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REFUND AUTHORIZATION <br />To: City Treasurer <br />You are hereby authorized to refund the following: <br />Payee: Rickie Dennison <br />Address: 628 61st St SE <br />Everett WA Zip 98203 <br />Amount $ 30.00 <br />Reason: 'Wood stove not installed <br />Customer <br />Account No. <br />Date 8-30-93 <br />This amount was received by the City of Everett on 7-28 1993 <br />and recorded on City Treasurer's Receipt No. <br />❑ City building Permit No. 40592 has been returned/cancelled. <br />❑ Plans have been returned to this department. <br />❑ A charge has been made to ,the cust er s account for this refund. <br />8-30-93 <br />Date A 0 t h o r i z e TT ignature <br />Refund by Check No. Date <br />Account Debited: Fund Basub <br />002-3221500831 <br />Building Official <br />Title <br />19 Original Receipt <br />Attached <br />Elem Util Obj <br />or <br />Refund Noted <br />on Treasurer's <br />Office Copy <br />