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w <br />CITY OF EVERETT <br />REFUND AUTHORIZATION <br />T0: Ciry Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <br />& <br />ADDRESS: <br />AMOUNT: <br />REASON: <br />G & S Heating Cooling <br />500 East Main St <br />Monroe, WA 98272 <br />$ 40.00 <br />Original scope of w�ork requiring permits cancelled. <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-322-1300-831: <br />002-322-1200-831 540 00 <br />002-322-4011-831: <br />40 i -343-50-109-460-00: <br />401-' i3-50-109-460-14: <br />401-343-10-119-471-02: <br />002-345-8300-831: <br />DATE: January 21, 2015 <br />INVOICF, t#L:1�U1-053 <br />(PIcNSC j7finl lhis iulnllrcl'�n lhc rc�und ChcCk) � <br />C��p� <br />This amount was received by the Ciry of Evereri on 01I121201 � recorded on permit number <br />E1501-053. <br />January 21, 2015 _—_ ♦ _�— <br />(aate) (Authorized Sigr.aWre) <br />Paul McKee-Permit Services Manager <br />-i � e - <br />Refund by Check No. Date <br />_Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />�l3 <br />