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do ���I�N�7JUN 0 3 2004 <br />CITY OF EVERETT <br />REFUND �►UTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund the following: <br />PAYEE <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 U0305-021,U0307-048, <br />U0302-023,U0302-024,U0305-023 and U0305-022 on other water permits — see attached. <br />CUSTOMER ACCOUNT # 401-343-40-119-471-02 <br />This ar-iount was received by the City of Everett on various dates and recorded on the attached permits. <br />6/3/04 <br />�aate) <br />Refund by Check No. Date <br />Original Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy. <br />(Au ri=ed Si�naNre � <br />' �1 1 .1.�- <br />