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� <br />� <br />T0: City Treasurer <br />You are hereby authorized to <br />PAYEE: <br />REFUND AUTHORIZATION <br />nd the following: <br />A�DRESS: �'[l�1 � .C.�Y�1 /"Y)�'-Y� /�C(I • <br />L V P_ YP 7i- I;UI; q�ZU� _ <br />AMOUhT: S .�j(i�)�`� <br />REASON: <br />CUSTOMER <br />ACCOUNT #�OG':345 - .Qf Z Z - l;�:� <br />Date l' 9 c/� <br />This amount was received by the City of Evarett on /,� -,� -�%,� and recorded on <br />i .3 23rn �de,a� <br />permit or receipt number � <br />G�IZ�t-9� <br />(detal <br />Refund by Check No. <br />_ Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy <br />Date <br />/ � � l2%'_ <br />(Authurizad Sipna;ura) <br />Title1 <br />