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! � , <br /> REFUND AUTHORIZATION <br /> T0: City Treasurer Date 12/21l01 <br /> You are hereby authorized to refund the following: <br /> PAl'EE: RUSSELL RIS� <br /> ADC)RESS: po eox 270 <br /> _ STARTUP WA 98293 <br /> AMOUNT: S_ 591.40 <br /> REASON: OWNER HAS WI1'HDRAWN P .RMTT — AOZ R FpND <br /> CUSTOMER <br /> ACCOUNT #__ See ATTACHen <br /> This amount was received by the City of Everett on inini /ot and recorded on <br /> Ida[el <br /> permit or receipt number r.oine-niz <br /> 12/21/01 �%�,��j <br /> (decel (Authoriz�d Sipn�tun) <br /> PERMIT SERVICES MANAGER <br /> Rd�� <br /> Refund by Check No. Date <br /> _ Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy <br />