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, <br /> CITY OF EVERETT (( )) �� <br /> REFUND AUTHORIZATIO v <br /> TO: Ci:v Treasurer DATE: 5-17-06 <br /> You are hereby authorized to refund the following: <br /> PAYEE JASON & VERONICA FRANCIS <br /> & 6132 1ST DR SE <br /> ADDRESS: EVERETT WA 98203 <br /> AMOUNT: $ 271.89 <br /> REASON: REFUNDING COLLECTION FOR WATER SHUT-OFF RELOCATION <br /> BECAUSE SHUT-OFF NOT LOCATED AS SHOWN ON AS-BUILTS <br /> CUSTOMER ACCOUNT # 401-343-40-119-471-02 <br /> This amount was received by the City of Everett on and recorded on permit or receipt <br /> number <br /> 5-17-06 „ <br /> ��P �,��-�. <br /> (datc) (Autl�onzed Sic�na�urc) 1 <br /> Mollie Hughes for Ed Moore, Ulililies p <br /> (riue) — <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refur.d noted on Treasurer's Office Copy. <br />