Laserfiche WebLink
-`• - <br /> ° ' HC 1212 (10-78) ' <br /> SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> MUNICIPALITY � ��C..G��r.�r� <br /> • MUNIC CODE �� <br /> STATEMENT N0._�� �� <br /> DATE ISSUED (��.�`� '-� � �� � ���� <br /> � <br /> VOID AFTER <br /> To the City Treasurer, please permit: <br /> �,�`�.� `��._.�� �z...J <br /> to pay..ithe following deferred installments of special assessments. <br /> PROPERTY I .D. vI�' /�� v`� ,�'a�.,��/7 LOT BLOCK ADDP�. CODE `7' -���'0 <br /> ADDN. NAME c 1 r�,,t,,�., ...� �G��, <br /> ` ./1/ f/ <br /> V <br /> DESCRIPTION LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> FROM TO PAID PRINCIPAL AMOUNT <br /> �.f' �� l� ��'�'�/ /o� !� <br /> ������ � ������ <br /> , <br /> � - <br /> — - — ----- - � <br /> Remarks: TOTALS ��� �� <br /> FUND/AMOUNT <br /> � <br /> FUND/AMOUNT � <br /> To Hennepin County Special Assessments Unit; <br /> Please cancel the above special assessments <br /> which have been paid to the Ci%ty Treasurer. <br /> AUTHORIZED BY f�ll��,-r,/���,G�-rL PREPAYMENT DATE �`' �� � �� <br /> / <br /> � � �� RECEIPT N0. ��/l�� <br /> • <br /> For County use only: TRANSACTION DOCUMENT N0. <br /> , <br /> �tihite - City Treasurer TAX BOOK BY <br /> Yellow- Finance Director , <br /> Pink- City Clerk � . � <br /> Gold- File <br /> � • _ <br />