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everett //3/�_' - .�,�� �c�c- �S'� <br /> REFUND AUTFIORIZATION <br /> To: City Treasurer Date 4/'. /95 <br /> You are hereby authorized to refund the following : <br /> Payee: DALE LLOYD / AZURE CONSTRUCTION <br /> Address : 13208 136TH AVE NE <br /> KIRKLAND WA Zip 98034 � <br /> Amount � 1090.00 ��j <br /> GQ� <br /> Reason: _ OVERCHARGED FOR �VAI'ER ON S.O, gq27 g gq2g � <br /> SHOULD BE CITY INSTALLED SERVICES <br /> Customer <br /> Acco�.�nt No, 401-3434011947102 <br /> This amount was received by the City of Everett on 4/3/95 lg <br /> and recorded on City Treasurer 's Receipt No. SEE ATTACHED, <br /> ❑ City Permit No. has been returned/cancelled. <br /> ❑ Plans have been returned to this department. <br /> ' ❑ A charge has been made to ,the custom r 's account for this refund. <br /> _ .�//7�� /m 4'c,�. <br /> Date Aut orize Signature <br /> IIuilding Official <br /> Tit e <br /> ----------------------------------------------------- <br /> Refund by ChPck No. Date 19 Original Receipt <br /> Attached <br /> Account Debited : Fund Sasub Elem Util Obj <br /> or <br /> Refund Nuted <br /> — � �_, on Treasurer ' s <br /> Office Copy <br />