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CITY OF EVERETT <br />REFUND AUTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the foliowing: <br />PAY[E ROB'S ELECTRIC INC. <br />& 4405 103"D AVE SE <br />ADDRESS: LAKE STE�'ENS WA 98258 <br />AMOUNT <br />REASON <br />$ 60.00 <br />Project Cancelled by Property Owner <br />GL CODE: 002-322-1101-831: <br />002-322-1500-831: <br />002-322-1300-831: <br />002-322-1200-831' S60.00 <br />002-322-4011-831; <br />401-343-50-109-460-00: <br />4U 1-343-50-109-460-14: <br />401-343-40-119-471-02, <br />002-345-8300-831: <br />DATE: April 15, 2015 <br />IVVOICr i1E1504-OSG ---�y <br />(Plcasc print �his numbcron Ihc rcfund chcck) <br />This aroount was received by the Ciry of Everett on 04I1D/2015 and recorded on permit number <br />E1504-056. Refunding back to credit card originally us�, <br />April 15, 2015 ��'y �—`�'�-- --- <br />(tlale) (AWhonze9 Si �ure) <br />Paul McKee-Permit Services Manager <br />'-�Tille ---- <br />Refund by Ct��ck No. Date <br />_Original Receipt Attaclied <br />ticcount Debi.ad: <br />Or refund noted on Treasurer's Office Copy. <br />eMn,v�cj0.,�" ,v.fi.,hat dxz+.uxr J <br />- �� <br />� �-+�ea_Su.�.�.v <br />