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e�ett <br /> RF.FUND AUTHORIZATION <br /> < <br /> To: City Treasuter Date �Z L 7 Z- <br /> You are hereby authorized to refund the following: <br /> Payee: � L /-7-E/D� <br /> Address: f Jr0 4 1"I U / LT'��LV � <br /> E v ��e��-r, r,c� 9 �'zo 3 � <br /> s /�°� <br /> nmo�nc: �— <br /> Description: ()AI lJ 5 Ep 'f� ( L DIN `' <br /> �E r�.�-t ! r � � `f�3 8 <br /> Customer 7G3 C.a N e -E / / e� cl_ <br /> Account No. <br /> This amount was received by the City of Everett on �ry1,S 19� <br /> and recotd_d on r;�..�.����;�L P� �ERMi 7-' /c�cf �7 b`/ <br /> � City � permit No. �! � 3�_ has been returned/cancelled. <br /> � <br /> �� Plans have been returned to thia department. <br /> �� A charge has been made to the customer's account for this ref.und. <br /> 9 �Z y -�-.�-� <br /> Date Authorized Signature ' <br /> �NN �r� r_�o� ���� A�O� _ <br /> Title <br /> ------------------------------------------------------ •-------------------------------------- <br /> Refund by Check No. Y 0 5 U Date ! , Lv 19� / Original Receipt <br /> Attached <br /> Account Debited: Fund Basub Elem Util Obj <br /> �L�,G.'., i3,�,a� I�I , , or <br /> t__t__�_.� ��_i <br /> . � , /�Refund Noted on <br /> —. �� �_�� <br /> Treasurer's <br /> Office Copy <br /> �' <br /> _ _. . _ _ _ __ _ _ . . _ � _ _ __J <br />