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.� <br />/^/� <br />-�i <br />J J - <br />REFUND AUTHORIZATION <br />T0: City Treasurer <br />You are hereby authorized to refund the followi,•g: <br />PAYEE: ��ec� V-�/t.Lfl� <br />ADDRESS: SD q / �S� �.�D� <br />�n alLo�-� . r,vH Q�a90 <br />00 <br />AMOUNT: $ G�SO � <br />REASON: <br />Date l/'�%"l/'�/ <br />CUSTOMER <br />ACCOUNT # �J/- 3'�3 ' �iU - // 9 ''�7/- U � <br />This amount was received by the City of Everett on 3� 9p and recorded on <br />(dete) <br />permit or receipt number So �/OG�53 <br />/v-9- g5' <br />�a.�.� <br />Refund by Check No. <br />Original Receipt Attached <br />Account Debited: <br />�Or refund noted on Treasurer's Office Copy <br />� <br />Date <br />(Titlsl <br />