HomeMy WebLinkAboutRP 85-20; Harbor Fish Company; Redevelopment Permits (RP) (2)DEVELOPMENTAL
SERVICES
REDEVELOPMENT OFFICE
Citp of €axl&bah
October 4, 1984
Mr. Fred Jiacoletti
San Diego County
Housing and Community Development
7917 Ostrow Street
San Diego, CA. 92111
(619) 438-5593
Dear Fred:
Attached is completed form for Contract No. 20423, Depot
Parking Lot Jobs Bill.
Please call if you have any questions.
Sincerely,
PATRI^A A.^^^;^C^TTY
Administrative Assistant
Redevelopment
PAC:rh
attachment
October 4, 1984
TO: FINANCE DIRECTOR
FROM: Administrative Assistant/Redevelopment
HCD BLOCK GRANT ALLOCATION
On October 4, 1984, this office processed the necessary paperwork
in order to receive the drawdown from the County of San Diego for
the Community Development Block Grant allocation.
The City should within the next few weeks be receiving a check in
the amount of $1720.00. When this check arrives please notify
me or Bibi Leak so we can make a note in our files that the check
has been received.
PATTy/CRATTY
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attachment
c: 'Azfc-^'Jp'Ukjliiiio
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October 4, 1984
TO: DIRECTOR OF BUILDING AND PLANNING
FROM: ^—^Administrative Assistant/Redevelopment
HCD BLOCK GRANT REIMBURSEMENT
Attached for your signature is a claim form that is submitted by
the City to the County of San Diego for reimbursement of expenses
incurred under authorized HCD Block Grant projects. Your
signature is required on the line "Claimant Sign Here".
After the form is completed, it is sent to the County of San Diego
Housing and Community Development Department. The County will
then issue payment to the City in the amount shown on the claim
form.
The Redevelopment Office will forward the attached form to the
County, Please return the signed form to us.
FAT™ CRATTY
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attachment
c: Community Redevelopment Manager
AUO. IIS (REV. 3-719
Claim must bo filod with the County Auditor and Controller. Room 166, San Diego County
Administrution Center, 1600 Pacific Highumy, San Diego, Califomia 92101 (Gov't. Code 915)
CLAIM OF
NAME ^^^€.JjiAj-el^»^^~r oi^p-iiB'
OF
PAYEE. City of Carlsbad J j |
ADDRESS.
(Last) (First) (Initial) (Tax or Soc. Sac. No.)
(Street"
Carlsbad CA 92008
(City)
TO COUNTY OF SAN DIEGO FOR
(State) (Zip Code)
"DEPARTMENt*"
cL^o. GC158386 of Pg.
CLAIMANT WtLL NOT WRTTE IN SPACES
•ELOW THIS UNE
ORGANIZATION UNIT:
ACCOUNT:
TASK: OPTION:...
ACTIVITY/WORK AUTH.:
CURRENT FISCAL YEAR CD
ENC. RED. DOC. NO.
AUTHORITY:
ROUTE CODE TXCD P/C
VENDOR NO
PRIOR FISCAL YEAR [U
Date. 19.84. QUANTITY DESCRIPTION PRICE AMOUNT
DOLLARS CENTS
OCT It is certified by the City of Carlsbad that a 1720. 00
partial payment is due to the City in the amount
indicated with paragraph 3 and the provision of
Contract 20423.
RE; Jobs Bill - Depot Parkinq Lot
Do not use reverse side. If additional space is required, use separate claim form
and sign only last page. TOTAL 1720. 00
IN CASE NO INVOICE IS SUBMITTED THE CLAIMANT MUST SIGN BELOW
The undersigned, states: That the above claim and the items as therein set out are true and correct; that no part thereof has been heretofore paid, and that the
amount therein is justly due, and that the same is presented within one year after each item thereof has accrued.
EXECUTED on
(Date)
.19 at SAN DIEGO COUNTY, CALIFORNIA
I declare under penalty of perlury tfiat the foregoing iy^tffje and correct
CLAIMANT SIGN HERE Signed
FOR VALUE RECEIVED, I heret>y sell, assign, transfer and set ovar
TO ,„....:::::„:
All my right, title and Interest in the above claim.
Signed.
Dated 3^
r
Claimant
- BELOW HEAVY UNE FOR COUNTY USE ONLY -
I HEREBY CERTIFY upon my own personal knowledgt that the articles or services
specified In the above claim wore necessary and were ordered by me for use by the
department and for the purpose indicated above; that the articles or services have been
received or fumished or contracted for as stated hereon except as otherwise In-
dicated above by me.
Department or Agency Head
Name
AOMN COOf SCCTKMS14S TO IM
Title
Approvad by Purchasing Department for price and amounts:
By. Date
SALES TAX INFORMATION
* If direct payment of sales and use tsx is
required indicate taxable amount here.
LOCATION MA
MCWHA RP85-20