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. S. <br /> • '1 J„c �: <br /> � <br /> x <br /> � <br /> REFUND AUTHORIZATION <br /> TO: C(ty Treasurer Date ��.��7 / � <br /> You are hereby authorized to refund the follawinp: <br /> PAYEE: <br /> ADDRESS: 3A <br /> �i�t2e�7"� 5��1�/ : <br /> AMOUNT: S �� t <br /> REASON: � <br /> t <br /> �—�'JD.� ) �l'A/� a t <br /> CUSTOMER � <br /> ACCOUNT # I- � � ' �" " a <br /> Tris amount was received by the City of Everett on 4 lO and recorded on <br /> /� a.c.� <br /> permit or receipt number S�• 7'4'7�- <br /> �-/.�97 � <br /> Id�al IAuthodt�d llan�an) <br /> �il�,J►n� �.r.�[t�G1 <br /> " m <br /> Refund by Check No. Date <br /> _ Original Recefpt Attached <br /> Account Dehited: <br /> Or refund noted on Treasurer's Office Copy <br />