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� � <br /> 1 • <br /> everett <br /> REFUIJD AUTElORIZATION <br /> To: City Treasurer Date I �'��-LQr] <br /> You are hereby authorized to refund the £ollowing : <br /> payee: �- rYIA� \\. STq'�� <br /> Address : �� � 'r`�Ll`(� i�f <br /> ��� l.l� Zip � �v� <br /> ' Amount $ � �� '� <br /> ' Reason: i�F�l �i�� �_("Z���1T�1�+� <br /> �o.���.mit. <br /> Customer ' <br /> Account Pio. <br /> This amount rras received by the City of Everett on� l-1�7 19� <br /> . and recorded on City Treasurer' s Receipt No. q�'�� <br /> � ❑ City Permit No, has been returned/cancelled. <br /> ❑ Plans have been returned to this department. <br /> ❑ A charge has been made to the s me ' s account for this refund. <br /> �' l. - R ' , �-- lt'•ri�'.lZiL- <br /> - � D e Aut oriz��ignature <br /> ,� �Q_ .L�1L_ <br /> ic <br /> •---------------------------------------------------------------------------- <br /> Re£und by Check No. Date 19 Original Receipt <br /> Attached <br /> Account Debited : Fund Basub Elem Util Obj <br /> ,6lL�� � � �r _ <br /> �—`J P.efund Noced <br /> .---- --- ._- ... _. _ _ . _ ---- '-on Treasurer ' s <br /> "''-+ Office Co�Y <br />