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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 THOM LONG <br /> & 11108 131s-1AVENE <br /> ADDRESS: LAKE STEVENS WA 98258 <br /> AMOUNT: $1.29 <br /> REASON: REFUND FOR OVER PAID CREDIT CARD FEES <br /> GL CODE: BLDG 002-322-1101-831: <br /> PL CK FEE 002-345-8300-831: INVOICE: M2210-100 <br /> MECH 002-322-1500-831: (Please pi-hit numbers mi 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 /> OVER/SHORT REFUND 002-369-8101-000: <br /> PLANNING BLD REV FEE 002-345-8112-102: <br /> CREDIT CARD FEE 009-500-0057-494: $1.29 <br /> EXCESS PAYMENT NOT IN COMDEV 002-322-1898-831: <br /> Payment submitted to City of Everett on 10/31112022 via ONLINE <br /> January 26, 2023 jalou, Ari <br /> (date) (Authorized Signature) <br /> Sabrina Good -- Permit Services Manager <br /> ie <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />