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J <br /> REFI!ND AU1'H(:RIZATION <br /> T0: Ciry Treasurer Date 11/13/96 <br /> You are hereby authorize�� to re��und the following: <br /> PAYEC: MON�RCEI Ti3ADING CO <br /> ADDRESS: 615 8TH Al1E S <br /> SEATTLE WA 981q4 <br /> A�AOUiVT: S 467.52 <br /> REASON: _ PERMIT CAN D <br /> CUSTOMER <br /> ACCOUNT # SEE ATTA�HFn <br /> This amount was received by the City of Everett on _ l0/10/96 and recorded on <br /> (datel <br /> �, permit or receipt number c52987 <br /> i <br /> 11/13/96 <br /> (de[nl (Authorizad SiQnetura) <br /> RfITTI1TN(' (1FF7!'TAT <br /> (Titlel <br /> Refund by Check No. Date <br /> _, Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy <br /> � <br />