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CITY OF EVERETT <br />R�FUND AUTh4RiZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS: <br />AMOUNT: <br />REASON <br />Staley Inc <br />3400 JE Davis Dr <br />Little Rock, AR 72209 <br />$ 40.00 <br />Contractor no longer needed to do the job. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831 <br />002-322-1300-831: <br />002-322-1200-831: $40.00 <br />002-322-4011-831: <br />401-343-50-109-460-00: <br />401-343-50-109-460-1�!�: <br />401-343-40-119-471-C=. <br />157-344-9001-000: <br />DATE: October 23, 2013 <br />INVOICI? #G1310-OGO <br />Q'Ic:�sc priu[ ihis numbcr on ihc refund chccl:) <br />This amount was received by the City of tverett on October 7, 2013, and recorded on pe:mit number E1310- <br />060. 1 <br />October 23, 2013 � �/� <br />roate) (Aulh9i+ee S�gnr ure) <br />Paul McKee-Permit Services Manager <br />�ie <br />Refund by Check No. Date <br />_Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />