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0 <br />� <br />CITY OF EVERETT <br />REFUND AUTHORIZAI'ION <br />T�: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS: <br />KOZ EVCC LLC <br />1208 TENTFI STRFET, SUITE 201 <br />SNOHOMISH WA 98290 <br />AMOUNT: $ $33,600.00 <br />DATE: <br />February 3, 2016 <br />REASON: Customer paid overpaid traffic mitigation fees at time of permit submittal. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-322-130Q-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 />002-369-8101-000: <br />157-345-8601-000: $33,600.00 <br />INVOICE #PW1511-006 <br />(Please print this nt�mber on the reflind checi<) <br />Payment was received by the City of Everett on 11/03/2015 and <br />February 3, 2016 <br />(date) <br />Refund by Check No. Date <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />recorded on PW1511-006, <br />� � ��,� ��.,� �. <br />- ` �-.� � <br />