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e � • . ` � . <br /> :. d,."'�;; � � <br /> . r,, � <br /> a; HC �1212 (10-78) <br /> SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> t <br /> ` MU N I C I PAL I TY E�'�''`�-G'�`..-'.� <br /> '�, , � �s <br /> � • MUNIC CODE .�15 <br /> � ; <br /> STATEMENT N0. ���vL. <br /> � ���� /� . /��/ <br /> DATE ISSUED � + , u <br /> VOID AFTER <br /> To the City Treasurer, please �ermit: <br /> � �{/��c"�.�C.�J ' -�` <br /> to pay'the following deferred�installmen'ts of special assessments. <br /> PROPERTY I .D. ,lD - //�'• ,?� • 3/ - �d�� LOT BLOCK ADDN. CODE 'ifo���� <br /> ADDN. NAME ��;,h�..��c_..� �frc.�., C%�,ri,�'�'.,��.�'�"f�;>�/� <br /> � .r fi. i � i - . <br /> • .- i <br /> � DESCRIPTION LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> � i ,, �, FROM TO PAID PRINCIPAL AMOUNT <br /> ��€.�:�.���,�- ��5�'' �� ��. <br /> • � u . <br /> ;� _ � <br /> - -�--- - <br /> ; <br /> - - — ---- — / <br /> l• <br /> f <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 i�t;� Treasurer. <br /> AUTHORIZED BY-,��� � _ . PREPAYMENT DATE �d '+ j� � �I <br /> `-''� i <br /> (/ RECEIPT N0. �/��,��� <br /> ,� � <br /> For County use only: TRANSACTION DOCUMENT N0. <br /> r <br /> White - City Treasurer TAX BOOK BY � � <br /> �Yellow- Finance Director � � . <br /> �Pink- City Clerk , <br /> ��Gold- File <br />