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5114 CHINOOK DR 2016-01-01 MF Import
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5114 CHINOOK DR 2016-01-01 MF Import
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Last modified
1/26/2017 4:35:00 AM
Creation date
1/26/2017 4:34:17 AM
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Template:
Address Document
Street Name
CHINOOK DR
Street Number
5114
Imported From Microfiche
Yes
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r � <br /> R�FUND AUTHORIZATION <br /> T0: City Treasurer Date _ ;-13-97 <br /> You are hereby authorized to refund the faltowin0: <br /> PAYEE: Mirage Homes <br /> ADORESS: 13518 42nd Ave W <br /> Mukilteo WA 98275 <br /> AMOUNT: S 520.00 <br /> REASON: Wercharge on water for new conetruction Char¢ed 650 ehould have <br /> been 130. <br /> CUSTOMER <br /> ACCOUNT 11 404-343-40-119-471-02 <br /> This amount was received by the City of Everett on 3-10-97 and rer.orded on <br /> w.cd <br /> permft or receipt number s.o. 09293 <br /> � <br /> 3-17-97 / �' <br /> � (dml IAuthodz�d Sipmtun) <br /> Tim Tyler, Building Official <br /> (Titl�l <br /> Refund by Check No. Date <br /> _ Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy <br />
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