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HomeMy WebLinkAboutCORRESPONDENCE MISCELLANEOUS RECEIVABLES ADJUSTMENT o^~ ~ ~-~ .~w~cco~.~ ADDRESS CLOSE ACCT : RNANCE C~GE · OTHER ~J SITE ADDRESS PARCEL NUMBER (IF APPUCABI.E) ADJUSTMENT -. i CHG DATE I CHARGE CODE I ADJUSTMENT AMOUNT ,,/~ : } REMARKS: '~-"~o ?,~C / APPROVED BY STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA ~301-5~01 DATE: 9/01/98 TO: CHEVRON STAT 1125 'COFFEE BA½ERSF I ELD, CUSTOMER NO' ~i cuS~ 'E: ES/ 13758 CHARGE DATE DES~ D~E,,D:~'E TOTAL AMOUNT 7/24/~S P~ ~,:~, 5S2. 50-- REFND 8/I ~./~8 ~,,,,, -::, RE,~,~ND ,,,.,,,,'~? ,~,~, - 582. 50 FOR GUESTI OR CHANOES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 DUE DATE' 10/01/98 PAYMENT DUE: 582.50- TOTAL DUE: $582.50-- CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. CLAIMANT'S NAME AND ADDRESS: Chevron Stations Inc #203576 (AUTHORIZED SIGNATURE OF CITY AGENCY) 1125 Coffee Rd" Bakersfield, CA 93308 Date: 08-12-98 Initials of Preparer: CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business double paid their Hazardous Materials bill. For that reason they now have a credit of $582.50 which we will be refunding. Dept. .El / Objt Project # Invoice # Amount Date of Invoice 0000 7900 $582.50 VOUCHER TOTAL $582.50 SECTION 72, PENAL. CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims. Every person who with intent to defraud, ipresents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board Or officer, auth0dzed to allow or pay the same if genuine, any 'false or fraudulent claim, bill, account, voucher, Examined &.Approved for Payment Amount or writing, is guilty of a felony. . ' B A K E R S F I E L' D FIRE' DEPARTMENT MEMORANDUM DATE: August 5, 1998 TO: ' Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher ' · Please issue a Claim Voucher to refund over payment of $582.50 paid by Chevron Stations Inc #203576. They made a payment on 7/23/98 of $582.50 and again on 7/24/98. The second payment created the credit of $582.50. Please send a refund of $582.50 to: Chevron Stations Inc #203576 1125 Coffee Rd Bakersfield, CA 93308 Thank you, /ed STATEMENT OF ACCOUNT C ~=-~'' OF BAR~SrIELD 150i TRU×TUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3~7~ DATE: 8/01/98 TO: CHEVRON STATIONS INC 203576 1125 COFFEE RD BAKERSFIELD, CA 93308 CUSTOMER NO: 2235 CUSTOMER TYPE: ES/ 13758 CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/30/98 BEgiNNiNg BALANCE 582.50 7/23/98 PAYMENT 582.50- 7/24/98 PAYMENT 582.50-' FOR OUESTIONS OR CHANOES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER DUE DATE: 8/31/98 PAYMENT DUE: 58~.50-' TOTAL DUE: $58~.50-- REMIT AND MAKE CHECK .PAYABLE TO: CITY OF BAKERSFIELD' PO BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 2235 CUSTOMER TYPE' ES/ 13758 TOTAL DUE: $582. 50-