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CITY OF EVERETT <br /> REFUN� AUTHORIZAI"f�.�N <br /> TO: City Treasurer DATE: February 5, 2014 <br /> You are hereby authorized to refund the following: <br /> PAYEE Tom Aivers <br /> g, 1516 Lombard Ave <br /> ADDRESS: Everett, WA 98201 <br /> AMOUNT: $ 60.00 I s ( G Lcm �0.�r� A�t , <br /> S''-..� �tS C✓1RN�.p�i, 'Rr �� V0f � 4 <br /> REASON: Project cancelled. <br /> GL CODE: 002-345-8128�102: <br /> 002-322-1500-831 1NVOICG NE1401-133 <br /> 002-322-1300-631: (Plcase priut this ncmbcr on thc refund check) <br /> 002-3?_2-1200-831: $60.00 — <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: <br /> 401-343-50-109-460-14: <br /> 401-343-40-119-471-02: <br /> 157-344-9001-000: <br /> This amount was received by tlie City of Everett on 1/27/201 nd recorded on receipt number <br /> E1401-133. <br /> February 5 2014 ,.� _ ----- <br /> (date) (Auth ieed Signature? <br /> Paul McKee-Permit Se vices Manaqer <br /> (Title) ----- <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debiied: T_ _ ____ _ <br /> Or refund noted on Treasurer's Office Copy. <br />