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. <br /> < <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION � <br /> TO: City Treasurer DATE: November 9, 2017 <br /> , <br /> You are hereby authorized to refund the following: <br /> PAYEE BACK FORTY CONSTRUCTION LLC <br /> & 27419 118T"ST SE <br /> ADDRESS: MONROE, WA 98272 <br /> AMOUNT: $ 34.56 <br /> REASON: VALUATION REDUCED DUE TO SCOPE OF WORK. <br /> GL CODE: B 002-322-1101-831: $34.56 <br /> M 002-322-1500-831: �OICE• C1710-006 <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 10/017/2017 and recorded on C1710-006. VALUATION OF <br /> WORK CHANGED. REFUND DUE. <br /> November 9, 2017 <br /> (date) (Auth ed 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 /> � ,� 7 <br />