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. <br /> � ( <br /> CITY OF EVERETT '� <br /> �, <br /> REFUND AUTHORIZATIOI� ' <br /> I <br /> TO: City Treasurer DATE: 1-29-03 ' <br /> You are hereby auth�rized to refund the following: i <br /> PAYEE HEARTHSIDE & HOMES � <br /> & 4829-D 196T" ST SW � <br /> ADDRESS: LYNNWOOD WA 98036 ( <br /> I <br /> � <br /> AMOUNT: $ 17.00 <br /> REASCiJ: CHECK RECEIVED FOR OVER AMOUNT DUE. � <br /> . � <br /> � <br /> d <br /> CUSTOMER ACCOUNT # 401-343-40-119-471-02 � <br /> This amount was received by the City of Everett on 1-29-03 and recorded on permit or receipt � <br /> number M030i-042 <br /> 1-29-03 /J�f� <br /> ,/ /y�c0 I�j <br /> (datol (Authorized Sigr�ature) <br /> PERMIT TECH <br /> (rue) <br /> Refund by Check No. Date <br /> _Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />