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CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer DATE: January 26, 2023 <br />You are hereby authorized to refund the following: <br />PAYEE <br />ADDRESS: <br />AMOUNT: <br />REASON <br />BERNARD FAJARILLO <br />23005 76T" AVE W <br />EVERETT WA 98026 <br />$2.00 <br />REFUND FOR OVER PAID CREDIT CARD FEES <br />GL CODE: BLDG 002-322-1101-831: <br />PL CK FEE 002-345-8300-831: INVOICE: M2211-082 <br />MECH 002-322-1500-831: (Please print numbers on the refund check) <br />PLMB 002-322-1300-831: <br />ELEC 002-322-1200-831: <br />SEWER 401-343-50-109-460-00: <br />SURCHARGE 002-237-3401-000: <br />PAVING 002-322-4014-831: <br />TRAFFIC MITIGATION 157-345-8601-000: <br />OVER/SHORT REFUND 002-369-8101-000: <br />CREDIT CARD FEE 009-500-0057-494: $2.00 <br />EXCESS PAYMENT NOT IN COMDEV 002-322-1898-831: <br />Payment submitted to City of Everett on 11/29/22 VIA ONLINE. <br />January 26, 2023 <br />(dale) <br />Refund by Check No. Date <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />j&,j,,VW L4 <br />(Authorized Signature) <br />Sabrina Good — Permit Services Manager <br />(Title) <br />