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� <br /> r �' i <br /> CITY OF EVERETT j <br /> REFUND AUTHORIZATIOI� ' <br /> TO: Ciry Treasurer DATE: 1-24-04 <br /> You are hereby authorized tc refund the following: <br /> PAYEE Marlene Withers / I <br /> & 381 E Woodland Ur <br /> ADDRESS: Camano is, WA 98292 � <br /> -- � ,' <br /> AMOUNT: $ 1426.00 <br /> REASON: Overcharged fcr water meter and systems deve!opment charge on new house <br /> permit. There was a house pre�iously on the lot. <br /> CUSTOMEP ACCOUNT# See attached <br /> This amount was received by the City of Everett on 1-23-G3 and recorded o�� permit or receipt j <br /> number CO212-023 j <br /> , <br /> 1-24-03 � <br /> I <br /> (dete) (Authorized SigneWre) � <br /> � <br /> � <br /> rnye� � <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: ' <br /> Or refund noted on Treasurer's Office Copy. ' <br /> �� <br /> — �.� <br />