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� <br />�O�Y �F E������ <br />. , � . . � ., \; <br />1 <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS <br />BRENNAN HEATING & A/C LLC <br />1016 SW 49T" PL <br />EVERETT, WA 98203 <br />AMOUNT: $ $10.00 <br />REASON: Credit card ran for $75.00 instead of $65.00 <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: $10.00 <br />002-322-1300-831: <br />002-322-1200-831: <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 />002-345-8112-102 <br />002-369-8101-000: <br />157-345-8601-000: <br />DATE <br />October 4, 2016 <br />INVOICE Permit #M1609-080 <br />(Please print this number on the refund check) <br />Payment was received by the City of Everett on 9/13/2016 and recorded on E1609-076. <br />October 4, 2016 <br />(date) (Aut rized Signature) <br />Paul McKee-Permit Services Manager <br />Refund by Check No. Date <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />�3 <br />