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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: February 17, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE LIN R ROGERS ELECTRICAL INC <br /> & 2050 MARCONI DR#200 <br /> ADDRESS: ALPHARETTA, GA 30005 <br /> AMOUNT: $ 143.84 <br /> REASON: REFUND AT 80%, CANCELLED PERMIT WITHIN GRACE PERIOD. <br /> GL CODE: 002-322-1101-831: <br /> 002-322-1500-831: INVOICE#E1612-155 <br /> 002-322-1300-831: (Please print this number on the refund check) <br /> 002-322-1200-831: $143.84 <br /> 002-322-4011-831: <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 /> 157-345-8601-000: <br /> Payment was received by the City of Everett on 12/22/16 and reco`rd d on E1612-155 <br /> 1 �f <br /> February 17, 2017 1.. ) —-� <br /> (date) (AutKdrrzed Signature) <br /> Paul McKee-Permit Services Manager <br /> ie <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br />