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y. <br /> C " , <br /> CITY OF EVERETT � <br /> REFUND AUTHORIZATION � ��� <br /> � <br /> TO: City Treasurer DATE: June 9, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE HOLMBERG COMPANY <br /> & 1128 8T" ST <br /> ADDRESS: KIRKLAND WA 98033 <br /> AMOUNT: $ 80.00 <br /> REASON: VALUE OF PROJECT WAS ADJUSTED SUCH THAT A REFUND IS DUE TO PAYEE. <br /> GL CODE: B 002-322-1101-831: . t�X�.���� � • <br /> M 002-322-1500-831: INVOICE• P1706-020 <br /> P 002-322-1300-831: $80.00 �FUND FOR PERMTT THAT WAS <br /> E 002-322-1200-831: INCLUDED IN A CHECK AMOiTNT <br /> 401-343-50-109-460-00: ZX. <br /> 401-343-40-119-471-02: <br /> 002-345-8300-831: (1'lease print this number on the refund check) <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 04/10/2017 and recorded on B1704-018. <br /> June 9, 2017 <br /> (date) � � ' (Auth rized Signature) <br /> � Paul McKee-Permit Services Mana er <br /> 9 <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 /> . �. <br /> � <br /> � <br /> � � <br /> ���` <br />