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JUN 0 3 2004 <br />Td �OSTING —.._---- <br />CITY OF EVEP.ETT <br />REFUND AU�'HORIZATIQN <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />P.4YEE <br />& <br />ADDRESS: <br />Cold Creek Inc <br />1410 Silver Springs Way <br />Stanwood, WA 98292 <br />AMOUNT: � 780.00 <br />DATE: 6/3/04 <br />REASON: Water service fees (130.00 each) were previously collected on UG305-021,U0307-048, <br />U0302-023,U0302-024,U0305-023 and U0305-022 on other water <br />CUSTOMER ACCOUNT # 40?-343-40-119-471-02 <br />— see attached. <br />This amount was rec�ived by the City of Everett on various dates and recordad on the attached permits. <br />6/3/04 <br />�aate� <br />Refund bv i,heck No. Date <br />_Original Receipt Attached <br />Account Debited: <br />Or retuna noted on Treasurer s Office Copy. <br />�-9��%!�G /?7�0-� _ <br />(Aut rized Signature) <br />" u '� 11.1.�' <br />