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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: March 18, 2015 <br /> CITY EVERETT PERMIT SVCS <br /> You are hereby authorized to refund the following: EVERETTCEWAR98201 <br /> 425-257-8810 <br /> PAYEE Evergreen Security Term ID: 75673011 Ref u: 0008 <br /> & 8115 Broadway, Ste 101 , <br /> ADDRESS: Everett, WA 982031 l� l�lElflEl 11699 <br /> VI9fl Entry Method; Nanual <br /> Total: $ 52.50 <br /> AMOUNT: $ 52.50 04/06/15 10:52,26 <br /> Inv 4: 000008 <br /> REASON: Job cancelled. 8atcho; 000411 <br /> lip Code, <br /> GL CODE: 002-322-1101-831: Customer copy <br /> 002-322-1500-831: INVOICE #E1503-072 THANK You, <br /> 002-322-1300-831: (Please print this number on the refund check) <br /> 002-322-1200-831: 52.50 <br /> 002-322-4011-831: <br /> 401-343-50-109-460-00: ��` �Cj U [t- <br /> 401-343-50-109-460-14: <br /> 401-343-40-119-471-02: APR 0,­6 2015 <br /> 002-345-8300-831: <br /> This amount was received by the City of Everett on 3/16/2015 and recorded on permit nb. rn.,.t <br /> E1503-072. (Issuing refund back to credit card on file) <br /> March 18, 2015 <br /> (date) (Authorized Signature) <br /> Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by - ate 120 Is <br /> Ori nal Receipt Attached <br /> Account Debited: MI(faei <br /> Or refund noted on Treasurer's Office Copy. <br />