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� <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: 8-24-04 <br /> You are hereby authorized to refund the following: <br /> PAYEE Blue Ridge Construction <br /> & PO Box 302 <br /> ADDRESS: Duvall WA 98019 <br /> AMOUNT: $ 130.00 <br /> REASON: Water service paid by developer on SO #10915 for 10118 1s1 Dr SE <br /> CUSTOMER ACCOUNT# 401-343-40-119-471-02 <br /> This amount was received by the City of Everett on 9-25-2003 and recorded on peRnit or receipt <br /> number U0309-047 <br /> 8-24-04 <br /> (date� (Authorized Signatu�e) <br /> Tim Tyier <br /> (Tiue) <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />