Laserfiche WebLink
r� <br />J_ - <br />t �L'ie� <br />/.� RF_FIR]D AUT1i0RIZATION <br />To: City Treasurer Date �- �� � � � _ � <br />You are hereby aut.horized to refund the followinp,: <br />Payee: /� !_� i'/]/ /� /�G� J"i �� � � <br />Address: 5 ��C; �/JF�✓19^R�= <br />.,M <br />AmOURt: Sy /.\ it*� <br />Description: ��!-l-.C�A�u��. �.G'L%E• _r"� <br />/J' U (,� ° <br />(-1� � e .�o�.,� :�:.. - �,..li.T.•-�'--'' . <br />� � - <br />Customer <br />, Accouat No. `�-�� <br />This amount was received by the City of Everett on '�+� �-,� /� 19 7i <br />i <br />and recorded on City Treasurer's Receipt No. (inl �`� � <br />� City Permit No. _ has been returned/ca�ee}}ed. <br />�� Plans have been returned to this department. <br />�J A charge has Ueen *nade tu tl� customer's account eor cnis reEund, <br />� �i � % f' <br />,/,�;: ._ ,� <� i'v ./i"�.�:��.��y% <br />Date Authorized Signature <br />Titic <br />--------------------------------------------------••------------------------------------------------- <br />Refund by Check No. �c2� % DaCe ___� 4 19 %� ,/Original Receipt <br />v Attached <br />' Account DeUited: Fund IIasub Elem Util Obj <br />�C7,U. ��- �� W�� ty_ .: �i or <br />� �e.`und Noted on <br />'-`-'-". '—' ��—`' `" �� Tzeasurer's <br />Office Copy <br />