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� <br />CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS <br />AMOUNT: <br />REASON: <br />George Kargopoltseva <br />7820 73rd PI NE <br />Marysville WA 98270 <br />$ 85.00 <br />DATE: June 20, 2016 <br />Contractor is requesting a refund, as they work is not going to take place. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-322-1300-831: $ 85.00 <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: <br />Invoice #P1601-014 — original fee paid <br />$85.00; we made error in doing a <br />separate plumbing permit, they also paid <br />on C Permit. <br />Payment was made with CREDIT CARD to the City of Everett on 02/26/2016 & 01/22/2016 and recorded on <br />permit. <br />� <br />June 20, 2016 <br />(date) (Aut rized Signature) <br />Refund by Check <br />Date <br />Original Receipt Attached <br />Paul McKee <br />ie <br />