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. , <br /> CITY OF EVERETT <br /> REFUIVD i4lJTHORI,ZA�fIaN <br /> TO: City Treasurer DATE: 514104 <br /> You are hereby authorized to refund the following: <br /> PAYEE 53�7 <br /> & Jack Sheeler �Z5' 3%� � <br /> ADDRESS: 8919 Eastview Ave. <br /> Fverett, WA 98208 <br /> AMOUNT: $ 1,200.00 <br /> REASON: Public improvements (performance guarantee) at 2408 39'" St. have been compieted <br /> CUSTOMER ACCOUNT # 002-223-4000-024 <br /> This amount was received by the City of Everett on 7/24/03 and recorded on permit or receipt number <br /> 180539 <br /> 5;4/04 / � �"��— <br /> (date) (Autho zed Signature) <br /> P .rmit S _rvir. .c Manager <br /> �r�ue� <br /> Ref�nd by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br /> ,.. � _ _ - - - — -+,...— <br /> , • <br /> _y` � _ � , . ,;1 f+� , - 'a <br /> `=��s.�1,4�. i <br />