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. <br />everett <br />37i 7 `l% <br />To: C1ty Treaeurer <br />RBPUND AUTtiORIZATION <br />a� <br />S-2 <br />nate -Z —� g— 97 <br />You are hereby authorized to refund the following: <br />Payea: 7- CCS�� � 7�C'i/2i" _/i':_ <br />CLq..,ET!>rs1`�v �v7`i� t <br />Addresa: <br />«o � - .36 t't S <br />c�'ve. �7i` �Cc�a, zip 932� <br />Amount: S �21i/J!� � , <br />Reaeon: Jv�.f 'a.-�nP��cz G[�aiai�Y�c <br />Tni- cs'Z`�e1` lm�/bv�me�7�-f' <br />Cuetamer ��"�<<-1`' �d��'oss -� 37/7-f�cd���0.L <br />Account Na. 002 - 2�'3 -¢000 — OZ¢ <br />This amount was zeceived by ehe City of Sverett on ��i 19,p� <br />and recorded on City Treseurer'a Aeceipt No. �2z��0 . <br />Cit ��e`-s Yermit No. � �S/ hae been returne cancelled. <br />Y <br />Plans h�ve been returned to ehi� department. <br />A charge ha� been made to the cuetomer's account for this refund. <br />� ¢� <br />D e <br />tiefund by Check No <br />Account Debited: <br />Date 19_ <br />Pued Daeub Slem Util Obj <br />� 1�� w � �.� <br />� � W � � ' W <br />or <br />Orlglnal Receipt <br />Atteched <br />ttafund Notnd o� <br />Treaeurnr's <br />Office Copy <br />