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f <br />( <br />' everett � <br /> REFUI�ll AUT}IORIZATION <br /> . _ .. _ __ . ..._. - - - - - I <br /> To: City Treasurer Date i-20-95 <br /> You are hereby authorized to refund the following : <br /> PByee : Khajan Dhami <br /> Address : 1223 Maple St <br /> Everett Zip 98201 <br /> Amount $ 36.00 <br /> 21.00 - 002-3221300831 <br /> ' Reason: �s oo - 002-� 2tsoos3i <br /> Customer <br /> Account No. <br /> This amount was received by the City of Everett on 1-19 19 95 <br /> and recorded on City Treasurer' s Receipt No. <br /> ❑ City Permit No. C46650 has been returned/cancelled . <br /> ❑ Plans have been returned � to this department. <br /> • p A charge has been made to the cus o r ' s account for this refund. <br /> i-zo-9s M <br /> AaLe Aut orize Signature <br /> Building Official <br /> .it e <br /> --------------------------------------------------------------------------- -- ---- <br /> Refund b� Check No. Date 19 Original Receipt <br />' Attached <br /> Account Debited : Fund Basub Elem Util Obj <br /> or <br /> Refund Noted <br /> on Treasurer ' s <br /> �' Office Copy <br /> II <br />