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� <br /> ��US— /.37'�' � ✓ GcJ <br /> REFUND AUTHORIZATION <br /> T0: City Treasurer Date �d-3v -97 <br /> You are hereby authorized to refund the following: <br /> PAYEE: / L L G <br /> ADDRESS: - <br /> �� �JLJ 9�n/z <br /> AMOUNT: $_ ��'9 ZU <br /> REASON: ��1n.I. �^�}�n ,/).P�1�Yn�.�, ,/,�-- �� /T <br /> CUSTOMER / <br /> ACCOUNT # /�D�' , _ �,O �'h���� <br /> This amount was received by the City of Everett on C� ��97 and recorded on <br /> (date) <br /> permit or receipt number �ZU�97 <br /> , � <br /> T <br /> i0 :�C�97 <br /> (dato) (Authorized Sipnetura) <br /> y_f5,/.��n2i; l i�L a�' �i <br /> 1Ti e <br /> Refund by Check No. Date <br /> _ Original Receipt Atiached <br /> Account Debited: " <br />, Or refund noted on Treasurer's Office Copy <br />