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REFUND AUTHORIZATION <br />TO: City Treasurer Date 11-3-95 <br />You are hereby authorized to refund the following: <br />PAYEE: McDonald's Corp <br />Attn Randy Radock <br />ADDRESS: 10220 NE Points Dr Suite 300 <br />Kirkland WA 98033 <br />AMOUNT: S 850.00 <br />REASON: Incorrect total quoted, check written over actual amount due. <br />CUSTOMER <br />ACCOUNT # BO 401-343-40-119-471-02 <br />This amount was received by the City of Everett on 11-3-95 and recorded on <br />(date) <br />permit or receipt number S.O. Vs 8696 & 8727 <br />11-3-95 71 477-L- <br />tdete) Tim Tyler )Authorized Signature) <br />Refund by Check No. <br />_ Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy <br />Building Official <br />[Tide) <br />Date <br />