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;E""�"'.."'sYr�,� } , . <br /> .�;,,'° HC 1212 (10-78) <br /> SPECIAL ASSESSMENTS PREPAYMENT FORM <br /> - � MUNICIPALITY ��� <br /> `.' . MUNIC CODE ��� <br /> ` �3�"�' � <br /> STATEMENT N0. , <br /> DATE ISSUED � , �-� . /��� <br /> VOID AFTER <br /> To the City Treasurer, please permit: <br /> � D �j l <br /> ��f'�•-�-•�...e! _�..- !_..�{.-.-C_.-�lt�_..J <br /> to pay the fo f�wjn�g d�ferred installments of special assessments. <br /> PROPERTY I .D. a�r�' //��?� ��'DQl�� LOT BLOCK ADDN. CODE ��� � <br /> ADDN. NAME �� C��S ��-�'/ `�C�(`,•t .,-,!c--c'..-r�J �" /?r�� <br /> i :� . . , � ii • <br /> DESCRIPTION � LEVY PROJECT YE�RS INTEREST TOTAL PREPAYMENT <br /> � <br /> � FROM TO PAID PRINCIPAL AMOUNT <br /> ��. ���.c, ,��`�'' �o �-G <br /> . � <br /> �r� _ - <br /> J <br /> Remarks: TOTALS �� ,�.� <br /> FUND/AMOUNT <br /> � <br /> FUND/AMOUNT � <br /> / <br /> To Hennepin County Special Assessments Unit; r <br /> Please cancel the, above special,.�assessments <br /> whi ch have be��p�i d to the C�i�ty�Treasurer. <br /> � <br /> AUTHORIZED BY ���� PREPAYMENT DATE I� ` �� "� �l <br /> ✓ � <br /> � (�"� RECEIPT N0. /��`K '.�c� <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 /> `1Gold- File <br />