Laserfiche WebLink
CITY OF EVERETT <br /> REFUND AIJTHORIZATION <br /> TO: City Treasurer DATE: December 26, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE JT MADISON <br /> & PO BOX 31609 <br /> ADDRESS: SEATTLE WA 98203 <br /> AMOUNT: $ 64.50 <br /> REASON: -�flt�-£-am�eClea ��p,�,j�p� ��y�,� �'� <br /> -- P.., <br /> GL CODE: B 002-322-1101-831: 64.50 <br /> M 002-322-1500-831: INVOICE: D1607-003 & U1607-014 <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: ',;L,�j, � ��;��� ,����"��;$� �',�,(`�"�° <br /> 002-342-4016-831: �I " ,,� � <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 07/08/2016 and recorded on D1607-003 & U1607-014. TWO <br /> PERMITS ISSUED FOR SAME WORK , refund at 100%. <br /> �") <br /> December 26, 2017 =�+,,�,�,� _,��f��`� ���'��'�%' <br /> (date) (Authorized 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 /> 1� ��,�' <br /> �,'i..����.�c,� � C-�'.�,►� <br />