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CITY OF EVERETT <br /> REFUND AUTHC�RIZATION <br /> DATE: 11-16-06 <br /> TO: City Treasurer <br /> You are hereby authorized to refund the following: <br /> ---•— <br /> PAYEE PETER PUPOV <br /> & 2728 104T" PL SE <br /> ADDRESS: EVERETT WA 98208 <br /> AMOUNT: $ 1050.00 ��e � i�"+ U U(c�0� - v U�— <br /> REASON: Refunding a '/4' water service. Also paid for 2" which is enough for domestic & <br /> sprinkler �c f� ��p,��oo.C_, 1 <br /> CUSTOMER ACCOUNT # 401-343-40-119-471-02 <br /> This amount was received by the City of Everett on 02-06-2006 and recorded on permit or receipt number <br /> U0602-002 <br /> , .;���--� � <br /> 11-16-2006 (qu iorized Signature) � <br /> (date) <br /> (Tille) <br /> Refund by Check No. Date �_ <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's O�ce Copy. <br /> � <br /> � <br /> � <br />