HomeMy WebLinkAboutCAG2022-333 - Other - Universal Refrigeration, Inc. - Department of Revenue Release on Retainage - 10/12/2023 STATE pt
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STATE OF WASHINGTON
DEPARTMENT OF REVENUE
CITY OF KENT October 12, 2023
C/O LEAH BRYANT Letter ID: L0024499087
220 4TH AVE S UBI: 600-599-723
KENT WA 98032-5838 Account ID: 600-599-723
Account Type: Excise Tax
Audit ID: A92041
Audit Period: 03/01/23 - 05/31/23
We hereby certify that taxes, increases and penalties due or to become due from the contractor listed below
under Chapter 180, Laws of 1935, as amended, with respect to the following publics works contract:
UNIVERSAL REFRIGERATION, INC.
Public Agency: KENT, CITY OF/PARKS & REC
Project Name: Corrections WIC Replacement
Contract Number: CAG2022-333
Description of Work: Replace walk in cooler
has been paid in full, or is in the Department's opinion readily collectible without recourse to the state's lien
on the retained percentage.
This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the sole
purpose of informing the state, county, or municipal officer charged with the duty of disbursing or authorizing
the payment of public funds to said contractor that the Department of Revenue hereby releases the state's
lien on the retained percentage provided by this Chapter for excise taxes due from said contractor.
This certificate does not release said contractor from liability for additional tax that may be later determined to
be due with respect to the above-mentioned contract or other activities.
Dated October 12, 2023 at Olympia, Washington,
State of Washington
Department of Revenue
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Certifying Officer
Public Works Audit Unit
6500 Linderson Way SW Tumwater,WA 98501
ggL0050 dor.wa.gov Phone(360)704-5650 Fax(360)704-5647
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KENT
W A S H I N G T O N
Retainage Release Form
Department: Facilities
Date: 11/20/2023
PO #: 171288
Vendor Name: Universal Refrigeration, Inc
Original Invoice #: �J26266
Release Amount: 9115.00
Release Percentage:
❑ 5%
❑ 10%
❑ 15%
❑ 50%
0 Final Release
Releases Included:
❑ DOR
❑ ESD
❑ L&I