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. - . � <br /> HC 1212 (10-78) <br /> SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> MUNICIPALITY �f���.��.-�`- ' <br /> • MUNIC CODE ._�d <br /> STATEMENT N0._�,��I <br /> DATE ISSUED �" G� • / � . /�c�/ <br /> VOID AFTER <br /> To the City Treasurer, please permit: � <br /> f v <br /> ''`L..,���-.�^ . .�' �l.-f..Iv!� <br /> to �pay the fol'lowing deferred insta��lments of special assessments. <br /> PROPERTY I .D. D��//7-��3 /5�`L'�GfD� LOT BLOCK ADDPJ. CODE ����D <br />' ADDN. NAME ��� �..�� � ��J� <br /> � <br /> DESCRIPTION LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> � FROM TO PAID PRINCIPAL AMOUNT <br /> ��1.��: . fla.��' �� � <br /> v - <br /> • _ <br /> Remarks: TOTALS �D �° •` <br /> FUND/AMOUNT <br /> � <br /> FUND/AMOUNT � ` <br /> To Hennepin County Special Assessments Unit; <br /> Please cancel tiie� above special assessments <br /> which have been paid to the Cibty Treasurer. <br /> � <br /> AUTHORI ZED BY�1�� CG�fiz PREPAYMENT DATE /U `r�� ""�� <br /> � • - • <br /> � � ' RECEIPT N0. .��� 'G�� <br /> • <br /> For County use only: TRANSACTION DOCUMENT N0. <br /> White- City Treasurer TAX BOOK BY <br /> ,�Yellow- Finance Director � <br /> �Pink- City Clerk <br /> Gold- File <br /> . <br /> 4, ,�a..'� <br />