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CITY OF EVERETT <br /> REFUND AUTHORIZ,�ATION <br /> TO: City Treasurer DATE: 12/12/05 <br /> You are hereby authorized tu refund the following: <br /> PAYEE Ms. Denise Faarson <br /> � 1484 Diamoi+d Rd. SE <br /> ADDRESS: Lacey, WA 9�503 <br /> AMOUNT: $ 5751.00 <br /> REASON: Release of Performance Guarantee for completed public improvements <br /> at 1901 Weimore Avenue. <br /> CUSTOMER ACCOUNT# 0022234000024 <br /> This amount was received by the City of Everett on 09-26-05 and recorded on permit or receipt number <br /> 124240 <br /> � �l <br /> _ iz-�2-oe �- � ?n�.�'�1��_ <br /> (date) (Autho e Signalure) <br /> _�-�,� (C2%LI • <br /> (Tille) <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Tr�asurer's Office Copy. <br />