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REFUND AUTHORIZATION <br /> T0: City Treasurer <br /> Date �-3-96 <br /> You are hereby authorized to refund the fallowing: <br /> PAYEE: Tom Dicklin <br /> ADDRESS: 565 Elm Wa <br /> Edmonds WA 98020 <br /> AMOUNT: S to5.00 <br /> REAS ON: Meter not required on water service as charged per Mike Ward. <br /> CUSTOMER <br /> ACCOUNT # 401-343-40-119-471-02 <br /> and recorded on <br /> This amount was received by the City of Everett on 4-8-96`a.cei <br /> permit or receipt number so IIsa35 <br /> 7-3-96 /�h <br /> . (dii1 (Authorized Sipn�tura) <br /> Tim Tyle=, Building Official <br /> �Titld <br /> Refund by Check No. Date <br /> _ Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy <br />