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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: January 28, 2016 <br /> You are hereby authorized to refund the following: <br /> PAYEE ENGEES RAYMOND & BETSY <br /> & 210574 TH ST <br /> ADDRESS: EVERETT WA 98203 <br /> AMOUNT: $ 40.00 <br /> REASON: Customer requested refund because work no longer needs to be done as they are <br /> moving. <br /> GL CODE: 002-322-1101-831: <br /> 002-322-1500-831: INVOICE #E1510-127 (50.00); we <br /> 002-322-1300-831: retained 20% of the permit fee. <br /> 002-322-1200-831: $ 40.00 <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: <br /> 401-343-40-119-471-02: <br /> 002-345-8300-831: <br /> 002-369-8101-000: <br /> 157-345-8601-000: <br /> Payment was made with credit card to the City of Everett on 10/1 2016 and recorded on such permit. <br /> January 28, 2016 <br /> (date) (Au d Signature) <br /> Paul McKee <br /> it e <br /> Refund by Credit Card Date <br /> Original Receipt Attached <br /> lZ <br />