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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: September 25, 2015 <br /> You are hereby authorized to refund the following: <br /> PAYEE EVAN HARTWELL <br /> & 921 COLBY AVE <br /> ADDRESS: EVERETT WA 98201 <br /> AMOUNT: $ 30.00 <br /> REASON: Duplicate permit <br /> GL CODE: 002-322-1101-831: <br /> 002-322-1500-831: INVOICE #U1509-025 <br /> Q02-322-1300-831: Requesting a check refund. <br /> 002-322-1200-831: <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: $30.00 <br /> 401-343-50-109-460-14: <br /> 401-343-40-119-471-02: <br /> 002-345-8300-831: <br /> This amount was received by the City of Everett on 09/15/2015 and recorded on permit number <br /> U 1509-025. <br /> September 25, 2015 ,t,J4 " \. <br /> (date) (Authorized Signature) <br /> Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached 0 P <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />