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C3 <br />TO: City Treasurer <br />REFUND AUTHORIZATION <br />You are hereby authorized to refund the followir., <br />PAYEE: Omar Jensen Const Inc <br />ADDRESS: PO Box 127 <br />Mukilteo WA 98275 <br />AMOUNT: $ 1140.00 <br />Date 2-5-01 <br />REASON: Refunding all but $60 for water service. Charged $1200 and existing 3/4" <br />service -is found on site that had been installed in 1988. Job at <br />1 33r We W. Refund srnt to contractor. <br />CUSTOMER <br />ACCOUNT # 401-343-40-119-471-02 <br />This amount was received by the City of Everett on 7-24-2000 <br />(data) <br />permit or receipt number <br />2-6-01 <br />(date) <br />Refund by Check No. <br />U0007-021 <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy <br />Date <br />(Authorized Signature) <br />and recorded on <br />