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�`.�' � � , • <br /> '' � ' HC� 1212 (10-78) <br /> ' SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> : - MUNICIPALITY t�� <br /> ..� � <br /> � MUNIC CODE �� <br /> STATEMENT N0. I3 �� <br /> DATE ISSUED `�"c--��-�'-'' • / ..� . I��'I <br /> � VOID AFTER <br /> To the City Treasurer, please permit: <br /> � � <br /> �� ������� � <br /> to pay the fqllowing deferree(�i-`nstallments of special assessments. <br /> ✓ <br /> ! PROPERTY I .D. ��'"�/7� v�� /� DG�O� LOT BLOCK ADDPJ. CODE �o'�c'�D <br /> r _ <br /> ADDN. NAME �„�p ,r�,.p�,.�c.,c.,C.,�J <br /> _ � <br /> �. DESCRIPTION `� LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> � FROM TO PAID PRINCIPAL AMOUNT - <br /> , o?,� <br /> �r���.�� 1� �..� l�a�� /�l -- <br /> � - - <br /> �.�:.� <br /> � — - -- - -.- .. <br /> , <br /> Remarks:� TOTALS f9� a 3 <br /> FUND/AMOUNT <br /> � <br /> FUND/AMOUNT � <br /> , <br /> �To,Hennepin County Special Assessments Unit; , <br /> Please cancel the� above special assessments <br /> whi ch have been �pai'd�to the�Ci ty Treasurer. <br /> AUTHORIZED BY ��/'.�n�r_��z��- PREPAYMENT DATE /D ' ao� �`�I <br /> // v, � <br /> ' ._ ` f RECEIPT N0. ����� � <br /> � , " �. <br /> ' � For County use only: TRANSACTION DOCUMENT N0. <br /> I <br /> White - City Treasurer TAX BOOK BY �� <br /> Yellow- Finance Director . �� <br /> Pink- City Clerk <br /> Gold- File <br />