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. <br />._..._ ___._.. .. .. __._.Y.. . <br />........._..._....._ �.._.__._�............._..__ <br />�---� . .. . .. . .. . . .... ._...._.. . .,,._. ..., , . <br />everett <br />REFUND AUTFIORIZATION <br />To: City Treasurer <br />Date g_Y6..�91 � <br />You are hereby authoriaed to refund the follawing: <br />Payee: <br />Address: <br />Amount <br />Reason: <br />Custoner <br />Account No. <br />_.Pat_Nleber dhe 1�+��rican Eet �ee <br />.3312 iz�tn el �e <br />_Everett ' Z1p 98208 <br />� eso.00 <br />Overchnr ed for new water aervice at 111 - 113th St se. <br />Water aervice wea already inata e or garage. <br />� <br />� � <br />This anount was received by the City of Everett on_ �_��_lg 91 <br />and recorded on City Treasurer�s Receipt No. <br />❑ City Permit No._ „s, has been returntd/cancelled. <br />O Plans have been returned to this department <br />❑ A charge has been made to the �ust er's account for this refund. <br />9-26-91 �L�� <br />.ate ut or ze gnature <br />Huildinq Officiel <br />e <br />--------------------------------------------• <br />Refund by Check No. Date _ 19 Original Receipt <br />Attached <br />Account Debited: Fund Hasub Elem Util Obj <br />'S�O� .�.�:�. �� 7 / . 0 0'�. . � o r <br />Refund Noted <br />�..� "_, on Treasurer's <br />� Office Copy <br />