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� <br />T0: City Treasurer <br />� <br />REFUND AU fHORIZAT!ON <br />You are hereby authorized to refund the <br />PAYEE: <br />AD'JRESS: <br />AMOUNT: <br />REASON: <br />� <br />��J .U�,Y /Z//3 <br />�"l.�.r.! C'n�o.�, /_t)A 9�oAZ <br />s . "�/1 =° <br />Dat�: .� /-99 <br />CUSTOMER ' n <br />ACCOUNT #__��2 -3ZZ - /rPQQ� -d .3/ <br />This amount was received by the City of Everett on �-/-%9 and recorded on <br />permit or receipt numbe� /� // 7/�Y (date) <br />� /-99 <br />cda�ai — <br />Refund by Check No. <br />_ Original Receipt Httached <br />Account Debited: <br />// (Autharizad Sipneture) <br />Or refund noted on Treasurer's Office Copy <br />Date <br />