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Cl7Y Ofi EVERETT � �0 2 Cedc�r S`� <br /> REFUND AUTHORIZ�ATION , <br /> TO: City Treasurer �ATE: January 6, 2015 <br /> You are hereby authorized to refund the follawing: <br /> PAYEE NW SEWER & DItnIN <br /> 8, PO Oox 55573 <br /> ADDRESS: Seattle, WA 98155 <br /> � <br /> AMOUNT: $ 30.00 <br /> REASON: Contractor didn't do the job. <br /> GL CODE: 002-322-1101-831: <br /> 002-322-1500-831: INVOICE qU1412-151 <br /> 002-322-130�-831: (Please print �his num4cr on Ihe refund check) <br /> 002-322-1200-831 <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: $30.00 <br /> 401-343-50-109-460-14: <br /> 401-343-40-119-471-02: <br /> 002-345-8300-831: <br /> This amount was received by the Cily of Everett on December 31, 2014 and recorded on permit number <br /> U141?-151 <br /> January 6, 2015 <br /> (dale) (Au oriuO Signeture <br /> Paul McKee-Permit Services Manager <br /> � e <br /> Refund by Check No. Date <br /> �— <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's ONice Copy. <br />