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HENNEPIN COUNTY TREASURER <br />A 600 Government Center <br />Minneapolis, Minnesota 55487 -0060 <br />FEE TRANSACTION INVOICE <br />Name John Holm <br />Firm <br />Address: <br />Serviced issued by: David Yurich Date: <br />Fund 10 <br />Account 44130 <br />Center 671500 <br />Invoice Number 2004 -4 <br />No. of Units .,,,,.-1.J) <br />Rate $1.25/Unit <br />Total $ 25.00 <br />Detail of service performed <br />1. 1011723340006 <br />2. 1485 bayridge rd <br />Make checks payable to Hennepin County Treasurer and mail or deliver to Fee Cashier, <br />A 600 Government Center, Minneapolis, Minnesota 55487 -0060 <br />FEE AUTHORITY <br />7/21/2004 <br />JUl 1 , 2004 <br />The charges made hereon have been levied pursuant to Chapter 692, Laws of Minnesota,1969, which gave <br />authority to the Hennepin County Board of Commissioners to set fees for certain services provided by <br />departments of the county. <br />Copy 1 -Customer