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o� . <br /> �Q . <br /> REFUND AUTHORIZATION <br /> T0: City Treasurer Date 10/30/98 <br /> Yau are hereby author(zed to refund the following: <br /> PAYEE: Frank C. Andereon <br /> ADDRESS: 9113 186th Pl SW _ <br /> Edmonda WA 98026 <br /> ,4MouN�r: s Z.000 <br /> REASON: Refund performance ¢uarantee for_allev i�oTovementa for �nto v„i*..,, <br /> CUSTOMER <br /> ACCOUNT # 002-223-4000-024 <br /> This amount was received by the City of Everett on 6/15/9s and recorded on <br /> ' (d�te) <br /> permit or receipt number 134588 <br /> 10/30/98 <br /> (dete) lAutharfzod Sipn�are) <br /> Public 4ervices _ <br /> (lltle) <br /> Refund by Check No. Date <br /> _ Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy <br />