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J <br /> _ <br /> everett <br /> FFFUNU AU11i0R1'LATIOH <br /> �/zn/�� <br /> To: City Trcasurer UaCc <br /> . You are hereby uuthor:zed to refund the follaaing: <br /> Tiiomas investment Company <br /> Peyee: <br /> 23G07 tliyhkay 99 <br /> Address: <br /> Edmonds , SVa . 9F3020 � <br /> 'Lip � <br /> AmounC: $ �`5 . ��� �� <br /> i <br /> canccllation of contract I <br /> heneon: <br /> I <br /> Cuatomcr I <br /> Account Nu, ��, <br /> Jur:c 4 , 1979 � <br /> This emount r+ae recelved by the Ci.ty of Evere[[ on 19u� <br /> 40381 <br /> nnd recorded on Cicy Treusurer's Receipt No. <br /> ❑ City Pcrmit No, hns been returned/cancelled. � <br /> ❑ Plans have been returned tu thla depurtr�ent. <br /> ❑ A cherge has bcen ronde �o tlu� customer's accounC tor [his refund. <br /> . ,,��iy z•a , i��� ,� , � : <br /> Dnte Auehori�ed Signature I <br /> C�uilding Director � <br /> { <br /> TL[le � <br /> .r►. <br />