104020
$146.38
BUILDING STANDARDS ADMINISTRATION BSA
$1.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
CASH OVER
$35.74
CASH OVER
101-0000-42300
0
$35.74
PERMIT ISSUANCE
$90.57
PERMIT ISSUANCE
101-0000-42404
0
$90.57
PLUMBING FEES
$19.07
WATER HEATER/VENT PC
WATER HEATER/VENT
TOTAL FEES PAID BY RECEIPT:R623
101-0000-42600
101-0000-42401
0
0
$7.15
$11.92
$146.38
Date Paid: Wednesday, August 06, 2014
Paid By: CAMPESINOS UNIDOS INC
Cashier: PJU
Pay Method: CHECK 6501
Printed: Wednesday, August 06, 20141:16 PM 1 of 1 CRW"'.'
CAMPESINOS UNIDOS, INC.
ESAP
P.O. BOX 39
BRAWLEY, CA, 92227
(760) 370-5100
PAY ****One Hundred Forty Six and 38/100 Dollars
TOTHE CITY OF LA QUINTA
ORDER P.O. BOX 1504
OF LA QUINTA, CA 92253
COMMUNITY VALLEY BANK
EL CENTRO, CA 92243 6501
90-4467/1222
8/4/2014 $146.38
O SIGNA ES R UiREO
1)0650 &111 I: 12 2 2446761: 0 20 1008000,10