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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: May 12, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE CM HEATING INC <br /> & 1415 BROADWAY <br /> ADDRESS: EVERETT, WA 98201 <br /> AMOUNT: $ 28.00 <br /> REASON: Cancelled scope of work after permit was reviewed and approved and paid for. <br /> GL CODE: B 002-322-1101-831: <br /> M 002-322-1500-831: $28.00 INVOICE: M1705-021 <br /> P 002-322-1300-831: (Please print this number on the refund check) <br /> E 002-322-1200-831: <br /> 401-343-50-109-460-00: <br /> 401-343-40-119-471-02: <br /> 002-345-8300-831: <br /> 002-345-8112-102 <br /> 002-369-8101-000: <br /> 002-2374-3401-000: <br /> 157-345-8601-000: <br /> Payment was received by the City of Everett on 05/11/2017 and recorded on M1705-021. <br /> May 12, 2017Z � <br /> (date) (Autl6orized Signature) <br /> Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br /> g8TC 10A( VQw�j <br />