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CITY OF EVERETT <br /> REFU14D AUTHORIZATION <br /> TO: City Treasurer DATE: April 17, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE Clean Energy <br /> & 4675 MacArthur Court, Ste 800 <br /> ADDRESS: Newport Beach CA 92660 <br /> AMOUNT: $ 187.74 <br /> REASON: Cancelled scope of work after permit was reviewed and approved and paid for. <br /> GL CODE: 002-322-1101-831: $ 167.40 <br /> 002-322-1500-831: INVOICE: B1704-020 <br /> 002-322-1300-831: (Please print this number on the refund check) <br /> 002-322-1200-831: �- <br /> 401-343-50-109-460-00: �U �1 '� �ar� ��' afdc'A)AJ, <br /> 401-343-40-119-471-02: ton 1,�f '4 <br /> 002-345-8300-831: <br /> 002-345-8112-102 $ 16.74 -L•Cj <br /> 002-369-8101-000: <br /> 002-2374-3401-000: $ 3.60 <br /> 157-345-8601-000: <br /> Payment was received by the City of Everett on 04/10/2017 and recorded on B1704-020. <br /> April 17, 2017 <br /> (date) (Authorized Signature) <br /> Paul McKee-Permit Services Manager <br /> ie <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited.- <br /> Or <br /> ebited:Or refund noted on Treasurer's Office Copy. <br />