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1445 MADRONA AVE 2020-05-08
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1445 MADRONA AVE 2020-05-08
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Last modified
5/8/2020 9:31:30 AM
Creation date
5/8/2020 9:31:21 AM
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Address Document
Street Name
MADRONA AVE
Street Number
1445
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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: December 29, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE MARY ANN GILLIS <br /> & 2019 SW PUTNAM DR <br /> ADDRESS: OAK HARBOR WA 98277 <br /> AMOUNT: $ 142.28 <br /> REASON: DECIDED TO DEMO CARPORT INSTEAD OF MAKE APPROVED MODIFICATIONS <br /> GL CODE: 002-322-1101-831 $ 125.25 <br /> 002-345-8112-102 $ 12.53 INVOICE: B1711-031 <br /> 002-237-3401-000 $ 4.50 (Please print this number on the refund check) <br /> )1(aalycYvt. <br /> Payment was received by the City of Everett on 11/28/2017 and recorded on B1711-031. <br /> 10 Lc <br /> December 29, 2017 <br /> (date) (Authd..ized Signature) <br /> Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br /> 1, ) 11 C/ <br />
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