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10921 19TH AVE SE 2019-06-11
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10921 19TH AVE SE 2019-06-11
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6/11/2019 1:56:12 PM
Creation date
6/11/2019 1:56:10 PM
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Address Document
Street Name
19TH AVE SE
Street Number
10921
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7 <br /> CITY OF TT <br /> REFUND AUTHORIZATION <br /> TO: City Treasurer DATE: October 17, 2017 <br /> You are hereby authorized to refund the following: <br /> PAYEE INSIGNIA SIGN INC <br /> & PO BOX 2849 <br /> ADDRESS: RENTON, WA 98056 <br /> AMOUNT: $ 117.81 <br /> REASON: 80% REFUND DUE — CUSTOMER WENT WITH OTHER CONTRACTOR <br /> GL CODE: B 002-322-1101-831: <br /> M 002-322-1500-831: INVOICE• S1710-003 <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: $117.81 <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 10/12/2017 and recorded on S1710-003. REFACING SIGN <br /> PERMIT NOT NEEDED. <br /> f <br /> October 17, 2017 511fig <br /> (date) (Auth%razed Signature) <br /> Paul McKee-Permit Services Manager <br /> (Title) <br /> Refund by Check No. Date <br /> Original Receipt Attached <br /> Account Debited: <br /> Or refund noted on Treasurer's Office Copy. <br /> 11. <br /> b cI'LL 1G0^ M2- SG <br />
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