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�w'�-u`;=r` . <br /> � * ..�HC�i21z (io-�8) ' <br /> SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> i <br /> MU N I C I PAL I TY ,,�-,a�,..�---�-1 <br /> �.' V` 3� <br /> � MUNIC CODE <br /> STATEMENT NO.�3�� <br /> DATE ISSUED • /.'� � � 9�� <br /> / . . . <br /> VOID AFTER <br /> To the C ty� Treasurer, pl�ease permit: <br /> '��?'] �-�o � �.r.�C.�..C�^'71...� <br /> > <br /> to pay the following deferred installments of special assessments. <br /> PROPERTY I .D�c��— //�' � `� ,�� `° ��T LOT BLOCK ADOPJ. CODE �a���IJ <br /> �/� �I,� � /� ,� � .,C � <br /> ADDN. NAME ���'Y-� /�=��--1'7��.���.�.'�' r-�"""..�y .a��l.�f /f/�GG.c.�� <br /> /I rI iT " / _ , <br /> // ✓ // ✓ <br /> DESCRIPTION LEVY PROJECT YE RS INTEREST TOTAL PREPAYMENT <br /> n FROM TO PAID PRINCIPAL AMOUNT <br /> �� ���'� �D �a <br /> , Y <br /> � ? <br /> � - - <br /> Remarks: TOTALS �a �v <br /> FUND/AMOUNT <br /> � <br /> FUND/AMOUNT � <br /> To Hennepin County Special Assessments Unit; <br /> Please cancel the above speciaflr-�ssessments <br /> whi ch have been= pai d to the C%i ty,�Treasurer. <br /> AUTHORIZED BY �-�/�'�x. PREPAYMENT DATE �D" o�� " 8� <br /> �� RECEIPT N0. ���5� <br /> �� <br /> For County use only: TRANSACTION DOCUMENT N0. <br /> Nhite - City Treasurer TAX BOOK BY <br /> Yellow- Finance Director <br /> � �Pink- City Clerk <br /> � <br /> �Gold- File � <br /> i �. <br />