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BILL TO:
City of Fridley PAYMENT
City of Fridley ACCOUNTS PAYABLE VOUCHER#
6431 University Avenue NE
Fridley,MN 55432
PURCHASE ORDER
Date: 11/7/2023 Vendor: Richfield Blacktop&Concrete
7745 2nd Ave S
Richfield, MN 55423
Purchased By: Engineering
Phone: Vendor#:
ACCOUNT PROJ
NUMBER CODE DESCRIPTION AMOUNT
101-3140-638140 Escrow refund for permit#ROD23- $500.00
000030
I
TOTAL $500.00
COMMENTS:
By signing this document below I here do authorize payment and that the goods and services have been
received or rendered and all City guidelines have been followed in the procurement of the listed items.
/r�,7
Purchaser/Supervisor Department Manager/Date
IM FEES
FEE Y DESCRIPTION v QUANTITY AMOUNT TOTAL
Concrete curb with concrete apron fee 7500
Misc Fee(Deposit Code) Escrow 1.0000 500.00
Plan Check Fees 0.00
Permit Fees 575.00
Total Fees 575.00
PAYMENTS
DATE TYPE REFERENCE NOTE RECEIPT i RECEIVED FROM AMOUNT
06/28/2023 Credit 88925GS360 ROD23-000030 1927 nchfleld blacktop 6 Concrete-Tom bmen 575.00
Amount Paid 575,00
Balance Due 0,00