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. •__ <br /> {q'�Tn.c��'`-k4 , '� • ..... �,^ .. <br /> #,: `: �HC 1212 (10-78) ' J <br /> � SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> i <br /> MUNICIPALITY � <br /> '�.,.--� �,.J <br /> � MUNIC CODE ��S <br /> .. , <br /> STATEMENT N0. ���� <br /> DATE ISSUED . `� . I `��. a � <br /> VOID AFTER ` ' <br /> To t.he�City Treasurer, lease permit: <br /> � _�a �-/ - Gl.�i ,�1� <br /> �to pa��he following deferred installments of special assessments. <br /> PROPERTY I .D. d� //7'-02 3 �?� - �'C7/�_ LOT BLOCK ADDP�. CODE �..��-�� <br />� �� ,.,� :��°a.--/��....�- <br /> ADON. NAME �,,�-z� <br /> � � <br /> DESCRIPTION LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> , <br /> FROM TO PAID PRINCIPAL AMOUNT <br />� �"i���dZ�f..-c-� �o��-�' �� �o <br /> . . �/ ' <br /> �!' - - <br /> Remarks: TOTALS �� QD <br /> FUND/AMOUNT <br /> � <br /> FUND/AMOUNT � <br /> To Hennepin County Special Assessments Unit; <br /> Please cancel the above special,,.•assessments <br /> whi ch have b�n pai d to th Ci�`ty/Treasurer. � <br /> AUTHORIZED B y% "�" G�-Y- PREPAYMENT DATE /�- ��" �'I. <br /> ✓ ��,. <br /> ,��-��• RECEIPT N0. �� ��� <br /> ^� � <br /> � For County use only: TRANSACTION DOCUMENT N0. <br /> w`"`e - �'tY T`Qas°`e` TAX BOOK BY <br /> xellow- Finance Director <br /> Pink- City Clerk � <br /> `.�Gold- File � � <br /> 4 �; <br /> . `� � � . .. . � � - <br />