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CITY OF EVERETT <br /> RtFUND AUTHORIZATION <br /> TO: City Treasurer DATE: Decen,ber 22, 201a <br /> You are hereby authorized to refund the following: <br /> PAYEE MCC & S Construction � <br /> g, PO Dox 1012 <br /> ADDRESS: Ev�rett, WA 98206 <br /> AMOUNT: $ 70.00 <br /> �U5 L� flJx-r� � n����� <br /> REASON: Address is within Mukilteo's sewer district. <br /> GL CODE: 002-322-1101-831:___ �__ <br /> 002-322-1500-831: INVOICE NUI409-0311 <br /> 002-322-1300-831: ( (Plcasc print �his nnmbcr on �bc rcfund cliccl:) <br /> 002-37_?-1200-831: -- - <br /> 002-322-4011 831: <br /> 401-343-50-109•460-00' S70.00 <br /> 401-343-50-109-460-14. <br /> 401-343-40-1 19-471-02 <br /> 00?_-345-8300-831: <br /> This amount was received by the Cily of Everelt on October 1, 2014 and recorded on permit number <br /> U1409-030. , ' I,/) I � <br /> December 22, 2014 �,�iw��v��(-�� ._ -- <br /> ---(date)--- -- �(AUlhoutetl5ignatme) <br /> Paul McKee-Permit Services Manager <br /> —fT11e1 —�— ------- --- -- <br /> Refund by Chech No. Date <br /> _ _Original Receipt Attached <br /> Accounl Debi,ed: __ ____ _ _ <br /> Or refund noted on Treasurer's O(fice Copy. <br />