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' ( � <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> T0 City Treasurer DATE: 6••18-03 <br /> You are hereby authorized to refund the �ollowing: <br /> PAYEE I Attn: Loretta Saxton <br /> 8 ; Everett Clinic <br /> ADDRESS: ; 3901 Hoyt Ave <br /> Everett WA 98201 <br /> AMOUNT: S 82.50 <br /> REASON: Check over amount due on building permit at 3726 Colby Ave <br /> CUSTOMER Ai;COUNT # 002-322-1101-831 <br /> This amount was received by the City of Everett on 6-18-03 and recordecl on permit or receipt <br /> number B0306-031 <br /> —6-18-03 / �� � ��_ <br /> —�-t� <br /> ::atc, (AuBwnzea s;pnawro) <br /> Tim Tyler, Building Officiai <br /> (Tina) <br /> F?e(und by Check No. Date <br /> _Original Receipt Attached <br /> Acr,ount Debited: <br /> Or refund noted on Treasurer's O�ce Copy. <br />