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i <br /> CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: October 9, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE EVERGREEN STATE HEAT&AC - <br /> & 2120 PACIFIC AVE <br /> ADDRESS: EVERETT WA 98201 <br /> AMOUNT: $ 52.00 <br /> REASON: 80% REFUND DUE — CUSTOMER WENT WITH OTHER CONTRACTOR <br /> GL CODE: B 002-322-1101-831: <br /> M 002-322-1500-831: $52.00 �OICE: M1709-080 <br /> P 002-322-1300-$31: (Please print this number on the refund check) <br /> E 002-322-1200-831: <br /> 002-322-4012-831: <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 09/29/2017 and e rded on M1709-080. <br /> October 9, 2017 <br /> (date) (Auth ized 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 /> �/ ,� � � �7y v, ' �v <br /> � �� I�I <br /> �� n����I—o�� <br /> c,��� <br />