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�,,� ,�, ,. <br /> �` ° `� HC �1212 (10-78) <br /> ��' SPECIAL ASSESSMENTS PREPAYMENT FORM ! <br /> MUNICIPALITY t�,rt...�---� <br /> .' <br /> � MUNIC CODE �� <br /> STATEMENT N0. �� �� <br /> DATE ISSUED �� • /r� , ��� � <br /> i • <br /> VOID AFTER __ <br /> To the City'T.reasurer, please permit: <br /> t � , :., 6'-�-�1l.� <br /> to pay theffollo��ng deferred installments of special assessments. <br /> PROPERTY`I .D.��r //d''''"'� � - �/-�d/� LOT BLOCK ADDN. CODE �.�� <br /> . <br /> ADDN. NAME �` ,0.�� � �G(/G�-t1_ ��c�>r�.`� <br /> • • - ,,n t i <br /> '� DESCRIPTION LEVY �ROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> � � FROM TO PAID PRINCIPAL AMOUNT <br /> �.�.���Y �� �,��� �.�� ?� <br /> r _ _ <br /> �:Y:.�. <br /> Remarks: TOTALS �3� ��' <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 -i"y Treasurer. <br /> AUTHORIZED BY �,%���. PREPAYMENT DATE �� " � '�'�i`�� <br /> � � �� <br /> � RECEIPT N0. ��l ,�� <br /> � ' <br /> �� For County use only: TRANSACTION DOCUMENT N0. <br /> White - City Treasurer TAX BOOK BY <br /> Yellow- Finance Direc[or �� <br /> Pink- City Clerk� ' <br /> Gold- File <br /> � <br />