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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: March 13, 2023 <br /> You are hereby authorized to refund the following: <br /> PAYEE BREA WELSH <br /> & 319 ELAINES CT. <br /> ADDRESS: DODGEVILLE WI <br /> 53533 <br /> AMOUNT: $28.76 <br /> F� <br /> REASON: REFUND CC FEE B2303-019 7601 EVERGREEN WAY STE C1 <br /> GL CODE: BLDG 130-332-1101-831: <br /> PL CK FEE 130-345-8300-831: INVOICE: B2303-019 <br /> MECH 130-322-1500-831: (Please print numbers on the refmid check) <br /> PLMB 130-322-1300-831: <br /> ELEC 130-322-1200-831: <br /> SEWER 401-343-50-109-460-00: <br /> SURCHARGE 670-389-3060-000: <br /> PAVING 130-322-4014-831: <br /> FIRE DEPT BLDG PERMIT RVW/INSP: <br /> CREDIT CARD FEE 009-500-0057-494: $28.76 <br /> EXCESS PAYMENT NOT IN COMDEV 130-322-1898-831: <br /> Payment submitted to City of on 3/07/2023 VIA ONLINE. <br /> March 13, 2023 J&Itw, Am� <br /> (date) (Authorized Signature) <br /> Sabrina Good — 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 /> REVISED 3/3/23 NEW GUS <br />