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TO POSTlNG�UN 0 3 2004 <br />CITY OF EVERETT <br />REFUND AIJTHORIZATION <br />TO: City Treasurer <br />You are hereby authorized to refund tne following: <br />PAYEE <br />& <br />ADDRESS: <br />Cold Creek Inc <br />1410 Silver Springs Way <br />Stanwood, WA 98292 <br />AMOUNT: �u 780.00 <br />DATE: 6/3/04 <br />REASON: Water service fees (130.00 each) were previously col!ected on U0305-021,U0307-048, <br />U0302-023,U0302-024,U0305-023 and U0305-022 on other water permits — see attached. <br />CUSTONIER ACCOUNT # 401-343-40-119-471-02 <br />This amount was received by the City of Everett on various dates and recorded on the attached permits. <br />_ 6/3/04 <br />(date) <br />Refund by Check No. Date <br />_Original Receipt Attached <br />Account Debited: <br />Gr re�una noted on Treasurer s Gffice Copy. <br />�..���_ <br />(AutMQri=etl Signature� <br />- u -� 1/.�.�- <br />