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everett - <br /> REFUND AUTFfORIZATION <br /> To: City Treasurer <br /> Date 5-27-95 <br /> You are hereby authorized to refur.d the following : <br /> Payee: C Frost Company Inc <br /> Address : 13649 NF. 126th Pl <br /> Bellevue WA Z1p 98034 <br /> Amount $ 185.03 <br /> � Reason : � Overcharge because of incorrect contract <br /> _ amount on application. <br /> Customer <br /> Account No. 002-3'�58300831 <br /> This amount was received by the City of Everett on 5-1�_lg 95 <br /> and recorded on City Treasurer ' s Receipt No. 113933 <br /> O City Permit No. _ has been returned/cancelled. <br /> ❑ Plans have been returned . to this department. <br /> " ❑ A charge has been made to ,the cust me ' s account for this refund. <br /> __ 5-23-95 � v <br /> Date � <br /> ut orize Signature <br /> _ Building Offici.al <br /> Tzt e <br /> ------------- -------------------- - <br /> Refund by Check No. Date lg <br /> Original Receipt <br /> Attached <br /> Account Debited : Fund Basub Elem Util Obj <br /> �J or <br /> Refund Noted <br /> on Treasurer � s <br /> � U%£ice Copy <br />