1994-0616_CALIF, STATE OF_Check Request CHECK RrQUEST
ADMINISTRATIVE SERVICES DEPARTMENT
CITY OF SAN JUAN CAPISTR NO
ADDRESS CHECK TO:
NAME: County Clerk
ADDRESS: Public Services, Department
County of Orange
211 West Santa Ana Blvd.
P. O. Box 22013
Santa Ana, CA 92702
CHECK AMOUNT RE0UESTED: $25.00 ACCOUNT NUMBER:
CHECK TOTAL: 12-62119-4703-128
Invoice Number: Invoice Date:
Check stub to contain the following:
CIP 128 - Multi-modal Parking Lot
CHECK REQUESTED BY: Employee: Bill Ramsey
Department: Planning Date: June 16, 1994
Department Approval : Thomas Tomlinson
Director of Planning
TRANSMITTAL INSTRUCTIONS:
Return Check To: Marylin Wood
Mail With Attached: I will mail check and original copy.
Other (specify) : attached copy for your files.
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FOR ADMINISTRATIVE SERVICES U8E ONLY
VENDOR NUMBER
WARRANT NUMBER DATE:
APPROVED:
WPSO\MM\CKFORM
Public Services ,Dept. CITY OF SAN JUAN CAPISTRANO
County of Orange 25. 00
CIP - Multi-modal Parking Lot
r • UNION BANK 1649
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ll l�ehinuld Son Juan Capistrano Office 1220 No. 50747
31971 Camino Capistrano
32600 PASEO ADELANIO San Juan Capistrano. California 92675
SAN JUAN CAPISTRANO. CALIFORNIA 92675
CHECK DATE PAY EXACTLY
Pay ***Twenty five dollars And 00 Cents*** 6-20-94 **25. 00****
TO THE
ORDER OF Public Services,Dept.
County of Orange
211 W.Santa Ana Blvd.
P.O.Box 22013
Santa Ana,CA 92702
940S074711a 1: 12 20004961:04S 200039 Jul
CHECK REQUEST
ADMINISTRATIVE SERVICES DEPARTMENT
CITY OF ISTRANO
ADDRESS CHECK TO:
NAME: County Clerk
ADDRESS: Public Services, Department
County of orange
211 West Santa Ana Blvd.
P. O. Box 22013
Santa Ana, CA 92702
CHECK AMOUNT REOUEBTED: $25.00 ACCOUNT NUMBER:
CHECK TOTAL: 12-62119-4703-128
Invoice Number: Invoice Date:
Check stub to contain the following:
CIP 128 - Multi-modal Parking Lot
CHECK REQUESTED BY: Employee: Bill Ramsey
Department: Planning Date: June 16, 1994
Department Approval: Thomas Tomlinson
Director of Planning
TRANSMITTAL INSTRUCTIONS:
Return Check To: Marylin Wood
Mail With Attached: I will mail check and original copy.
Other (specify) : attached copy for your files.
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FOR ADMINISTRATIVE SERVICES USE ONLY
VENDOR NUMBER
WARRANT NUMBER DATE:
APPROVED:
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