HomeMy WebLinkAboutACCOUNTS PAYABLE WARRANT REPORT EMERGENCY 052925 i2
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ACCOUNTS PAYABLE WARRANT REPORT
WARRANT DATE: 5/29/2025 - EMERGENCY WARRANT
TOTAL: $23,500.00
RECORDS OF ALL CLAIMS SUBMITTED FOR PAYMENT ALONG WITH VOUCHERS APPROVED BY THE BOARD
OF JEFFERSON COUNTY COMMISSIONERS ARE RETAINED BY THE JEFFERSON COUNTY AUDITOR AND
PUBLIC WORKS DEPARTMENT.
I THE UNDERSIGNED BOARD OF COUNTY COMMISSIONERS DO HEREBY CERTIFY UNDER PENALTY OF
PERJURY THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR
PERFORMED AS DESCRIBED HEREIN, THAT ANY ADVANCE PAYMENT IS DUE AND PAYABLE PURSUANT TO
A CONTRACT OR IS AVAILABLE AS AN OPTION FOR FULL OR PARTIAL FULFILLMENT OF A CONTRACTUAL
OBLIGATION, AND THAT THE CLAIM IS A JUST, DUE AND UNPAID OBLIGATION AGAINST JEFFERSON
COUNTY AND THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM.
CHAIRPERSON, COMMISSIONER
CO I 0 4 R, MEMBER
CO SSION R, MEMBER
CHECK NUMBER CHECK DATE VENDOR NUMBER VENDOR NAME INVOICE ORG OBJECT FULL ACCOUNT AMOUNT
100237631 05/29/20255643 OLYMPIC COMMUNITY ACTION PROGRAMS 79821 14855150 551510 148.000.35.55150.551510. 23,500.00
Total: 23,500.00
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79536
VOUCHER
PORTCOUNTYTOWNSEND,
OF JEFFERSON
WASHINGTON 98368 WARRANT NO.
PURCHASED BY /9 /7V /"'1
OFFICE OF COUNTY C� ���///JJJ AMOUNT AUTHORIZED ` (� / (� Q .
DATE gPir,C
TO �}+ � , 111111 ,DATE OF URCNASE) DR. A ''�p27.A7 OFFICE
YYOOOURUR�/F•I`IRRRMM NAM
i I/X'/
ADDRESS ST. COU TY OFFICE USE ONLY
ERTIFICATION
CITY _ STATE I,the undersigned do lereby edify under penalty of perjury,that the materials
have been furnished,de Se rendered or the labor performed as described
TERMS herein,and that the claim is st,due and unpaid obligation against Jefferson
County,and at I am autho' to authenticate and certify sai claim.
NOTICE - TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN Signed . N .76%.V (title)
TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR, _Nv`
COURT HOUSE. By 02(Ita. 5/2.9k�is
DATE QUANTITY DESCRIPTION UNIT AMOUNT
PRICE
Lie 4ni .L.& `4 l744 f L
$ l0� /z�Ca
VENDOR(OR SELLERS)SIGNATURE NOT REQUIRED
ALLOWED BOARD OF COUNTY COMMISSIONERS DATE 5/n Ci/
COMMISSIONER DIST.
COMMISSIONER DIST.
Return All Copies CHAIRMAN OF BOARD
to Auditor
Department of Public Worksilit
623 Sheridan Street
Port Townsend,WA98368
`�'`� Jefferson County, Washington 360-385-9160
May 29,2025
To: Ann Knox
From: Cathy Taylor
Re: 2016E JEFFCO LTGO Bond Payment
Please prepare a voucher for the following Sewer Fund bond interest payment due June 1.
Fund Coding Div/Activity Code Vendor Amount For
405000010 59235.83.0000 53520-592350 3796-JC116 $10,174.12 2016B LTGO Bond Interest
Total $10,174.12
Thank you.