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r i <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: May 25, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE POLYGON WLH LLC <br /> & 11624 SE 5TH ST, STE 100 <br /> ADDRESS: BELLEVUE WA 98005 <br /> AMOUNT: $ 2420.00 <br /> REASON: Customer was charged for full water service and should have only been charged for a <br /> 3/4" Meter. <br /> GL CODE: B 002-322-1101-831: <br /> M 002-322-1500-831: INVOICE: U1703-069 <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: $2420.00 4141g G <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 04/19/2017 and recorded on U1703-069. <br /> May 25, 2017 <br /> (date) (Authorized 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 />