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:�:r � • <br /> :: � ,, Hc�i2`i2 (io-�s) <br /> � SPECIAL ASSESSMENTS PREPAYMENT FORM . <br /> , <br /> � MUNICIPALITY �����7�.'�'"""� <br /> .� MUNIC CODE ��S <br /> STATEMENT N0. /_�'�� <br /> DATE ISSUED ��i�� • ���T f;/�� <br /> VOID AFTER _ <br /> " To the City Treasurer, please permit: <br /> ` d <br /> � ��:�c..�x,�z.� �trP/��[_'.t <br /> to pay the following �deferred installments of special assessments. <br /> ` PROPERTY I .D. 3,� -//,�'-o?��-'f�`�-/��2�LOT ..� BLOCK ADDPJ. . CODE 5�v`�.��D <br /> ADDN. NAME��---„_ e� � � .,h �iz,.�c�, ��^'`%�rS�� <br /> / // 1. / // <br /> '�+ DESCRIPTION LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> � FROM TO PAID PRINCIPAL AMOUNT <br /> �.�,.�o��.� y c�/,� �as� 8o gy <br /> � _ - <br /> ��x . <br /> ..,., <br /> Remarks: TOTALS �� �� <br /> �.. <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 City Treasurer. . <br /> AUTHORI ZED BY�1� ,_�Y"f/,��. PREPAYMENT DATE �� � � 7 F �� <br /> - � � , �' RECEIPT N0. /� ��'l•� <br /> �' • <br /> � For County use only: TRANSACTION DOCUMENT N0. <br /> wh"e- �'t'' T�Qasu�e` TAX BOOK BY <br /> Yellow- Finance Director <br /> Pink- City Clerk =' <br /> Gold- File <br />