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CITY OF EVERETT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: January 31, 2019 - <br /> You are hereby authorized to refund the following: <br /> PAYEE EVERGREENSTATE HEAT&A/C <br /> & 2120 PACIFIC AVE <br /> ADDRESS: EVERETT WA 98201 <br /> AMOUNT: $ 112.00 <br /> REASON: OWNER CANCELLED CONTRACTOR INSTALLATION —80% refund <br /> GL CODE: B 002-322-1101-831: <br /> M 002-322-1500-831: $ 60.00 INVOICE: M1809-044 & E1809-117 <br /> P 002-322-1300-831: (Please print this number on the refund check) <br /> E 002-322-1200-831: $ 52.00 <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 /> 401-343-50-109-460-00: <br /> Payment was received by the City of Everett on 09/18/2018 and recorded on M1809-044 & E1809-117. <br /> January 31, 2019 frjilkA4 <br /> ,a <br /> (date) (Atit orized Signature) <br /> , Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: s <br /> Or refund noted on Treasurer's Office Copy. <br />