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1213 21ST ST 2016-01-01 MF Import
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1213 21ST ST 2016-01-01 MF Import
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Last modified
11/29/2017 10:58:08 AM
Creation date
4/2/2017 4:26:18 PM
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Template:
Address Document
Street Name
21ST ST
Street Number
1213
Imported From Microfiche
Yes
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0 <br />� <br />RF.FUND AUTNORIZATION <br />�Tq: City Treneurer Date 1/12/81 <br />Yuu are hereby authorized to refund the following: <br />f3en Newland <br />Payee: <br />P.O. 6ox 95E1 <br />Addrese: <br />Amount: <br />Reason: <br />Cuatomer <br />Account No, <br />Evcrett, Wa. <br />9820G <br />Zip <br />S 3�3.U0 <br />A]ot building at this time <br />Thie amount was received by the City of Everett on ��ZS� <br />and recorded on City Treasurer's Receipt No. <br />BO <br />19_� <br />i <br />City r�u;ldingPermit No. �fl42 haa been returned/cancelled, <br />Plana have been returned to thie department. <br />p charge hae beeu made to the cuatumer's account for this refund, <br />►�An� � � �ysr <br />Date <br />--�-- --------�----- <br />� <br />� �:�d�fJ.�/.�_ <br />Authorized Signature <br />ouildiny Official <br />Tltle <br />_ --------------' <br />` �I Refund by Check No. /,) ,'� � Date 19_ <br />��' , Accaunt Debited; <br />j � <br />�,i <br />n�, 1 <br />�i � <br />Fund Baeub Elem <br />�.,� w <br />� w <br />UCil Obj <br />� W <br />� � � � , � � <br />Origlnal Receipt <br />Attached <br />or <br />Aefund Noted on <br />Treaeurer'e <br />Office Copy <br />� <br />
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