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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: January 9, 2018 <br /> You are hereby authorized to refund the following: <br /> PAYEE CM HEATING INC <br /> & 1415 BROADWAY <br /> ADDRESS: EVERETT, WA 98201 <br /> AMOUNT: $ 52.00 <br /> REASON: Job Cancelled, 80% Refund <br /> Ala) <br /> GL CODE: B 002-322-1101-831: �fY�2 %�' <br /> M 002-322-1500-831: $52.00 INVOICE: M1711-028 <br /> P 002-322-1300-831: (Please print this number on the refund check) <br /> E 002-322-1200-831: <br /> PC 002-345-8300-831: <br /> 002-342-4016-831: <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 11/09/2017 and recorded on M1711-028. Job cancelled no <br /> inspections, refund at 80%. <br /> January 9, 2018 afAivr _ <br /> Aut1ifirized Signature) <br /> (date) ( 9 ) <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 /> 13 <br />